HESI LPN
LPN Nutrition Practice Test
1. What is an important consideration when administering medications to a child with hepatic dysfunction?
- A. Increased dosing intervals
- B. Adjustments in dosage due to altered metabolism
- C. Avoid all medications
- D. Use only topical medications
Correct answer: B
Rationale: When administering medications to a child with hepatic dysfunction, it is crucial to make adjustments in dosage due to altered metabolism. Hepatic dysfunction can affect the way medications are metabolized in the body, potentially leading to drug toxicity or reduced effectiveness. This is why adjusting the dosage is essential to ensure the medication is both safe and efficient. Choices A, C, and D are incorrect because increasing dosing intervals, avoiding all medications, or using only topical medications do not address the specific issue of altered drug metabolism in hepatic dysfunction.
2. How should a healthcare provider respond to a parent concerned about their child's frequent ear infections?
- A. Recommend over-the-counter ear drops
- B. Suggest an ENT specialist evaluation
- C. Advise on increasing fluid intake
- D. Encourage more physical exercise
Correct answer: B
Rationale: When a parent expresses concerns about their child's frequent ear infections, suggesting an ENT specialist evaluation is the most appropriate response. This specialist can conduct a thorough examination to identify the underlying cause of the recurrent infections and recommend the most suitable treatment. Recommending over-the-counter ear drops (Choice A) may not address the root cause of the issue and could potentially lead to inappropriate treatment. Advising on increasing fluid intake (Choice C) and encouraging more physical exercise (Choice D) are unrelated to addressing the specific concern of frequent ear infections.
3. Food energy is commonly expressed in kilocalories and in what other unit?
- A. kilojoules
- B. kilograms
- C. kilometers
- D. kilonewtons
Correct answer: A
Rationale: Food energy is commonly expressed in kilocalories and kilojoules. Kilocalories and kilojoules are both units of energy commonly used to measure the energy content of food. Kilograms, kilometers, and kilonewtons are units of mass, distance, and force, respectively, and are not used to express food energy.
4. What is the most common symptom of appendicitis in children?
- A. Vomiting and diarrhea
- B. Fever and abdominal pain
- C. Rash and joint pain
- D. Difficulty breathing
Correct answer: B
Rationale: The correct answer is B: Fever and abdominal pain. In children, appendicitis commonly presents with fever and abdominal pain. The pain typically begins around the umbilicus and then moves to the lower right quadrant. Choices A, C, and D are incorrect because vomiting and diarrhea, rash and joint pain, and difficulty breathing are not typical symptoms of appendicitis in children.
5. What is a common complication of uncontrolled type 1 diabetes in children?
- A. Hyperactivity
- B. Ketoacidosis
- C. Hypertension
- D. Hypoglycemia
Correct answer: B
Rationale: Ketoacidosis is a prevalent complication of uncontrolled type 1 diabetes in children. It is a serious condition characterized by high levels of ketones in the blood, leading to acidosis. Prompt medical attention is necessary to manage this potentially life-threatening condition. Choice A, hyperactivity, is not a typical complication of uncontrolled type 1 diabetes. Choice C, hypertension, is not a direct complication of type 1 diabetes in children. Choice D, hypoglycemia, is more commonly associated with low blood sugar levels, which can occur due to excessive insulin administration or inadequate food intake in diabetic individuals, rather than uncontrolled type 1 diabetes.
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