HESI LPN
Nutrition Final Exam
1. How should a healthcare professional manage a child with scabies?
- A. Use topical permethrin cream
- B. Administer oral antibiotics
- C. Apply topical antifungals
- D. Provide supportive care only
Correct answer: A
Rationale: Corrected Rationale: Topical permethrin cream is the appropriate treatment for scabies as it effectively kills the mites causing the infestation. Oral antibiotics are not indicated for scabies as it is not a bacterial infection. Topical antifungals are used to treat fungal infections, not scabies. Providing supportive care only would not address the underlying cause of scabies, which is the mite infestation.
2. 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.
3. What is the main purpose of Recommended Dietary Allowances (RDAs)?
- A. To provide guidelines for nutrient intakes that meet the needs of most healthy people.
- B. To specify the minimum amount of nutrients required for survival.
- C. To establish maximum safe levels of nutrient intakes.
- D. To recommend specific nutrient intake levels to prevent chronic diseases.
Correct answer: A
Rationale: The main purpose of Recommended Dietary Allowances (RDAs) is to provide guidelines for nutrient intakes that meet the needs of most healthy people. Choice B is incorrect because RDAs aim beyond just survival requirements. Choice C is incorrect because establishing maximum safe levels is the role of Tolerable Upper Intake Levels (ULs). Choice D is incorrect because preventing chronic diseases is more associated with Dietary Reference Intakes (DRIs) like Adequate Intakes (AIs) and Tolerable Upper Intake Levels (ULs). Therefore, the correct answer is A.
4. How should a healthcare professional address the concerns of parents about their child’s developmental delay?
- A. Recommend immediate diagnostic testing
- B. Suggest waiting for natural development
- C. Provide information about early intervention services
- D. Advise on increasing physical activity
Correct answer: C
Rationale: When addressing concerns about a child's developmental delay, providing information about early intervention services is crucial as it can facilitate timely support and resources. This option helps parents understand the available support systems and interventions for their child. Recommending immediate diagnostic testing may cause unnecessary anxiety without first exploring other supportive options. Suggesting waiting for natural development could result in missed opportunities for early intervention that are crucial for improving developmental outcomes. Advising on increasing physical activity is not directly related to addressing developmental delays and does not address the core issue of developmental delay.
5. What is a key aspect of managing a child with cystic fibrosis?
- A. Regular pulmonary function tests
- B. Daily administration of antibiotics only
- C. High-sugar diet
- D. Limiting all physical activities
Correct answer: A
Rationale: Regular pulmonary function tests are a key aspect of managing a child with cystic fibrosis. These tests help monitor lung function and disease progression effectively, providing valuable information for healthcare providers to make timely interventions and adjustments to treatment plans. Daily administration of antibiotics alone (Choice B) is important but not the sole key aspect of managing cystic fibrosis. A high-sugar diet (Choice C) is not recommended for individuals with cystic fibrosis as it can exacerbate health issues. Limiting all physical activities (Choice D) is not beneficial as regular exercise is important for overall health and lung function in individuals with cystic fibrosis.
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