how should a nurse respond to a parent concerned about their childs weight gain

HESI LPN

LPN Nutrition Practice Test

1. How should a healthcare professional respond to a parent concerned about their child's weight gain?

A. Provide guidance on healthy eating and physical activity
B. Suggest restrictive dieting
C. Recommend increased caloric intake
D. Avoid discussing the issue

Correct answer: A

Rationale: When a parent expresses concern about their child's weight gain, the most appropriate response is to provide guidance on healthy eating and physical activity. This approach promotes healthy weight management and overall well-being. Suggesting restrictive dieting (Choice B) can be harmful, especially for children, as it may lead to unhealthy relationships with food and potential nutritional deficiencies. Recommending increased caloric intake (Choice C) without proper assessment and guidance can exacerbate the issue. Avoiding discussing the issue (Choice D) neglects a critical opportunity to address the parent's concerns and support the child's health.

2. What is the recommended first step in the management of a child with a suspected head injury?

A. Administer pain medication
B. Assess the child's level of consciousness
C. Perform a CT scan
D. Monitor for seizures

Correct answer: B

Rationale: The correct first step in managing a child with a suspected head injury is to assess the child's level of consciousness. This assessment is crucial as it helps determine the severity of the injury and guides further management. Administering pain medication (Choice A) should not be done before assessing the level of consciousness. Performing a CT scan (Choice C) may be necessary but is not the initial step. Monitoring for seizures (Choice D) is important but comes after assessing the child's level of consciousness.

3. What is a common symptom of a urinary tract infection in children?

A. Fever
B. Weight loss
C. Abdominal pain
D. Increased appetite

Correct answer: A

Rationale: Fever is a common symptom of a urinary tract infection in children. It is often accompanied by other symptoms such as pain or discomfort. Weight loss (choice B) is not a typical symptom of a urinary tract infection in children. Abdominal pain (choice C) can be present but is not as specific as fever. Increased appetite (choice D) is not a common symptom of a urinary tract infection.

4. What is the first-line treatment for a child with a bacterial ear infection?

A. Intravenous antibiotics
B. Oral antibiotics
C. Nasal decongestants
D. Antihistamines

Correct answer: B

Rationale: The correct answer is B: Oral antibiotics. Oral antibiotics are the first-line treatment for bacterial ear infections in children as they effectively target the infection at the source and help alleviate symptoms. Intravenous antibiotics (Choice A) are typically reserved for severe cases where oral antibiotics are not sufficient. Nasal decongestants (Choice C) and antihistamines (Choice D) are not the primary treatments for bacterial ear infections. Nasal decongestants are used for nasal congestion, and antihistamines are used for allergies. However, these medications do not directly address the bacterial infection in the ear, unlike oral antibiotics.

5. Which individual is making a food choice based on negative association?

A. A tourist from China who rejects a hamburger due to unfamiliarity
B. A child who spits out his mashed potatoes because they taste too salty
C. A teenager who grudgingly accepts an offer for an ice cream cone to avoid offending a close friend
D. An elderly gentleman who refuses a peanut butter and jelly sandwich because he considers it a child's food

Correct answer: D

Rationale: Choice D is the correct answer because the elderly gentleman is refusing the peanut butter and jelly sandwich due to his negative association of considering it a child's food. This negative association influences his food choice. Choices A, B, and C do not involve negative associations with the food being consumed. Choice A is based on unfamiliarity, Choice B is due to taste preference, and Choice C is driven by social considerations rather than negative food association.