HESI LPN
HESI PN Nutrition Practice Exam
1. What does the term 'essential nutrient' refer to?
- A. A nutrient that can be synthesized by the body.
- B. A nutrient that is required for proper body functioning.
- C. A nutrient that must be obtained from the diet because the body cannot produce it.
- D. A nutrient that can be stored in the body for long periods.
Correct answer: C
Rationale: The correct answer is C. An essential nutrient is a substance that is necessary for normal body functioning but cannot be synthesized in adequate amounts by the body, therefore it must be obtained from the diet. Choices A, B, and D are incorrect because essential nutrients are not synthesized by the body, they are necessary for body functioning, and they are not typically stored in the body for long periods.
2. What should the nurse anticipate as challenging in caring for a child with acute glomerulonephritis?
- A. Forced fluids
- B. Increased feedings
- C. Bed rest
- D. Frequent position changes
Correct answer: C
Rationale: The correct answer is C: Bed rest. Implementing bed rest can be challenging, especially in active children, but it's necessary to manage the symptoms of acute glomerulonephritis. Forced fluids (choice A) may be required to maintain hydration but are not typically challenging. Increased feedings (choice B) and frequent position changes (choice D) are not primary interventions in the care of a child with acute glomerulonephritis.
3. What is a common sign of an allergic reaction in children?
- A. Persistent cough
- B. Skin rash or hives
- C. Increased appetite
- D. Low-grade fever
Correct answer: B
Rationale: Skin rash or hives are common signs of an allergic reaction in children, often following exposure to allergens. While a persistent cough can occur in some cases, it is not typically a primary sign of an allergic reaction. Increased appetite is unrelated to allergic reactions. A low-grade fever is not a common sign of an allergic reaction but can be present in other conditions like infections.
4. What is a key intervention for a child with a new diagnosis of type 1 diabetes?
- A. Insulin administration
- B. Increased dietary fat intake
- C. Restricted fluid intake
- D. Routine physical examinations only
Correct answer: A
Rationale: The correct answer is A: Insulin administration. When a child is diagnosed with type 1 diabetes, insulin administration is a crucial intervention. Insulin helps regulate blood glucose levels by enabling cells to take in glucose from the bloodstream. Without sufficient insulin, blood glucose levels can become dangerously high, leading to various complications. Increased dietary fat intake (choice B) is not a recommended intervention for type 1 diabetes management, as it can contribute to weight gain and other health issues. Restricted fluid intake (choice C) is also not appropriate, as adequate hydration is essential for overall health. Routine physical examinations (choice D) are important but are not the primary intervention needed to manage type 1 diabetes.
5. What should be included in the medical management of a sickle cell crisis?
- A. Information for parents on home care
- B. Adequate hydration and pain management
- C. Pain management and iron supplements
- D. Adequate oxygenation and factor VIII
Correct answer: B
Rationale: The correct answer is B: Adequate hydration and pain management. During a sickle cell crisis, it is essential to provide hydration to prevent vaso-occlusive events and manage pain effectively with analgesics. Adequate hydration helps maintain blood flow and prevent further sickling of red blood cells. Pain management is crucial to alleviate the severe pain associated with sickle cell crises. Options A, C, and D are incorrect. Providing information for parents on home care (Option A) may be important for ongoing management but is not specific to an acute crisis. Iron supplements (Option C) are not typically indicated during a sickle cell crisis. Adequate oxygenation and factor VIII (Option D) are not primary interventions for managing a sickle cell crisis; instead, oxygen therapy may be considered in severe cases, and factor VIII is not a standard treatment for sickle cell disease.
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