what is a key dietary consideration for a child with phenylketonuria pku
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LPN Nutrition Practice Test

1. What is a key dietary consideration for a child with phenylketonuria (PKU)?

Correct answer: B

Rationale: A low-phenylalanine diet is crucial for managing PKU to prevent neurological damage and maintain normal development. Phenylalanine is an amino acid found in protein-containing foods, and individuals with PKU have difficulty metabolizing it. Consuming foods low in phenylalanine helps prevent the buildup of toxic byproducts in the body. Choices A, C, and D are incorrect. A high-fiber diet, increased dairy intake, and high-sodium diet are not specific dietary considerations for PKU management. In fact, dairy products are a source of protein and phenylalanine, which should be limited in PKU.

2. How should a healthcare provider respond to a parent concerned about their child's sleep pattern?

Correct answer: C

Rationale: When a parent expresses concerns about their child's sleep pattern, providing education on sleep hygiene is a beneficial response. Teaching parents about establishing a consistent sleep routine, creating a conducive sleep environment, and promoting healthy sleep habits can help address the child's sleep issues. This empowers the parent to make positive changes that can improve the child's sleep patterns. Recommending a sleep study (Choice A) may be premature and unnecessary without first addressing basic sleep hygiene. Suggesting increasing daytime naps (Choice B) may not always be appropriate and could further disrupt the child's nighttime sleep. Advising on medication use (Choice D) should be considered only after other non-pharmacological approaches have been tried and if deemed necessary by a healthcare provider.

3. What is an important aspect of managing a child with ADHD?

Correct answer: B

Rationale: Consistent behavior management strategies are crucial when managing a child with ADHD. By implementing consistent strategies, such as clear rules, positive reinforcement, and structure, it helps the child improve focus, manage impulsivity, and regulate their behavior. Choice A, 'Increasing academic workload,' is incorrect as overwhelming a child with ADHD with more academic tasks can exacerbate their symptoms. Choice C, 'Restricting all physical activity,' is also incorrect as physical activity is beneficial for children with ADHD to release excess energy and improve focus. Choice D, 'Encouraging solitary activities,' is not ideal as social interaction and engagement with others are important for a child's development and well-being.

4. How should the healthcare provider respond to a parent concerned about a child's short stature?

Correct answer: C

Rationale: When a parent expresses concern about a child's short stature, the initial approach should involve advising monitoring for a few years before considering any interventions. This allows for observation of the child's growth pattern and any potential underlying issues. Suggesting a nutritionist (Choice A) may not be necessary if there are no signs of nutritional deficiencies. Recommending growth hormone injections (Choice B) is premature without proper evaluation and diagnosis. Referring for a genetic evaluation (Choice D) can be considered later if monitoring shows atypical growth patterns or other concerning factors.

5. Why is peer review important in scientific research?

Correct answer: C

Rationale: Peer review is crucial in scientific research to verify the accuracy and validity of research findings. By subjecting research papers to evaluation by experts in the field, peer review ensures that the study's methods, results, and conclusions are robust and reliable. This process helps to maintain high standards of quality in scientific publications, providing credibility to the research. Choices A and D are incorrect because the primary purpose of peer review is not to expedite publication or solely enhance credibility; its core function is to validate the research's accuracy and validity. Choice B, while beneficial, is not the primary reason for peer review; replication is a byproduct of the rigorous evaluation of research methods and findings.

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