what is an important aspect of managing a child with asthma in a school setting

HESI LPN

LPN Nutrition Practice Test

1. What is an important aspect of managing a child with asthma in a school setting?

A. Limiting physical activity
B. Ensuring access to emergency medications
C. Reducing the number of classes attended
D. Avoiding interaction with other students

Correct answer: B

Rationale: The correct answer is B: Ensuring access to emergency medications. In a school setting, it is crucial to have emergency medications available for a child with asthma in case of an asthma attack. This helps in managing asthma effectively and promptly. Choices A, C, and D are incorrect because limiting physical activity, reducing the number of classes attended, and avoiding interaction with other students are not recommended strategies for managing asthma in a school setting. Encouraging physical activity, ensuring regular attendance, and promoting social interactions are important for the overall well-being of a child with asthma.

2. 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.

3. What is a common complication of untreated type 1 diabetes in children?

A. Diabetic ketoacidosis
B. High blood pressure
C. Asthma
D. Frequent infections

Correct answer: A

Rationale: Diabetic ketoacidosis is a serious complication of untreated type 1 diabetes in children. It is characterized by high blood sugar levels, ketones in the urine, and acidosis. Prompt medical attention is required to manage this condition. High blood pressure (Choice B) can be a complication of diabetes but is not as directly linked to untreated type 1 diabetes as diabetic ketoacidosis. Asthma (Choice C) and frequent infections (Choice D) are not typically associated with untreated type 1 diabetes in children.

4. What is a causative factor of Hirschsprung disease?

A. Frequent evacuation of solids, liquids, and gases
B. Excessive peristaltic movement
C. Absence of parasympathetic ganglion cells in a portion of the colon
D. One portion of the bowel telescoping into another

Correct answer: C

Rationale: The correct answer is C: Absence of parasympathetic ganglion cells in a portion of the colon. Hirschsprung disease is a congenital condition characterized by the absence of nerve cells (ganglia) in parts of the colon. This absence leads to a lack of peristalsis in the affected segment, resulting in severe constipation and bowel obstruction. Choices A, B, and D are incorrect. Choice A describes symptoms of diarrhea rather than a causative factor of Hirschsprung disease. Excessive peristaltic movement (choice B) is not a causative factor but rather the opposite, as Hirschsprung disease is associated with reduced peristalsis. Choice D, which refers to intussusception, is a different condition unrelated to Hirschsprung disease.

5. Which lab result should be abnormal in a child with hemophilia?

A. Prothrombin time
B. Bleeding time
C. Platelet count
D. Partial thromboplastin time

Correct answer: D

Rationale: In a child with hemophilia, the lab result that should be abnormal is the partial thromboplastin time (PTT). Hemophilia is a disorder that affects the clotting factors in the intrinsic pathway of coagulation, leading to a prolonged PTT. Prothrombin time (Choice A) assesses the extrinsic pathway and should be normal in hemophilia. Bleeding time (Choice B) evaluates platelet function, which is typically normal in hemophilia. Platelet count (Choice C) measures the number of platelets and is not directly affected by hemophilia.