HESI LPN
Nutrition Final Exam
1. What is an important dietary consideration for a child with cystic fibrosis?
- A. High-calorie, high-fat diet
- B. Low-sugar diet
- C. Increased dietary fiber
- D. High-sodium diet
Correct answer: A
Rationale: For a child with cystic fibrosis, an important dietary consideration is a high-calorie, high-fat diet. This type of diet helps address malabsorption issues commonly seen in individuals with cystic fibrosis and supports adequate growth and development. High-calorie, high-fat foods are recommended to help meet the increased energy needs of these individuals. Choices B, C, and D are not the most appropriate dietary considerations for a child with cystic fibrosis. A low-sugar diet may not provide enough calories for optimal growth, increased dietary fiber may exacerbate issues related to malabsorption, and a high-sodium diet is generally not recommended due to the risk of dehydration and electrolyte imbalances in individuals with cystic fibrosis.
2. How should a healthcare provider address a child's nutritional needs with a lactose intolerance diagnosis?
- A. Recommend lactose-free dairy products
- B. Increase dairy intake
- C. Encourage high-fiber diet
- D. Use oral probiotics only
Correct answer: A
Rationale: In managing lactose intolerance in a child, recommending lactose-free dairy products is crucial. These products help address the child's nutritional needs without causing symptoms related to lactose consumption. Choice B is incorrect because increasing dairy intake would exacerbate symptoms in a lactose-intolerant individual as they cannot digest lactose properly. Choice C, encouraging a high-fiber diet, is not directly related to managing lactose intolerance and may not address the primary issue of lactose malabsorption. Choice D, using oral probiotics only, may not be sufficient to address the child's nutritional needs in case of lactose intolerance as the main concern is avoiding lactose-containing products.
3. What is an important aspect of managing a child with ADHD?
- A. Increasing academic workload
- B. Consistent behavior management strategies
- C. Restricting all physical activity
- D. Encouraging solitary activities
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. What is an important dietary consideration for a child with renal failure?
- A. Low-protein, low-sodium diet
- B. High-protein, high-sodium diet
- C. Increased calcium intake
- D. High-fiber diet
Correct answer: A
Rationale: A low-protein, low-sodium diet is crucial for a child with renal failure because it helps reduce the workload on the kidneys and minimize complications. High-protein and high-sodium diets can place excessive strain on the kidneys and worsen the condition. Increased calcium intake is not typically a primary consideration for renal failure in children. While a high-fiber diet can be beneficial for overall health, it is not a specific priority for managing renal failure in children.
5. What is one characteristic that differentiates vitamins from minerals?
- A. Vitamins are organic compounds.
- B. Vitamins provide energy.
- C. Vitamins are considered micronutrients.
- D. Vitamins are essential in small amounts.
Correct answer: A
Rationale: The correct answer is A. Vitamins are organic compounds, containing carbon, which is a key characteristic that differentiates them from minerals. Choice B is incorrect because vitamins do not provide energy; they are not a source of calories. Choice C is incorrect as both vitamins and minerals are considered micronutrients due to being essential in small amounts. Choice D is incorrect because while it is true that vitamins are needed in small amounts, this is not the characteristic that sets them apart from minerals.
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