HESI LPN
Nutrition Final Exam
1. What is one benefit of using a large sample size in an experiment?
- A. Chance variation is less likely to affect the results.
- B. The possibility of a placebo effect is eliminated.
- C. The experiment will be double-blind.
- D. The control group will be similar to the experimental group.
Correct answer: A
Rationale: Corrected Rationale: Using a large sample size reduces the likelihood of chance variation affecting the results, providing more reliable data. Choice B is incorrect because the placebo effect is related to participants' beliefs, not sample size. Choice C is incorrect as double-blind refers to a method of reducing bias, not directly related to sample size. Choice D is incorrect because the similarity between the control and experimental groups is not solely dependent on sample size.
2. How should one manage a child with an allergy to multiple food items?
- A. Avoid all identified allergens
- B. Increase dietary exposure to allergens
- C. Administer daily antihistamines
- D. Restrict all food intake
Correct answer: A
Rationale: When managing a child with an allergy to multiple food items, the most appropriate approach is to avoid all identified allergens. This is crucial to prevent allergic reactions and ensure the child's safety. Choice B, increasing dietary exposure to allergens, is incorrect as it can lead to severe allergic reactions. Choice C, administering daily antihistamines, may help manage symptoms but does not address the root cause, which is avoiding allergens. Choice D, restricting all food intake, is not a viable option as it can lead to malnutrition and other health issues.
3. How should a caregiver handle a child with a known peanut allergy?
- A. Educate on allergen avoidance
- B. Increase exposure to peanuts
- C. Administer antihistamines as needed
- D. Suggest occasional consumption of peanuts
Correct answer: A
Rationale: Educating on allergen avoidance is the correct approach when dealing with a child who has a known peanut allergy. This helps in managing the allergy effectively and preventing potential allergic reactions. Increasing exposure to peanuts (Choice B) is dangerous and can trigger severe allergic reactions in a child with a peanut allergy. While antihistamines (Choice C) can help alleviate some symptoms, they should not be the primary method of managing a peanut allergy. Suggesting occasional consumption of peanuts (Choice D) is extremely risky and should never be done for a child with a known peanut allergy.
4. What is a common early sign of RSV (respiratory syncytial virus) in infants?
- A. High fever
- B. Nasal congestion
- C. Rash
- D. Jaundice
Correct answer: B
Rationale: Nasal congestion is a common early sign of RSV in infants, often accompanied by cough and wheezing. High fever, rash, and jaundice are not typically associated with RSV. While RSV can lead to fever, it is usually not one of the earliest signs. Rash and jaundice are unrelated to RSV symptoms.
5. What should be assessed in an infant diagnosed with hypertrophic pyloric stenosis?
- A. Diarrhea after each feeding
- B. Gastric pain and vigorous crying
- C. Poor appetite due to poor sucking reflex
- D. An olive-shaped mass right of the midline
Correct answer: D
Rationale: In hypertrophic pyloric stenosis, an olive-shaped mass can often be palpated in the infant's abdomen, which is a hallmark sign of this condition. This mass is located in the right upper quadrant of the abdomen, right of the midline. Choices A, B, and C are incorrect because while infants with hypertrophic pyloric stenosis may experience vomiting (not diarrhea), gastric pain, and irritability, and have feeding difficulties, the key assessment finding specific to this condition is the palpable olive-shaped mass in the abdomen.
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