HESI LPN
Nutrition Final Exam
1. What is one function of water in the human body?
- A. Water provides calories for energy.
- B. Water helps transport nutrients and waste products.
- C. Water acts as a solvent for many biological reactions.
- D. Water maintains body temperature.
Correct answer: B
Rationale: The correct answer is B: Water helps transport nutrients and waste products. Water plays a crucial role in the body by aiding in the transportation of essential nutrients to cells and removing waste products. While water is essential for various metabolic processes, it does not provide calories for energy (choice A). Although water can act as a solvent for biological reactions (choice C), its primary function is not as a solvent. Additionally, while water does help in regulating body temperature to some extent, its main role is not to maintain body temperature (choice D).
2. How should a caregiver manage a child with a new diagnosis of sickle cell anemia?
- A. Ensure the child receives frequent blood transfusions
- B. Promote adequate hydration and pain management
- C. Restrict physical activity
- D. Administer high doses of vitamin C
Correct answer: B
Rationale: Promoting adequate hydration and pain management is crucial for managing sickle cell anemia to prevent crises and complications. Adequate hydration helps prevent sickling of red blood cells, while effective pain management is essential for addressing the frequent pain episodes associated with the condition. Ensuring the child receives frequent blood transfusions is not the initial management for sickle cell anemia; transfusions are usually reserved for specific complications. Restricting physical activity should be individualized based on the child's condition; some physical activity is beneficial for overall health. Administering high doses of vitamin C is not a standard treatment for sickle cell anemia and does not address the underlying pathology of the disease.
3. What dietary recommendation should be made to a child with iron-deficiency anemia?
- A. Increase intake of dairy products
- B. Include high-iron foods like spinach and meat
- C. Decrease protein intake
- D. Avoid all grains
Correct answer: B
Rationale: The correct recommendation for a child with iron-deficiency anemia is to include high-iron foods like spinach, red meat, and beans in their diet. These foods are rich sources of iron and can help address the deficiency. Choice A is incorrect as dairy products do not provide significant iron content. Choice C is incorrect because protein intake does not need to be decreased; in fact, lean meats are good sources of iron. Choice D is also incorrect as whole grains can be a part of a healthy diet and do not need to be avoided in this case.
4. 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.
5. How should a healthcare provider address concerns about a child’s developmental milestones?
- A. Recommend delaying intervention until school age
- B. Provide resources for early intervention services
- C. Suggest dietary changes
- D. Avoid further assessment
Correct answer: B
Rationale: Correct Answer: Providing resources for early intervention services is crucial for addressing developmental concerns and supporting the child's growth and development. Early intervention is key to improving outcomes. Recommending delaying intervention until school age (Choice A) is not advised as addressing issues early leads to better results. Suggesting dietary changes (Choice C) is not the primary approach to addressing developmental milestones. Avoiding further assessment (Choice D) can impede the timely identification and management of developmental delays.
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