HESI LPN
HESI PN Nutrition Practice Exam
1. What is the recommended treatment for a child with a first-degree burn?
- A. Immediate application of ice
- B. Administration of oral antibiotics
- C. Application of cool, moist compresses
- D. Application of hot packs
Correct answer: C
Rationale: The recommended treatment for a child with a first-degree burn is the application of cool, moist compresses. This helps in reducing pain and swelling without causing further damage to the skin. Applying ice directly to a burn can lead to frostbite and worsen the injury (Choice A). Oral antibiotics are not necessary for first-degree burns as they do not typically involve infection (Choice B). Hot packs should be avoided as they can further damage the skin and increase inflammation (Choice D).
2. How should a healthcare provider approach the care of a child with juvenile idiopathic arthritis (JIA)?
- A. Promote weight maintenance
- B. Encourage joint mobility exercises
- C. Avoid physical inactivity
- D. Ensure a balanced diet
Correct answer: B
Rationale: Encouraging joint mobility exercises is the appropriate approach to caring for a child with juvenile idiopathic arthritis (JIA). These exercises help maintain joint function and reduce stiffness, which are crucial in managing the condition. Choices A, C, and D are incorrect. Promoting weight maintenance is more relevant than weight gain as maintaining a healthy weight is important in managing JIA. Avoiding physical inactivity is not recommended as controlled and appropriate physical activities can help improve joint flexibility and overall health. Ensuring a balanced diet, which includes adequate protein, is important for overall nutrition but is not a specific intervention for managing JIA.
3. What is the first-line treatment for a child with a bacterial ear infection?
- A. Intravenous antibiotics
- B. Oral antibiotics
- C. Nasal decongestants
- D. Antihistamines
Correct answer: B
Rationale: The correct answer is B: Oral antibiotics. Oral antibiotics are the first-line treatment for bacterial ear infections in children as they effectively target the infection at the source and help alleviate symptoms. Intravenous antibiotics (Choice A) are typically reserved for severe cases where oral antibiotics are not sufficient. Nasal decongestants (Choice C) and antihistamines (Choice D) are not the primary treatments for bacterial ear infections. Nasal decongestants are used for nasal congestion, and antihistamines are used for allergies. However, these medications do not directly address the bacterial infection in the ear, unlike oral antibiotics.
4. What is an important aspect of care for a child with congenital adrenal hyperplasia?
- A. Monitoring electrolyte levels
- B. Restricting physical activity
- C. Administering high doses of vitamin A
- D. Providing a high-protein diet
Correct answer: A
Rationale: The correct answer is A: Monitoring electrolyte levels. In the management of congenital adrenal hyperplasia, it is crucial to monitor electrolyte levels to prevent imbalances and related complications. Restricting physical activity (choice B) is not a typical aspect of care for this condition. Administering high doses of vitamin A (choice C) is not a standard treatment for congenital adrenal hyperplasia and can be harmful in excess. Providing a high-protein diet (choice D) may be beneficial for some conditions but is not a specific requirement for managing congenital adrenal hyperplasia.
5. 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.
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