HESI LPN
Nutrition Final Exam
1. What is the term for the study of how diet affects gene expression?
- A. Epigenetics
- B. Nutrigenomics
- C. Genomics
- D. Genetics
Correct answer: B
Rationale: Nutrigenomics is the study of how diet affects gene expression, influencing health outcomes and disease risk. Epigenetics (choice A) involves changes in gene expression or cellular phenotype caused by mechanisms other than changes in the underlying DNA sequence. Genomics (choice C) is the study of an organism's entire genome. Genetics (choice D) is the study of heredity and the variation of inherited characteristics.
2. What should be monitored in a child receiving chemotherapy?
- A. Blood glucose levels
- B. Blood cell counts
- C. Weight gain
- D. Skin elasticity
Correct answer: B
Rationale: The correct answer is monitoring blood cell counts. During chemotherapy, it is crucial to monitor blood cell counts to detect potential side effects such as neutropenia (low white blood cell count) and anemia (low red blood cell count). These conditions can increase the risk of infections and fatigue. Monitoring blood glucose levels (Choice A) is not typically a primary concern in children receiving chemotherapy unless they have pre-existing conditions like diabetes. Weight gain (Choice C) and skin elasticity (Choice D) are not directly related to monitoring the effects of chemotherapy in children. Therefore, the most important parameter to monitor in a child receiving chemotherapy is blood cell counts.
3. What is the primary role of dietary guidelines?
- A. To ensure that all food groups are consumed in appropriate proportions.
- B. To prevent chronic diseases and promote overall well-being.
- C. To help individuals meet their nutritional needs while reducing the risk of chronic disease.
- D. To offer specific recommendations for the intake of nutrients that support health.
Correct answer: C
Rationale: The correct answer is C: 'To help individuals meet their nutritional needs while reducing the risk of chronic disease.' Dietary guidelines are designed to provide guidance on the types and amounts of food that support good health and reduce the risk of chronic diseases. Choice A has been corrected to mention 'appropriate proportions' instead of 'equal amounts,' as dietary guidelines emphasize balance and variety. Choice B is partially correct, but the primary focus of dietary guidelines is on meeting nutritional needs. Choice D is incorrect because while dietary guidelines may include nutrient recommendations, their primary focus is on overall dietary patterns rather than specific nutrient intake.
4. Which measure best describes the amounts of nutrients that should be consumed by the population?
- A. The Dietary Reference Intakes, as they provide a set of nutrient intake values for healthy people in the United States and Canada
- B. The Tolerable Upper Intake levels, as they indicate the maximum daily amount of a nutrient considered safe for most healthy people
- C. The Estimated Average Requirements, as they reflect the average daily amount of a nutrient needed to maintain a specific function in half of the healthy individuals of a population
- D. The Recommended Dietary Allowances, as they represent the average daily amount of a nutrient considered adequate to meet the known nutrient needs of practically all healthy individuals
Correct answer: D
Rationale: The Recommended Dietary Allowances (RDAs) are the best measure to describe the amounts of nutrients that should be consumed by the population. RDAs represent the average daily intake level that meets the nutrient requirements of nearly all (97-98%) healthy individuals in a particular life stage and gender group. Choice A, the Dietary Reference Intakes, provide a set of nutrient intake values but do not specifically address the average daily amount of a nutrient considered adequate for practically all individuals. Choice B, the Tolerable Upper Intake levels, focus on the maximum daily amount of a nutrient deemed safe for most healthy people, not the average daily amount needed. Choice C, the Estimated Average Requirements, reflect the average daily amount of a nutrient needed by half of the healthy individuals, which is not as comprehensive as the RDAs that cater to nearly all healthy people.
5. What is the recommended daily intake of fiber for adults?
- A. 10 grams
- B. 15 grams
- C. 20 grams
- D. 25 grams
Correct answer: D
Rationale: The recommended daily intake of fiber for adults is 25 grams. Fiber plays a crucial role in maintaining digestive health, preventing constipation, and aiding in weight management. Options A (10 grams), B (15 grams), and C (20 grams) are incorrect as they are below the recommended daily intake of fiber for adults, which is 25 grams.
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