HESI LPN
LPN Nutrition Practice Test
1. What should be included in the medical management of a sickle cell crisis?
- A. Information for parents on home care
- B. Adequate hydration and pain management
- C. Pain management and iron supplements
- D. Adequate oxygenation and factor VIII
Correct answer: B
Rationale: The correct answer is B: Adequate hydration and pain management. During a sickle cell crisis, it is essential to provide hydration to prevent vaso-occlusive events and manage pain effectively with analgesics. Adequate hydration helps maintain blood flow and prevent further sickling of red blood cells. Pain management is crucial to alleviate the severe pain associated with sickle cell crises. Options A, C, and D are incorrect. Providing information for parents on home care (Option A) may be important for ongoing management but is not specific to an acute crisis. Iron supplements (Option C) are not typically indicated during a sickle cell crisis. Adequate oxygenation and factor VIII (Option D) are not primary interventions for managing a sickle cell crisis; instead, oxygen therapy may be considered in severe cases, and factor VIII is not a standard treatment for sickle cell disease.
2. What action should be taken for a 2-year-old with laryngotracheobronchitis in an oxygen tent?
- A. Restrain the child and notify the healthcare provider
- B. Increase the oxygen concentration
- C. Take the child to the playroom
- D. Ask the mother to help in comforting the child
Correct answer: B
Rationale: In laryngotracheobronchitis (croup), a child may become restless due to poor oxygenation. Increasing the oxygen concentration in the oxygen tent is crucial to improve oxygenation levels and manage symptoms effectively. Restraint is not appropriate in this situation, as it may cause distress and worsen the child's condition. Taking the child to the playroom is not indicated when the child requires oxygen therapy. While comforting the child is important, the priority in this scenario is to optimize oxygen delivery to improve respiratory distress.
3. How should the healthcare provider assist parents of a SIDS infant in coping?
- A. Encourage seeking grief counseling
- B. Remain detached
- C. Alleviate feelings of guilt and blame
- D. Discuss the parents' mistakes
Correct answer: C
Rationale: Assisting parents of a SIDS infant in coping involves alleviating feelings of guilt and blame, providing emotional support, and offering appropriate counseling. It is crucial to address the parents' emotional well-being and help them cope with the loss. Choice A is not the best answer as it focuses solely on grief counseling, while the primary concern is addressing feelings of guilt and blame. Choice B is inappropriate as remaining detached does not provide the necessary emotional support these parents need. Choice D is incorrect as discussing the parents' mistakes can intensify their feelings of guilt and blame, rather than helping them cope effectively.
4. A child develops a strong dislike of noodle soup after consuming a bowl while sick with the flu. Her reaction is an example of a food-related ___.
- A. habit
- B. social interaction
- C. emotional turmoil
- D. negative association
Correct answer: D
Rationale: The correct answer is 'negative association.' A negative association occurs when a person develops a dislike for a food due to a past negative experience, such as getting sick after eating it. In this case, the child's dislike of noodle soup is specifically linked to the negative experience of consuming it while sick with the flu. Choices A, B, and C are incorrect because the situation described does not relate to habit formation, social interactions, or emotional turmoil, but rather to a learned aversion based on a specific negative event.
5. Farah is viewing an exciting sports match of her favorite team and eating because of nervousness. Her food choice will most likely be based on ___.
- A. regional cuisines
- B. preferences
- C. emotional comfort
- D. positive association
Correct answer: C
Rationale: During stressful situations like watching an exciting sports match, individuals often seek emotional comfort through food. This emotional connection can lead Farah to choose foods that provide comfort or familiarity rather than being based on regional cuisines (choice A), general preferences (choice B), or positive associations (choice D). Farah's food choice is likely driven by the need for emotional comfort to alleviate her nervousness, making option C the most suitable answer.
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