Nursing Elites

1. After surgical repair of a cleft palate, what should be used to prevent injury to the suture line?

• A. Straw
• B. Spoon
• C. Syringe
• D. Cup

Correct answer: C

Rationale: The correct answer is C: Syringe. Using a syringe helps in feeding without causing injury to the suture line after cleft palate repair because it avoids direct contact with the suture area. Straws and spoons can potentially put pressure on the suture line, leading to injury. Cups may not provide the necessary control to prevent contact with the suture line, unlike a syringe.

2. What is a common early sign of type 1 diabetes in children?

• A. Excessive thirst and frequent urination
• B. Severe abdominal pain
• C. Frequent headaches
• D. Sudden weight gain

Correct answer: A

Rationale: Excessive thirst and frequent urination are common early signs of type 1 diabetes in children. These symptoms occur due to high blood glucose levels, leading to increased thirst and urination. Severe abdominal pain (choice B) is not typically associated with type 1 diabetes. Although frequent headaches (choice C) can occur in some cases, they are not as specific to type 1 diabetes as excessive thirst and frequent urination. Sudden weight gain (choice D) is not a common early sign of type 1 diabetes; in fact, unexplained weight loss is more characteristic of the condition.

3. What is the primary symptom of a urinary tract infection in young children?

• A. Frequent urination
• B. Abdominal pain
• C. Vomiting
• D. Fever

Correct answer: D

Rationale: The correct answer is D, Fever. In young children, fever is a common primary symptom of a urinary tract infection, often accompanied by irritability and discomfort. Frequent urination (Choice A) is a symptom more commonly seen in adults with UTIs. While abdominal pain (Choice B) and vomiting (Choice C) can be present, they are not as primary as fever in young children with UTIs.

4. What dietary recommendation is essential for a child with phenylketonuria (PKU)?

• A. High-protein diet
• B. Low-fat diet
• C. Low-phenylalanine diet
• D. High-fiber diet

Correct answer: C

Rationale: The correct answer is C: 'Low-phenylalanine diet.' Children with phenylketonuria (PKU) need to follow a low-phenylalanine diet to manage the condition. Phenylalanine is an amino acid found in protein-containing foods, and individuals with PKU have difficulty metabolizing it, leading to neurological damage and other complications. Therefore, restricting phenylalanine intake is crucial. Choice A, 'High-protein diet,' is incorrect because high protein intake would increase phenylalanine levels, worsening the condition. Choice B, 'Low-fat diet,' and Choice D, 'High-fiber diet,' are not the primary focus for PKU patients. The key dietary intervention for PKU is controlling phenylalanine intake, which is best achieved through a low-phenylalanine diet.

5. What is a common sign of hypothyroidism in children?

• A. Weight loss
• B. Increased heart rate
• C. Dry skin and constipation
• D. Elevated blood pressure

Correct answer: C

Rationale: Dry skin and constipation are typical signs of hypothyroidism in children. Hypothyroidism results from an underactive thyroid gland, leading to symptoms such as dry skin and constipation. Weight loss (Choice A) is more commonly associated with hyperthyroidism, where the thyroid gland is overactive. Increased heart rate (Choice B) and elevated blood pressure (Choice D) are also more characteristic of hyperthyroidism rather than hypothyroidism. Therefore, the correct answer is dry skin and constipation (Choice C) when identifying signs of hypothyroidism in children.

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