Nursing Elites

1. Gram for gram, which class of nutrient provides the most energy?

• A. fats
• B. alcohols
• C. proteins
• D. carbohydrates

Correct answer: A

Rationale: The correct answer is fats. Fats provide 9 kilocalories per gram, which is more energy-dense compared to proteins and carbohydrates. While proteins and carbohydrates provide 4 kilocalories per gram, fats provide more than twice the energy, making them the most energy-providing nutrient. Alcohols are not considered essential nutrients and do not provide energy for the body, unlike fats, proteins, and carbohydrates. Therefore, fats are the correct answer for the most energy-providing nutrient.

2. How should a healthcare professional manage a child with a newly inserted central venous catheter?

• A. Monitor for signs of infection
• B. Restrict all physical activity
• C. Administer routine antibiotics
• D. Increase fluid intake only

Correct answer: A

Rationale: Monitoring for signs of infection is crucial in managing a central venous catheter to prevent complications. This involves observing for redness, swelling, warmth, or drainage at the catheter site, as these can indicate an infection. Restricting physical activity unnecessarily (choice B) can hinder the child's recovery and quality of life. Administering routine antibiotics (choice C) without a confirmed infection can lead to antibiotic resistance and unnecessary side effects. Increasing fluid intake only (choice D) is not the primary intervention for managing a central venous catheter.

3. What should be assessed first in a child with suspected head trauma?

• A. Response to verbal stimuli
• B. Pupillary reaction
• C. Skin color
• D. Heart rate

Correct answer: A

Rationale: The correct answer is to assess the response to verbal stimuli first in a child with suspected head trauma. This assessment helps in determining the child's level of consciousness and neurological status. Assessing the response to verbal stimuli allows healthcare providers to quickly evaluate if the child is alert, oriented, and able to communicate effectively. This initial assessment is crucial in identifying any immediate concerns related to the child's neurological function. Choices B, C, and D are not the primary assessments in cases of suspected head trauma. While pupillary reaction, skin color, and heart rate are important assessments in trauma situations, assessing the response to verbal stimuli takes precedence in evaluating the neurological status of a child with head trauma.

4. What is a common treatment for a child with a urinary tract infection (UTI)?

• A. Intravenous antibiotics
• B. Oral antibiotics
• C. Increased fluid intake only
• D. Topical antibiotics

Correct answer: B

Rationale: Oral antibiotics are the correct choice for treating a child with a urinary tract infection (UTI). They are often prescribed to effectively address the infection and alleviate symptoms. Intravenous antibiotics (Choice A) are usually reserved for severe cases where oral antibiotics are not feasible or effective. Increased fluid intake (Choice C) can help in flushing out bacteria but is not a standalone treatment for UTIs. Topical antibiotics (Choice D) are not typically used to treat UTIs as they are more suited for skin infections.

5. How many minerals are known to be essential for human nutrition?

• A. 8
• B. 12
• C. 16
• D. 20

Correct answer: C

Rationale: There are 16 essential minerals required for human nutrition. These minerals include calcium, potassium, iron, and others. Choice A (8) is incorrect as it underestimates the number of essential minerals. Choice B (12) is also incorrect as it does not encompass the full count of essential minerals. Choice D (20) is incorrect as it overestimates the number of essential minerals.

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