Nursing Elites

1. How should a healthcare provider address concerns about a child’s developmental milestones?

• A. Recommend delaying intervention until school age
• B. Provide resources for early intervention services
• C. Suggest dietary changes
• D. Avoid further assessment

Correct answer: B

Rationale: Correct Answer: Providing resources for early intervention services is crucial for addressing developmental concerns and supporting the child's growth and development. Early intervention is key to improving outcomes. Recommending delaying intervention until school age (Choice A) is not advised as addressing issues early leads to better results. Suggesting dietary changes (Choice C) is not the primary approach to addressing developmental milestones. Avoiding further assessment (Choice D) can impede the timely identification and management of developmental delays.

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 is the main purpose of the initial assessment of a child with a suspected fracture?

• A. To determine the type of fracture
• B. To check for potential complications
• C. To identify the cause of the injury
• D. To plan for long-term rehabilitation

Correct answer: B

Rationale: The main purpose of the initial assessment of a child with a suspected fracture is to check for potential complications, such as neurovascular impairment, and to ensure appropriate treatment. Choice A is incorrect because determining the type of fracture usually requires imaging studies like X-rays, which may not be part of the initial assessment. Choice C is incorrect because identifying the cause of the injury is important for the history-taking part but may not be the main purpose of the initial assessment. Choice D is incorrect because long-term rehabilitation planning typically occurs after the acute phase of fracture management.

4. What is the term for the amount of heat required to raise the temperature of one kilogram of water by one degree Celsius?

• A. Calorie
• B. Joule
• C. Kilojoule
• D. Kilocalorie

Correct answer: D

Rationale: The correct answer is D, Kilocalorie. The term kilocalorie, often referred to as a calorie, is the amount of heat required to raise the temperature of one kilogram of water by one degree Celsius. While Choice A, Calorie, is technically correct, it is not the most specific term for the described amount of heat. Choice B, Joule, is a unit of energy but not specifically related to the amount of heat required to raise the temperature of water. Choice C, Kilojoule, is also a unit of energy but not the precise term for the heat required to raise the temperature of water by one degree Celsius.

5. Parents of a 6-month-old child, diagnosed with iron deficiency anemia, ask why it was not diagnosed earlier. What should the nurse say?

• A. Are you sure your child has iron deficiency anemia?
• B. Maternal stores of iron are depleted at about 6 months.
• C. This anemia is caused by blood loss.
• D. The child may not have had it for a long time.

Correct answer: B

Rationale: The correct answer is B: 'Maternal stores of iron are depleted at about 6 months.' Iron deficiency anemia becomes apparent around 6 months of age when the infant's iron stores, primarily received from the mother during pregnancy, are depleted. This timing coincides with the introduction of solid foods, which may lack sufficient iron. Choices A, C, and D are incorrect because they do not address the specific reason why iron deficiency anemia is typically diagnosed around 6 months of age.

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