Nursing Elites

1. How should a healthcare provider manage a child with newly diagnosed congenital hypothyroidism?

• A. Monitor for signs of hyperactivity
• B. Ensure regular thyroid hormone replacement therapy
• C. Encourage a high-calcium diet
• D. Increase physical exercise

Correct answer: B

Rationale: Correct Answer: Ensuring regular thyroid hormone replacement therapy is crucial for managing congenital hypothyroidism in children. This therapy supports normal growth and development by replacing the deficient thyroid hormones. Monitoring for signs of hyperactivity (Choice A) is not the primary management for congenital hypothyroidism; rather, the focus should be on addressing the hormone deficiency. Encouraging a high-calcium diet (Choice C) may not directly address the thyroid hormone deficiency characteristic of congenital hypothyroidism. Increasing physical exercise (Choice D) is not the mainstay treatment for this condition; hormone replacement therapy is the cornerstone of management.

2. What is a key intervention for a child with a new diagnosis of asthma?

• A. Provide a peak flow meter
• B. Limit all physical activity
• C. Increase dairy consumption
• D. Recommend frequent use of nasal decongestants

Correct answer: A

Rationale: The correct answer is A: Provide a peak flow meter. Providing a peak flow meter is crucial for a child with a new diagnosis of asthma as it helps monitor asthma control and manage symptoms by tracking changes in airflow. This device assists in assessing how well the lungs are functioning and guides treatment decisions. Limiting all physical activity (choice B) is not recommended as regular exercise can actually help improve lung function in asthmatic children. Increasing dairy consumption (choice C) is not a key intervention for asthma, and recommending frequent use of nasal decongestants (choice D) is not suitable for asthma management in children.

3. What intervention is recommended for a child with severe dehydration?

• A. Oral rehydration therapy
• B. Intravenous fluid replacement
• C. High-protein diet
• D. Increased physical activity

Correct answer: B

Rationale: Intravenous fluid replacement is the recommended intervention for a child with severe dehydration because it allows for rapid restoration of fluid and electrolyte balance. In severe cases, oral rehydration therapy (Choice A) may not be tolerated due to the child's condition. A high-protein diet (Choice C) is not the primary intervention and does not address the immediate fluid and electrolyte imbalance. Increased physical activity (Choice D) is contraindicated in severe dehydration as it can exacerbate fluid loss, making intravenous fluid replacement the most suitable choice for prompt correction of the severe dehydration.

4. How should a healthcare provider handle a child with a suspected head injury who is showing signs of drowsiness?

• A. Administer pain medication
• B. Perform a full neurological assessment
• C. Allow the child to sleep
• D. Contact a specialist immediately

Correct answer: B

Rationale: When a child with a suspected head injury is showing signs of drowsiness, administering pain medication should not be the first course of action as it may mask important symptoms. Allowing the child to sleep is not recommended as they need to be monitored. Contacting a specialist immediately may delay necessary assessments. Performing a full neurological assessment is the most appropriate action because it helps evaluate the head injury's extent, identify neurological deficits, and guide further intervention or treatment.

5. Which of the following is a common complication of an untreated inguinal hernia in children?

• A. Gastroenteritis
• B. Strangulation of the hernia
• C. Chronic cough
• D. Epistaxis

Correct answer: B

Rationale: The correct answer is B: Strangulation of the hernia. Untreated inguinal hernias in children can lead to strangulation, which can result in bowel obstruction and ischemia. This is a serious complication that requires prompt medical attention. Choices A, C, and D are incorrect. Gastroenteritis is a gastrointestinal infection that is not directly related to untreated inguinal hernias. Chronic cough is not typically associated with this condition. Epistaxis refers to nosebleeds, which are not a common complication of untreated inguinal hernias in children.

Similar Questions