Nursing Elites

1. How should a healthcare professional manage a child with a newly inserted gastrostomy tube?

• A. Monitor for signs of infection
• B. Increase the child's fluid intake
• C. Restrict all oral intake
• D. Use only sterile equipment for feedings

Correct answer: A

Rationale: Monitoring for signs of infection at the gastrostomy site is crucial for ensuring proper care and preventing complications. This involves observing for redness, swelling, warmth, or drainage around the insertion site. Increasing the child's fluid intake (Choice B) may be beneficial for hydration but is not specifically related to managing a newly inserted gastrostomy tube. Restricting all oral intake (Choice C) is not necessary as long as the healthcare professional follows the recommended guidelines for feeding. While using sterile equipment for feedings (Choice D) is important, monitoring for signs of infection takes precedence in the immediate post-insertion period.

2. If a group of people consumes an amount of protein equal to the estimated average requirement for their population group, what percentage of people will receive insufficient amounts?

• A. 10
• B. 25
• C. 33
• D. 50

Correct answer: D

Rationale: If a group consumes an amount of protein equal to the estimated average requirement, 50% of the people will receive insufficient amounts. The estimated average requirement is the amount of a nutrient that is estimated to meet the requirement of half the healthy individuals in a particular life stage and gender group. Therefore, 50% of the group will not be meeting their individual needs if they are consuming only the average requirement. Choices A, B, and C are incorrect because at the estimated average requirement level, a higher percentage than those values will receive insufficient amounts.

3. Why is peer review important in scientific research?

• A. To expedite publication of results.
• B. To facilitate the replication of studies.
• C. To verify the accuracy and validity of research findings.
• D. To enhance the credibility of the research.

Correct answer: C

Rationale: Peer review is crucial in scientific research to verify the accuracy and validity of research findings. By subjecting research papers to evaluation by experts in the field, peer review ensures that the study's methods, results, and conclusions are robust and reliable. This process helps to maintain high standards of quality in scientific publications, providing credibility to the research. Choices A and D are incorrect because the primary purpose of peer review is not to expedite publication or solely enhance credibility; its core function is to validate the research's accuracy and validity. Choice B, while beneficial, is not the primary reason for peer review; replication is a byproduct of the rigorous evaluation of research methods and findings.

4. What is the key to preventing recurrent respiratory infections in children with cystic fibrosis?

• A. Routine use of antibiotics
• B. Daily chest physiotherapy
• C. Increased fluid intake
• D. Dietary supplements

Correct answer: B

Rationale: The correct answer is B: Daily chest physiotherapy. Daily chest physiotherapy is essential in cystic fibrosis as it helps in clearing mucus from the lungs, reducing the frequency of respiratory infections. Antibiotics (Choice A) may treat infections but are not the key preventive measure. Increased fluid intake (Choice C) and dietary supplements (Choice D) can be beneficial for overall health but do not directly prevent recurrent respiratory infections in children with cystic fibrosis.

5. Before publication in a reputable journal, the findings of a research study must undergo scrutiny by experts in the field in a process known as what?

• A. peer review
• B. cohort review
• C. research intervention
• D. double-blind examination

Correct answer: A

Rationale: The correct answer is A: peer review. Before publication, research findings must undergo peer review, where experts in the field evaluate the validity and significance of the study. Choice B, cohort review, is incorrect as it does not involve the same level of evaluation by experts. Choice C, research intervention, is not a term used to describe the evaluation process before publication. Choice D, double-blind examination, refers to a study design where neither the participants nor the researchers know who is receiving a particular treatment, which is not the same as the peer review process.

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