Nursing Elites

1. How should the healthcare provider respond to a parent concerned about a child's short stature?

• A. Suggest the parent consult a nutritionist
• B. Recommend frequent growth hormone injections
• C. Advise monitoring for a few years before intervention
• D. Refer for a genetic evaluation

Correct answer: C

Rationale: When a parent expresses concern about a child's short stature, the initial approach should involve advising monitoring for a few years before considering any interventions. This allows for observation of the child's growth pattern and any potential underlying issues. Suggesting a nutritionist (Choice A) may not be necessary if there are no signs of nutritional deficiencies. Recommending growth hormone injections (Choice B) is premature without proper evaluation and diagnosis. Referring for a genetic evaluation (Choice D) can be considered later if monitoring shows atypical growth patterns or other concerning factors.

2. What is an important consideration when administering medications to a child with hepatic dysfunction?

• A. Increased dosing intervals
• B. Adjustments in dosage due to altered metabolism
• C. Avoid all medications
• D. Use only topical medications

Correct answer: B

Rationale: When administering medications to a child with hepatic dysfunction, it is crucial to make adjustments in dosage due to altered metabolism. Hepatic dysfunction can affect the way medications are metabolized in the body, potentially leading to drug toxicity or reduced effectiveness. This is why adjusting the dosage is essential to ensure the medication is both safe and efficient. Choices A, C, and D are incorrect because increasing dosing intervals, avoiding all medications, or using only topical medications do not address the specific issue of altered drug metabolism in hepatic dysfunction.

3. What is one benefit of using controls in an experiment?

• A. The size of the groups does not matter.
• B. The subjects are unaware of the experiment's details.
• C. The subjects who are treated are balanced against the placebos.
• D. The subjects are similar in all respects except for the treatment being tested.

Correct answer: D

Rationale: The correct answer is D. Controls in an experiment ensure that the subjects are similar in all respects except for the treatment being tested. This allows for a fair comparison between the treatment group and the control group. Choice A is incorrect because the size of the groups is not the primary benefit of using controls. Choice B is incorrect as blinding, not controls, refers to subjects not knowing about the experiment. Choice C is incorrect as it pertains more to randomization than the use of controls.

4. In what units are energy measurements expressed by most scientists and nutritionists outside the United States?

• A. newtons
• B. liters
• C. kilojoules
• D. kilocalories

Correct answer: C

Rationale: Kilojoules are the standard units of energy used by most scientists and nutritionists worldwide. Newtons are units of force, liters are units of volume, and kilocalories are more commonly used in the United States but not as widely adopted internationally for energy measurements. Therefore, the correct answer is 'kilojoules.'

5. What is a common symptom of congenital heart disease in infants?

• A. Excessive weight gain
• B. Difficulty breathing
• C. High blood pressure
• D. Increased appetite

Correct answer: B

Rationale: Difficulty breathing is a common symptom of congenital heart disease in infants. Infants with congenital heart disease may experience difficulty breathing due to impaired cardiac function, which affects the heart's ability to pump blood effectively. This symptom is often due to issues like heart failure or fluid accumulation in the lungs. Excessive weight gain (Choice A) is not typically associated with congenital heart disease in infants. High blood pressure (Choice C) is less common in infants with congenital heart disease compared to adults. Increased appetite (Choice D) is not a typical symptom of congenital heart disease in infants.

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