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 the priority assessment for a child with suspected appendicitis?

• A. Temperature
• B. Heart rate
• C. Respiratory rate
• D. Pain level

Correct answer: D

Rationale: The priority assessment for a child with suspected appendicitis is 'Pain level.' Evaluating the pain level, particularly in the lower right quadrant, is crucial as it helps in determining the severity of the condition, leading to prompt diagnosis and treatment. Monitoring temperature, heart rate, and respiratory rate are important aspects of assessment; however, they are secondary to assessing the pain level in cases of suspected appendicitis. Pain assessment is key in diagnosing this condition since the classic presentation includes abdominal pain that often starts around the umbilicus and then localizes to the right lower quadrant.

3. What is the primary goal in managing a child with asthma?

• A. Prevent triggering asthma attacks
• B. Avoid triggering asthma attacks
• C. Administer corticosteroids
• D. Increase physical activity

Correct answer: B

Rationale: The primary goal in managing a child with asthma is to avoid triggering asthma attacks. This involves managing allergens, ensuring proper medication use, and creating an asthma action plan. Choice A is incorrect because the goal is to avoid triggering asthma attacks, not necessarily to prevent recurrent infections. Choice C is incorrect as corticosteroids are a treatment option but not the primary goal of asthma management. Choice D is incorrect because although physical activity is important, the primary goal is to prevent asthma attacks and manage symptoms effectively.

4. What is the primary intervention for a child experiencing a tonic-clonic seizure?

• A. Administer intravenous fluids
• B. Place the child in a prone position
• C. Protect the child from injury
• D. Perform mouth-to-mouth resuscitation

Correct answer: C

Rationale: The primary intervention for a child experiencing a tonic-clonic seizure is to protect them from injury. Placing the child in a prone position can be dangerous as it may lead to further harm due to the risk of aspiration or airway obstruction. Administering intravenous fluids is not recommended during a seizure. Performing mouth-to-mouth resuscitation is also not indicated as the child will resume breathing spontaneously after the seizure stops. Ensuring the child's safety and preventing injury by removing harmful objects and cushioning their head is essential until the seizure subsides.

5. What is a common early sign of RSV (respiratory syncytial virus) in infants?

• A. High fever
• B. Nasal congestion
• C. Rash
• D. Jaundice

Correct answer: B

Rationale: Nasal congestion is a common early sign of RSV in infants, often accompanied by cough and wheezing. High fever, rash, and jaundice are not typically associated with RSV. While RSV can lead to fever, it is usually not one of the earliest signs. Rash and jaundice are unrelated to RSV symptoms.

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