Nursing Elites

1. What action should be taken for a 2-year-old with laryngotracheobronchitis in an oxygen tent?

• A. Restrain the child and notify the healthcare provider
• B. Increase the oxygen concentration
• C. Take the child to the playroom
• D. Ask the mother to help in comforting the child

Correct answer: B

Rationale: In laryngotracheobronchitis (croup), a child may become restless due to poor oxygenation. Increasing the oxygen concentration in the oxygen tent is crucial to improve oxygenation levels and manage symptoms effectively. Restraint is not appropriate in this situation, as it may cause distress and worsen the child's condition. Taking the child to the playroom is not indicated when the child requires oxygen therapy. While comforting the child is important, the priority in this scenario is to optimize oxygen delivery to improve respiratory distress.

2. What is one primary factor that influences nutrient needs in individuals?

• A. Age
• B. Gender
• C. Genetics
• D. Physical activity level

Correct answer: A

Rationale: Correct. Age is one of the primary factors influencing nutrient needs. Different life stages, such as infancy, childhood, adulthood, and old age, require varying amounts of nutrients. Gender (choice B) can influence nutrient needs to some extent, but age plays a more significant role. Genetics (choice C) may affect how individuals metabolize certain nutrients but is not a primary factor in determining overall nutrient needs. Physical activity level (choice D) can impact energy requirements but is not as fundamental as age in influencing overall nutrient needs.

3. Which characteristic is most typical of a chronic disease?

• A. It has a rapid onset.
• B. It rarely has noticeable symptoms.
• C. It produces sharp pains.
• D. It progresses gradually.

Correct answer: D

Rationale: The correct answer is D. Chronic diseases are characterized by a gradual progression over time, affecting individuals for an extended period. Option A is incorrect as chronic diseases do not have a rapid onset like acute conditions. Option B is incorrect as chronic diseases often manifest noticeable symptoms. Option C is incorrect as sharp pains are not a defining characteristic of chronic diseases. Chronic diseases can present a variety of symptoms depending on the specific condition, but gradual progression is a common feature distinguishing them from acute illnesses.

4. 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.

5. What is the primary purpose of a placebo in an experiment?

• A. To reduce the cost of the experiment.
• B. To make the experiment double-blind.
• C. To increase the number of participants.
• D. To serve as a control for comparison with the treatment group.

Correct answer: D

Rationale: The correct answer is D. A placebo serves as a control for comparison with the treatment group, helping to eliminate bias and ensure the results are due to the treatment itself. Placebos are crucial in research to distinguish the actual effect of the treatment from psychological or subjective factors. Choice A is incorrect because the purpose of a placebo is not related to reducing the cost of the experiment. Choice B is incorrect because while placebos are used in double-blind studies, their primary purpose is not to make the experiment double-blind. Choice C is incorrect because the purpose of a placebo is not to increase the number of participants but rather to serve as a comparison group for the treatment being tested.

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