Nursing Elites

1. What dietary recommendation is essential for a child with phenylketonuria (PKU)?

• A. High-protein diet
• B. Low-fat diet
• C. Low-phenylalanine diet
• D. High-fiber diet

Correct answer: C

Rationale: The correct answer is C: 'Low-phenylalanine diet.' Children with phenylketonuria (PKU) need to follow a low-phenylalanine diet to manage the condition. Phenylalanine is an amino acid found in protein-containing foods, and individuals with PKU have difficulty metabolizing it, leading to neurological damage and other complications. Therefore, restricting phenylalanine intake is crucial. Choice A, 'High-protein diet,' is incorrect because high protein intake would increase phenylalanine levels, worsening the condition. Choice B, 'Low-fat diet,' and Choice D, 'High-fiber diet,' are not the primary focus for PKU patients. The key dietary intervention for PKU is controlling phenylalanine intake, which is best achieved through a low-phenylalanine diet.

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 a common symptom of a respiratory infection in infants?

• A. Wheezing
• B. High appetite
• C. Increased thirst
• D. Lethargy

Correct answer: A

Rationale: Wheezing is a common symptom of respiratory infections in infants, often associated with coughing and difficulty breathing. It occurs due to the narrowing of the airways. Choice B, 'High appetite,' is incorrect as respiratory infections usually lead to a decrease in appetite rather than an increase. Choice C, 'Increased thirst,' is incorrect as it is not a typical symptom of a respiratory infection in infants. Choice D, 'Lethargy,' can be a symptom of respiratory infections but is not as specific and common as wheezing.

4. What term describes foods that contain non-nutrient substances whose known action in the body is to promote well-being to a greater extent than that contributed by the food's nutrients?

• A. fortified foods
• B. enriched foods
• C. functional foods
• D. health-enhancing foods

Correct answer: C

Rationale: Functional foods are specifically designed to promote health benefits beyond basic nutrition. Fortified foods (choice A) are those with added nutrients that are not originally present, enriched foods (choice B) have nutrients added back that were lost during processing, and health-enhancing foods (choice D) is a vague and less specific term compared to functional foods.

5. What does the term 'essential nutrient' refer to?

• A. A nutrient that can be synthesized by the body.
• B. A nutrient that is required for proper body functioning.
• C. A nutrient that must be obtained from the diet because the body cannot produce it.
• D. A nutrient that can be stored in the body for long periods.

Correct answer: C

Rationale: The correct answer is C. An essential nutrient is a substance that is necessary for normal body functioning but cannot be synthesized in adequate amounts by the body, therefore it must be obtained from the diet. Choices A, B, and D are incorrect because essential nutrients are not synthesized by the body, they are necessary for body functioning, and they are not typically stored in the body for long periods.

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