Nursing Elites

1. 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.

2. What is critical for preventing complications in an infant with hypothyroidism?

• A. Excessive growth
• B. Cognitive impairment
• C. Damage to the nervous system
• D. Damage to the urinary system

Correct answer: B

Rationale: The correct answer is B: Cognitive impairment. In infants with hypothyroidism, prompt administration of oral thyroid hormone replacement is crucial to prevent cognitive impairment and other serious complications. Excessive growth (choice A) is not a typical complication of hypothyroidism in infants. While hypothyroidism can affect the nervous system (choice C), cognitive impairment is more specific to untreated cases. Damage to the urinary system (choice D) is not a common complication of hypothyroidism in infants.

3. 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.

4. A child develops a strong dislike of noodle soup after consuming a bowl while sick with the flu. Her reaction is an example of a food-related ___.

• A. habit
• B. social interaction
• C. emotional turmoil
• D. negative association

Correct answer: D

Rationale: The correct answer is 'negative association.' A negative association occurs when a person develops a dislike for a food due to a past negative experience, such as getting sick after eating it. In this case, the child's dislike of noodle soup is specifically linked to the negative experience of consuming it while sick with the flu. Choices A, B, and C are incorrect because the situation described does not relate to habit formation, social interactions, or emotional turmoil, but rather to a learned aversion based on a specific negative event.

5. What is a common sign of an allergic reaction in children?

• A. Persistent cough
• B. Skin rash or hives
• C. Increased appetite
• D. Low-grade fever

Correct answer: B

Rationale: Skin rash or hives are common signs of an allergic reaction in children, often following exposure to allergens. While a persistent cough can occur in some cases, it is not typically a primary sign of an allergic reaction. Increased appetite is unrelated to allergic reactions. A low-grade fever is not a common sign of an allergic reaction but can be present in other conditions like infections.

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