Nursing Elites

1. 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.

2. 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.

3. How should a healthcare provider respond to a parent concerned about their child's recurrent ear infections?

• A. Suggest regular use of over-the-counter ear drops
• B. Recommend a thorough evaluation by an ENT specialist
• C. Advise on increased antibiotic use
• D. Encourage avoiding all physical activities

Correct answer: B

Rationale: When a parent expresses concerns about their child's recurrent ear infections, the best course of action is to recommend a thorough evaluation by an Ear, Nose, and Throat (ENT) specialist. This specialist can conduct a comprehensive assessment to identify the underlying cause of the ear infections and provide appropriate treatment options. Choice A is incorrect because suggesting over-the-counter ear drops without a proper evaluation may not address the root cause of the issue. Choice C is also incorrect as increasing antibiotic use without understanding the specific cause can lead to antibiotic resistance and may not be necessary. Choice D is incorrect as avoiding physical activities is unrelated to addressing recurrent ear infections and is not a recommended approach.

4. What is a common treatment for a child with iron-deficiency anemia?

• A. Iron supplements
• B. High-protein diet
• C. Vitamin B12 injections
• D. Sodium chloride solution

Correct answer: A

Rationale: Iron supplements are the correct choice for treating iron-deficiency anemia in children. Iron supplements help replenish the low iron levels in the body, addressing the underlying cause of the anemia. High-protein diets may be beneficial for overall health but are not the primary treatment for iron-deficiency anemia. Vitamin B12 injections are used to treat B12 deficiency anemia, a different type of anemia. Sodium chloride solution is not a treatment for anemia and is typically used for hydration purposes.

5. Approximately how many milliliters are contained in a half-cup of milk?

• A. 50
• B. 85
• C. 120
• D. 170

Correct answer: C

Rationale: A half-cup of milk is equivalent to approximately 120 milliliters. This conversion is standard and commonly used in cooking and baking. Choice A (50 milliliters) is too low for a half-cup measurement. Choice B (85 milliliters) is also lower than the standard half-cup measurement of 120 milliliters. Choice D (170 milliliters) is too high for a half-cup, making it an incorrect option.

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