Nursing Elites

1. What is a common treatment for a child with moderate to severe eczema?

• A. Topical corticosteroids
• B. Oral antibiotics
• C. Frequent saline irrigation
• D. High-calcium diet

Correct answer: A

Rationale: Topical corticosteroids are the correct answer for a child with moderate to severe eczema. These medications are commonly used to reduce inflammation and itching associated with eczema. Oral antibiotics (Choice B) are not typically used in eczema treatment unless there is a secondary bacterial infection. Frequent saline irrigation (Choice C) may aid in wound care but is not a primary treatment for eczema. A high-calcium diet (Choice D) is not a standard treatment for eczema and does not target the underlying inflammatory process that causes eczema symptoms.

2. Why would a person who eats a bowl of oatmeal for breakfast every day most likely be making a food choice based on ___?

• A. habit
• B. availability
• C. body image
• D. environmental concerns

Correct answer: A

Rationale: The correct answer is A: habit. Eating the same food regularly often stems from habit, which is a behavior that is repeated regularly and tends to occur subconsciously. Choice B, availability, is incorrect as it refers to the accessibility of a particular food rather than the frequency of consumption. Choice C, body image, is also incorrect as this term relates to how one perceives their own body rather than their food choices. Choice D, environmental concerns, is unrelated to the scenario provided, which is about the frequency of choosing oatmeal for breakfast.

3. What is a common sign of iron-deficiency anemia in children?

• A. Yellowing of the skin
• B. Pallor and fatigue
• C. Rapid weight gain
• D. Increased appetite

Correct answer: B

Rationale: Pallor and fatigue are common signs of iron-deficiency anemia in children. Iron-deficiency anemia is characterized by a decreased production of red blood cells, leading to a paler appearance (pallor) and increased fatigue due to reduced oxygen-carrying capacity. Yellowing of the skin (choice A) is more commonly associated with liver or bile duct issues. Rapid weight gain (choice C) and increased appetite (choice D) are not typical signs of iron-deficiency anemia.

4. Following diarrhea, which foods should be offered to the school-age child?

• A. Apricots and peaches
• B. Chocolate milk
• C. Applesauce and milk
• D. Bananas and rice

Correct answer: D

Rationale: After a bout of diarrhea, it is important to offer foods that are gentle on the stomach and help in recovery. Bananas and rice are commonly recommended as they are easily digestible and can help firm up stools. Apricots, peaches, and applesauce may be too acidic and fibrous, potentially aggravating the stomach. Chocolate milk is high in sugar and can worsen diarrhea due to its lactose content.

5. How should the nurse manage a child with acute lymphoblastic leukemia (ALL) who is receiving chemotherapy?

• A. Avoid all physical activity
• B. Ensure strict infection control measures
• C. Increase daily caloric intake
• D. Limit fluid intake

Correct answer: B

Rationale: The correct answer is B: Ensure strict infection control measures. Children with acute lymphoblastic leukemia (ALL) who are undergoing chemotherapy have compromised immune systems, making them highly susceptible to infections. Implementing strict infection control measures, such as hand hygiene, limiting exposure to sick individuals, and maintaining a clean environment, is essential to prevent infections. Choice A is incorrect because avoiding all physical activity may not be necessary as long as the child's activity level is appropriate. Choice C is incorrect because increasing daily caloric intake is important to support the child's nutritional needs during treatment. Choice D is incorrect because limiting fluid intake is not typically recommended unless specifically advised by the healthcare provider.

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