Nursing Elites

1. What is a long-term complication of cleft lip and palate?

• A. Cognitive impairment
• B. Altered growth and development
• C. Faulty dentition
• D. Physical abilities

Correct answer: C

Rationale: The correct long-term complication of cleft lip and palate is faulty dentition. Individuals with cleft lip and palate may experience dental issues such as missing, extra, or misaligned teeth, which can affect speech and the aesthetic appearance of the mouth. Cognitive impairment, as mentioned in choice A, is not a typical long-term complication associated with cleft lip and palate. While altered growth and development (choice B) can be affected during early stages, it is not a prominent long-term complication. Choice D, physical abilities, is not directly related to the typical long-term complications of cleft lip and palate.

2. Which statement best describes the composition of most foods?

• A. Most foods contain a mixture of the three energy nutrients, with one or two predominating.
• B. Foods do not typically contain equal amounts of the three energy nutrients.
• C. Most foods contain mixtures of the three energy nutrients, although only one or two may predominate.
• D. Most foods contain all three energy nutrients in varying amounts.

Correct answer: C

Rationale: The correct answer is C. Most foods contain a mixture of the three energy nutrients (carbohydrates, proteins, fats), with one or two predominating. Choice A is correct because most foods do contain a combination of energy nutrients, with one or two types usually being predominant. Choice B is incorrect as foods typically do not contain equal amounts of carbohydrates, proteins, and fats. Choice D is incorrect because most foods contain all three energy nutrients, not just one or two types.

3. What should be monitored closely in a child receiving chemotherapy?

• A. Blood glucose levels
• B. White blood cell count
• C. Blood pressure
• D. Heart rate

Correct answer: B

Rationale: The correct answer is B: White blood cell count. During chemotherapy, it is crucial to monitor the white blood cell count closely to detect potential neutropenia (low white blood cell count) and the associated risk of infections. Monitoring blood glucose levels (Choice A) is important for diabetic management and not directly related to chemotherapy. Blood pressure (Choice C) and heart rate (Choice D) are essential vital signs to monitor but are not the primary focus when monitoring a child receiving chemotherapy.

4. How should hydration status be assessed in a child with vomiting and diarrhea?

• A. Check skin turgor and mucous membranes
• B. Measure blood glucose levels
• C. Assess heart rate and blood pressure
• D. Evaluate bowel sounds

Correct answer: A

Rationale: Checking skin turgor and mucous membranes is the appropriate method to assess hydration status in a child with vomiting and diarrhea. Skin turgor is an indicator of skin elasticity, which decreases when an individual is dehydrated. Mucous membranes, such as the inside of the mouth, can also show signs of dehydration like dryness. Measuring blood glucose levels (choice B) is not relevant to assessing hydration status in this scenario. Assessing heart rate and blood pressure (choice C) is important in evaluating the overall condition of a child but may not directly indicate hydration status. Evaluating bowel sounds (choice D) is more related to assessing gastrointestinal function rather than hydration status.

5. What should be monitored in a child with congenital adrenal hyperplasia (CAH)?

• A. Blood glucose levels
• B. Electrolyte balance
• C. Urine output
• D. Hemoglobin levels

Correct answer: B

Rationale: In a child with congenital adrenal hyperplasia (CAH), monitoring electrolyte balance is crucial. CAH can lead to adrenal insufficiency, causing imbalances in electrolytes such as sodium and potassium. Monitoring electrolyte levels helps in preventing complications like dehydration, electrolyte disturbances, and adrenal crisis. While blood glucose levels may need monitoring in other conditions like diabetes, it is not the primary concern in CAH. Urine output is important in assessing kidney function but is not a direct monitoring parameter for CAH. Hemoglobin levels are more relevant in conditions such as anemia, not specifically in CAH.

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