Nursing Elites

1. What is an important aspect of care for a child with congenital adrenal hyperplasia?

• A. Monitoring electrolyte levels
• B. Restricting physical activity
• C. Administering high doses of vitamin A
• D. Providing a high-protein diet

Correct answer: A

Rationale: The correct answer is A: Monitoring electrolyte levels. In the management of congenital adrenal hyperplasia, it is crucial to monitor electrolyte levels to prevent imbalances and related complications. Restricting physical activity (choice B) is not a typical aspect of care for this condition. Administering high doses of vitamin A (choice C) is not a standard treatment for congenital adrenal hyperplasia and can be harmful in excess. Providing a high-protein diet (choice D) may be beneficial for some conditions but is not a specific requirement for managing congenital adrenal hyperplasia.

2. What is the key to preventing recurrent respiratory infections in children with cystic fibrosis?

• A. Routine use of antibiotics
• B. Daily chest physiotherapy
• C. Increased fluid intake
• D. Dietary supplements

Correct answer: B

Rationale: The correct answer is B: Daily chest physiotherapy. Daily chest physiotherapy is essential in cystic fibrosis as it helps in clearing mucus from the lungs, reducing the frequency of respiratory infections. Antibiotics (Choice A) may treat infections but are not the key preventive measure. Increased fluid intake (Choice C) and dietary supplements (Choice D) can be beneficial for overall health but do not directly prevent recurrent respiratory infections in children with cystic fibrosis.

3. What will the treatment for a newly admitted child with cystic fibrosis center on?

• A. Chest physiotherapy
• B. Mucus-drying agents
• C. Prevention of diarrhea
• D. Insulin therapy

Correct answer: A

Rationale: The correct answer is A: Chest physiotherapy. Treatment for cystic fibrosis focuses on chest physiotherapy and aerosol medications to manage and clear thick pulmonary secretions. Chest physiotherapy helps loosen and clear mucus from the lungs, aiding in breathing and reducing the risk of infections. Mucus-drying agents (choice B) are not typically used in the treatment of cystic fibrosis as the goal is to help clear mucus, not dry it. Prevention of diarrhea (choice C) is not a primary focus in the treatment of cystic fibrosis. Insulin therapy (choice D) is not relevant to cystic fibrosis, which primarily affects the respiratory and digestive systems.

4. Which statement best describes the relationship between diet and chronic diseases?

• A. Diet has no impact on chronic diseases.
• B. A poor diet can increase the risk of developing chronic diseases.
• C. Diet is the sole cause of chronic diseases.
• D. A balanced diet can help prevent or manage chronic diseases.

Correct answer: B

Rationale: Choice B is the correct answer. A poor diet can increase the risk of developing chronic diseases due to the lack of essential nutrients or the presence of harmful components like excessive sugar, salt, or saturated fats. While diet plays a significant role in the development of chronic diseases, it is not the sole cause (choice C). Choice A is incorrect because diet does indeed have a significant impact on chronic diseases. Choice D is not the best answer as it does not acknowledge the negative impact of a poor diet on chronic diseases.

5. What is the study of how a person's genes interact with nutrients?

• A. genetic counseling
• B. nutritional genomics
• C. genetic metabolomics
• D. nutritional genetics

Correct answer: B

Rationale: Nutritional genomics, the correct answer, specifically focuses on how a person's genes interact with nutrients, affecting health and disease. Genetic counseling (choice A) refers to the process of helping people understand and adapt to the medical, psychological, and familial implications of genetic contributions to disease. Genetic metabolomics (choice C) combines genetic and metabolomic data to study metabolic pathways. Nutritional genetics (choice D) generally refers to the broader field of genetics as it relates to nutrition, while nutritional genomics, the most precise term, delves into the specific gene-nutrient interactions.

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