Nursing Elites

1. What is an important aspect of managing a child with chronic kidney disease?

• A. Monitoring electrolyte levels
• B. Increasing protein intake
• C. Limiting fluid intake
• D. Encouraging a high-fat diet

Correct answer: A

Rationale: Monitoring electrolyte levels is crucial in managing chronic kidney disease in children because imbalances can lead to serious complications. Electrolyte levels must be carefully monitored to prevent issues such as electrolyte abnormalities, which can further impact kidney function and overall health. Choices B, C, and D are incorrect because increasing protein intake, limiting fluid intake, and encouraging a high-fat diet can exacerbate kidney disease in children by putting extra strain on their kidneys or causing other health problems.

2. What is a common sign of developmental dysplasia of the hip (DDH) in infants?

• A. Dislocated patella
• B. Limited abduction of the hip
• C. Swelling of the knee
• D. Hyperextension of the leg

Correct answer: B

Rationale: Limited abduction of the hip is a common sign of developmental dysplasia of the hip in infants. It indicates possible hip dislocation or instability, making it a key clinical manifestation to assess for DDH. Dislocated patella (Choice A) is not typically associated with DDH. Swelling of the knee (Choice C) and hyperextension of the leg (Choice D) are not specific signs linked to DDH in infants, further supporting why they are incorrect choices.

3. What should be included in the medical management of a sickle cell crisis?

• A. Information for parents on home care
• B. Adequate hydration and pain management
• C. Pain management and iron supplements
• D. Adequate oxygenation and factor VIII

Correct answer: B

Rationale: The correct answer is B: Adequate hydration and pain management. During a sickle cell crisis, it is essential to provide hydration to prevent vaso-occlusive events and manage pain effectively with analgesics. Adequate hydration helps maintain blood flow and prevent further sickling of red blood cells. Pain management is crucial to alleviate the severe pain associated with sickle cell crises. Options A, C, and D are incorrect. Providing information for parents on home care (Option A) may be important for ongoing management but is not specific to an acute crisis. Iron supplements (Option C) are not typically indicated during a sickle cell crisis. Adequate oxygenation and factor VIII (Option D) are not primary interventions for managing a sickle cell crisis; instead, oxygen therapy may be considered in severe cases, and factor VIII is not a standard treatment for sickle cell disease.

4. What is a common sign of congenital hip dysplasia in infants?

• A. Symmetrical hip movement
• B. Limited range of motion in the hip
• C. Swelling of the knees
• D. Dislocated patella

Correct answer: B

Rationale: Limited range of motion in the hip, often noted as a limitation in abduction, is a common sign of congenital hip dysplasia. This limitation is due to the abnormal development of the hip joint, affecting its movement. Symmetrical hip movement (Choice A) is not a characteristic sign of congenital hip dysplasia. Swelling of the knees (Choice C) is not typically associated with this condition. Dislocated patella (Choice D) refers to a different anatomical structure and is not a common sign of congenital hip dysplasia.

5. How should a caregiver handle a child with a known peanut allergy?

• A. Educate on allergen avoidance
• B. Increase exposure to peanuts
• C. Administer antihistamines as needed
• D. Suggest occasional consumption of peanuts

Correct answer: A

Rationale: Educating on allergen avoidance is the correct approach when dealing with a child who has a known peanut allergy. This helps in managing the allergy effectively and preventing potential allergic reactions. Increasing exposure to peanuts (Choice B) is dangerous and can trigger severe allergic reactions in a child with a peanut allergy. While antihistamines (Choice C) can help alleviate some symptoms, they should not be the primary method of managing a peanut allergy. Suggesting occasional consumption of peanuts (Choice D) is extremely risky and should never be done for a child with a known peanut allergy.

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