Nursing Elites

1. What is an important nursing intervention for a child with a newly inserted central venous catheter?

• A. Regularly monitor for signs of infection
• B. Administer intravenous fluids only as ordered
• C. Restrict the child's movement
• D. Perform daily dressing changes only

Correct answer: A

Rationale: Regularly monitoring for signs of infection is a critical nursing intervention for a child with a newly inserted central venous catheter. This intervention is essential to detect any early signs of infection, such as redness, swelling, or drainage at the catheter site, which can lead to serious complications like sepsis. Administering intravenous fluids as ordered is important but not the most crucial intervention for a newly inserted central venous catheter. Restricting the child's movement is unnecessary unless specified by the healthcare provider. Performing daily dressing changes alone is not sufficient to ensure the catheter's integrity and the child's safety; monitoring for signs of infection is key.

2. What is a primary goal of managing diabetes mellitus in children?

• A. Promote weight maintenance
• B. Prevent episodes of hypoglycemia
• C. Ensure normal growth and development
• D. Optimize blood sugar control

Correct answer: C

Rationale: The primary goal of managing diabetes mellitus in children is to ensure normal growth and development. This involves maintaining stable blood glucose levels to prevent complications. Option A is incorrect because promoting weight gain is not a primary goal in managing diabetes; rather, the aim is to maintain a healthy weight. Option B is not the primary goal; although it is important to prevent episodes of hypoglycemia, the main focus is on overall management. Option D is incorrect as optimizing blood sugar control is a means to achieve the primary goal, which is ensuring normal growth and development.

3. How is gastroesophageal reflux (GER) typically treated in infants?

• A. Keeping the infant NPO
• B. Thickening the formula or breast milk with cereal
• C. Placing the infant to sleep on the side
• D. Switching the infant to cow's milk

Correct answer: B

Rationale: Thickening the formula or breast milk with cereal is a common treatment for gastroesophageal reflux (GER) in infants. By adding cereal, the feedings become heavier, making it less likely for the stomach contents to reflux. Keeping the infant NPO (nothing by mouth) is not typically necessary for GER treatment and might not be appropriate. Placing the infant to sleep on the side is not recommended due to the risk of sudden infant death syndrome (SIDS). Switching the infant to cow's milk is also not a recommended treatment for GER as it can exacerbate symptoms due to its protein content.

4. What is a common side effect of corticosteroid therapy in children?

• A. Increased appetite
• B. Decreased blood glucose levels
• C. Inhibited growth
• D. Mood changes

Correct answer: A

Rationale: The correct answer is A: Increased appetite. Corticosteroid therapy commonly causes increased appetite in children. This side effect can lead to weight gain and other metabolic changes. Option B is incorrect because corticosteroid therapy is more likely to result in increased blood glucose levels. Option C is incorrect because corticosteroid therapy can inhibit growth due to its impact on the endocrine system. Option D is incorrect because corticosteroid therapy can lead to mood changes such as irritability or even mood swings rather than improved mood.

5. What is an important dietary consideration for a child with renal failure?

• A. Low-protein, low-sodium diet
• B. High-protein, high-sodium diet
• C. Increased calcium intake
• D. High-fiber diet

Correct answer: A

Rationale: A low-protein, low-sodium diet is crucial for a child with renal failure because it helps reduce the workload on the kidneys and minimize complications. High-protein and high-sodium diets can place excessive strain on the kidneys and worsen the condition. Increased calcium intake is not typically a primary consideration for renal failure in children. While a high-fiber diet can be beneficial for overall health, it is not a specific priority for managing renal failure in children.

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