Nursing Elites

1. What is the main purpose of the initial assessment of a child with a suspected fracture?

• A. To determine the type of fracture
• B. To check for potential complications
• C. To identify the cause of the injury
• D. To plan for long-term rehabilitation

Correct answer: B

Rationale: The main purpose of the initial assessment of a child with a suspected fracture is to check for potential complications, such as neurovascular impairment, and to ensure appropriate treatment. Choice A is incorrect because determining the type of fracture usually requires imaging studies like X-rays, which may not be part of the initial assessment. Choice C is incorrect because identifying the cause of the injury is important for the history-taking part but may not be the main purpose of the initial assessment. Choice D is incorrect because long-term rehabilitation planning typically occurs after the acute phase of fracture management.

2. What is a common symptom of a vitamin D deficiency in children?

• A. Frequent infections
• B. Bone pain and tenderness
• C. Excessive thirst
• D. Unexplained bruising

Correct answer: B

Rationale: Bone pain and tenderness are indeed common symptoms of vitamin D deficiency in children. Vitamin D plays a crucial role in bone health and growth. The deficiency can lead to weakened bones, causing pain and tenderness. Choices A, C, and D are incorrect. Frequent infections are not a typical symptom of vitamin D deficiency in children; excessive thirst is more commonly associated with conditions like diabetes, and unexplained bruising is not directly linked to vitamin D deficiency.

3. What is an important dietary consideration for a child with celiac disease?

• A. Increased iron intake
• B. Gluten-free diet
• C. High-protein diet
• D. Low-sodium diet

Correct answer: B

Rationale: A gluten-free diet is crucial for managing celiac disease in children because it helps prevent intestinal damage and alleviate symptoms. Gluten is a protein found in wheat, barley, and rye, and it triggers an immune response in individuals with celiac disease, damaging the lining of the small intestine. Therefore, choices A, C, and D are incorrect. While iron intake is important for overall health, a child with celiac disease can still meet their iron needs through sources that are naturally gluten-free or fortified. A high-protein diet or a low-sodium diet are not specifically required for managing celiac disease.

4. How much energy is required to raise the temperature of one kilogram of water by 1°C?

• A. 10 calories
• B. 100 calories
• C. 1 kilocalorie
• D. 10 kilocalories

Correct answer: C

Rationale: The correct answer is 1 kilocalorie. This is the amount of energy required to raise the temperature of 1 kilogram of water by 1°C. Choice A (10 calories) and Choice D (10 kilocalories) are incorrect as they do not represent the correct unit of measurement for this specific scenario. Choice B (100 calories) is also incorrect as it overestimates the amount of energy required. The specific heat capacity of water is approximately 1 calorie/gram °C, which means that 1 kilogram (1000 grams) of water requires 1 kilocalorie (1000 calories) to raise its temperature by 1°C.

5. How should a child with a newly diagnosed seizure disorder be managed?

• A. Avoid all physical activity
• B. Monitor for triggers and ensure safety
• C. Increase dietary sodium intake
• D. Restrict all forms of social interaction

Correct answer: B

Rationale: When managing a child with a newly diagnosed seizure disorder, it is essential to monitor for triggers and ensure safety. By identifying triggers such as lack of sleep, stress, or specific foods, healthcare professionals can help prevent seizures. Ensuring safety involves creating a safe environment to prevent injuries during a seizure. Choices A, C, and D are incorrect. Avoiding all physical activity can be detrimental as appropriate exercise is essential for overall health. Increasing dietary sodium intake is not a standard recommendation for managing seizures. Restricting all forms of social interaction is unnecessary and can have negative effects on the child's emotional well-being.

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