Nursing Elites

1. What is the most appropriate nursing action when intermittently gavage feeding a preterm infant?

• A. Allow formula to flow by gravity
• B. Avoid allowing the infant to suck on the tube
• C. Insert the tube through the nares instead of the mouth
• D. Apply gentle pressure to the syringe to deliver the formula

Correct answer: A

Rationale: The correct action when intermittently gavage feeding a preterm infant is to allow the formula to flow by gravity. This method helps prevent overfeeding and aspiration, which can occur if the formula is delivered too quickly under pressure. Choice B is incorrect as sucking on the tube can cause complications. Choice C is incorrect as the tube is typically inserted through the mouth. Choice D is incorrect as steady pressure can lead to rapid delivery of the formula, increasing the risk of complications.

2. The school nurse understands that children are impacted by divorce. Which has the most impact on the positive outcome of a divorce?

• A. Age of the child
• B. Gender of the child
• C. Family characteristics
• D. Ongoing family conflict

Correct answer: D

Rationale: The level of ongoing family conflict is the most significant factor influencing the positive or negative outcomes for children during and after a divorce

3. The nurse is preparing to admit a 10-year-old child with appendicitis. What clinical manifestations should the nurse expect to observe?

• A. Fever
• B. Vomiting
• C. Tachycardia
• D. All of the above

Correct answer: D

Rationale: Correct! Typical signs of appendicitis include fever, vomiting, and tachycardia due to infection and inflammation. These clinical manifestations are commonly observed in patients with appendicitis. Hyperactive bowel sounds are not typically associated with appendicitis, so they are not expected findings in this situation. Therefore, the correct answer is 'All of the above.'

4. The clinic nurse is instructing parents about caring for a toddler with ascariasis (common roundworm). Which statement made by the parents indicates a need for further teaching?

• A. We will wash our hands often, especially after diaper changes
• B. We know that roundworm can be transmitted from person to person
• C. We will be sure to continue the nitazoxanide (Alinia) orally for 3 days
• D. We will bring a stool sample to the clinic for examination in 2 weeks

Correct answer: B

Rationale: Roundworm (ascariasis) is typically transmitted through ingestion of contaminated soil, not directly from person to person. This statement indicates a misunderstanding requiring clarification.

5. What is the first-line treatment for a febrile seizure in a child?

• A. Antipyretics
• B. Anticonvulsants
• C. Cooling blankets
• D. IV fluids

Correct answer: A

Rationale: The correct answer is Antipyretics. Febrile seizures in children are usually associated with fever. The first-line treatment aims to reduce fever, which can help prevent febrile seizures. Antipyretics like acetaminophen or ibuprofen are commonly used for this purpose. Anticonvulsants, while used for treating seizures, are not typically the first-line treatment for febrile seizures as they are usually self-limited and resolve on their own. Cooling blankets can be used to lower body temperature in cases of hyperthermia but are not the primary treatment for febrile seizures. IV fluids may be administered in cases of dehydration due to fever or if the child cannot tolerate oral intake, but they are not the first-line treatment for febrile seizures.

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