Nursing Elites

1. What is the primary treatment for a child with acute otitis media?

• A. Antihistamines
• B. Nasal decongestants
• C. Antibiotics
• D. Ear drops

Correct answer: C

Rationale: The correct answer is C: Antibiotics. Antibiotics are the primary treatment for acute otitis media because the condition is often caused by a bacterial infection. Antihistamines (choice A) and nasal decongestants (choice B) are not the primary treatments for acute otitis media as they do not target the bacterial infection. Ear drops (choice D) are not the primary treatment for acute otitis media; antibiotics are required to treat the underlying bacterial cause.

2. Why is peer review important in scientific research?

• A. To expedite publication of results.
• B. To facilitate the replication of studies.
• C. To verify the accuracy and validity of research findings.
• D. To enhance the credibility of the research.

Correct answer: C

Rationale: Peer review is crucial in scientific research to verify the accuracy and validity of research findings. By subjecting research papers to evaluation by experts in the field, peer review ensures that the study's methods, results, and conclusions are robust and reliable. This process helps to maintain high standards of quality in scientific publications, providing credibility to the research. Choices A and D are incorrect because the primary purpose of peer review is not to expedite publication or solely enhance credibility; its core function is to validate the research's accuracy and validity. Choice B, while beneficial, is not the primary reason for peer review; replication is a byproduct of the rigorous evaluation of research methods and findings.

3. What does a positive correlation between two variables indicate?

• A. One variable causes the other.
• B. Both variables move in the same direction.
• C. Both variables move in opposite directions.
• D. There is no relationship between the variables.

Correct answer: B

Rationale: A positive correlation between two variables indicates that they move in the same direction. This means that as one variable increases (or decreases), the other variable also increases (or decreases). Choice A is incorrect because correlation does not imply causation; it only shows a relationship between variables. Choice C is incorrect as it describes a negative correlation where variables move in opposite directions. Choice D is incorrect as a positive correlation implies a relationship between the variables.

4. What is the priority assessment for a child with suspected appendicitis?

• A. Temperature
• B. Heart rate
• C. Respiratory rate
• D. Pain level

Correct answer: D

Rationale: The priority assessment for a child with suspected appendicitis is 'Pain level.' Evaluating the pain level, particularly in the lower right quadrant, is crucial as it helps in determining the severity of the condition, leading to prompt diagnosis and treatment. Monitoring temperature, heart rate, and respiratory rate are important aspects of assessment; however, they are secondary to assessing the pain level in cases of suspected appendicitis. Pain assessment is key in diagnosing this condition since the classic presentation includes abdominal pain that often starts around the umbilicus and then localizes to the right lower quadrant.

5. What type of vaccine should a child with a history of severe allergic reactions receive?

• A. Live attenuated vaccines
• B. Inactivated vaccines
• C. Subunit vaccines
• D. Recombinant vaccines

Correct answer: B

Rationale: Children with a history of severe allergic reactions should receive inactivated vaccines because they do not contain live pathogens. Live attenuated vaccines (choice A) contain weakened live pathogens and can potentially trigger an allergic reaction in sensitive individuals. Subunit vaccines (choice C) and recombinant vaccines (choice D) may contain components that could still trigger an allergic response in individuals with a history of severe allergies. Inactivated vaccines are the safest choice for individuals with a history of severe allergic reactions as they do not pose a risk of causing an allergic reaction due to the absence of live pathogens.

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