Nursing Elites

1. What type of nutrient is needed by the body and must be supplied by foods?

• A. nutraceutical
• B. metabolic nutrient
• C. organic nutrient
• D. essential nutrient

Correct answer: D

Rationale: The correct answer is D, essential nutrient. Essential nutrients are substances that the body needs for normal functioning but cannot produce in sufficient amounts, so they must be obtained through the diet. Nutraceuticals (choice A) are products derived from food sources that are purported to provide extra health benefits beyond basic nutrition. Metabolic nutrients (choice B) and organic nutrients (choice C) are not standard terms used to describe nutrients needed by the body. Therefore, choices A, B, and C are incorrect.

2. 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.

3. 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.

4. What is one benefit of using controls in an experiment?

• A. The size of the groups does not matter.
• B. The subjects are unaware of the experiment's details.
• C. The subjects who are treated are balanced against the placebos.
• D. The subjects are similar in all respects except for the treatment being tested.

Correct answer: D

Rationale: The correct answer is D. Controls in an experiment ensure that the subjects are similar in all respects except for the treatment being tested. This allows for a fair comparison between the treatment group and the control group. Choice A is incorrect because the size of the groups is not the primary benefit of using controls. Choice B is incorrect as blinding, not controls, refers to subjects not knowing about the experiment. Choice C is incorrect as it pertains more to randomization than the use of controls.

5. What should be a priority for a 4-year-old child with nephrosis?

• A. Impaired body image
• B. Skin impairment
• C. Nutritional deficit
• D. Injury

Correct answer: B

Rationale: The correct answer is B: Skin impairment. Skin care is a priority in nephrosis due to edema and increased risk of skin breakdown, requiring careful monitoring and management. While impaired body image (Choice A) can be a concern, it is not typically a priority in a 4-year-old with nephrosis. Nutritional deficit (Choice C) is important but addressing skin impairment takes precedence due to the immediate risk of complications related to skin breakdown. Injury (Choice D) is a general concern for children but is not the priority in a child with nephrosis.

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