Nursing Elites

1. Which individual is making a food choice based on negative association?

• A. A tourist from China who rejects a hamburger due to unfamiliarity
• B. A child who spits out his mashed potatoes because they taste too salty
• C. A teenager who grudgingly accepts an offer for an ice cream cone to avoid offending a close friend
• D. An elderly gentleman who refuses a peanut butter and jelly sandwich because he considers it a child's food

Correct answer: D

Rationale: Choice D is the correct answer because the elderly gentleman is refusing the peanut butter and jelly sandwich due to his negative association of considering it a child's food. This negative association influences his food choice. Choices A, B, and C do not involve negative associations with the food being consumed. Choice A is based on unfamiliarity, Choice B is due to taste preference, and Choice C is driven by social considerations rather than negative food association.

2. How should a healthcare provider address the nutritional needs of a child with chronic kidney disease?

• A. Increase protein intake
• B. Reduce sodium and phosphorus intake
• C. Promote a high-fat diet
• D. Encourage frequent sugary snacks

Correct answer: B

Rationale: Reducing sodium and phosphorus intake is crucial in managing chronic kidney disease in children because it helps prevent complications such as electrolyte imbalances and bone problems. High protein intake can actually be harmful to the kidneys in this condition as it can lead to increased waste production. A high-fat diet is not recommended as it can contribute to heart and blood vessel problems. Encouraging frequent sugary snacks can lead to further complications like obesity and diabetes, which are not beneficial for a child with chronic kidney disease.

3. What is the primary source of energy for the brain and nervous system?

• A. Protein
• B. Fat
• C. Carbohydrate
• D. Glucose

Correct answer: D

Rationale: Glucose is the correct answer as it is the primary source of energy for the brain and nervous system. The brain relies heavily on glucose to function optimally. While protein and fat play essential roles in the body, they are not the primary sources of energy for the brain and nervous system. Carbohydrates, on the other hand, are broken down into glucose, which is then used as fuel by the brain and nervous system.

4. How should hydration status in a child with fever and vomiting be assessed?

• A. Monitor skin turgor and mucous membranes
• B. Measure blood glucose levels
• C. Check for signs of jaundice
• D. Assess respiratory rate

Correct answer: A

Rationale: To assess hydration status in a child with fever and vomiting, monitoring skin turgor and mucous membranes is essential. Skin turgor refers to the skin's ability to change shape and return to normal; poor skin turgor can indicate dehydration. Mucous membranes, such as the mouth and eyes, can also provide valuable information about hydration levels. Measuring blood glucose levels (Choice B) is not directly related to assessing hydration status. Checking for signs of jaundice (Choice C) is important for liver-related issues, not hydration assessment. Assessing respiratory rate (Choice D) is crucial for evaluating respiratory function, not hydration status.

5. 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.

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