Nursing Elites

1. Which medication is typically used for long-term control of asthma?

• A. Albuterol
• B. Theophylline
• C. Ipratropium
• D. Prednisone

Correct answer: B

Rationale: The correct answer is B, Theophylline. Theophylline is commonly used for long-term control of asthma by relaxing the muscles around the airways to keep them open, making breathing easier. Albuterol (choice A) is a short-acting bronchodilator for quick relief of asthma symptoms, not for long-term control. Ipratropium (choice C) is another short-acting bronchodilator that helps open the airways but is not typically used for long-term control. Prednisone (choice D) is a corticosteroid usually used for short periods to control asthma exacerbations or flare-ups, not as a long-term control medication.

2. What is a common sign of a respiratory infection in infants?

• A. Increased appetite
• B. Rapid breathing
• C. Decreased urine output
• D. Lethargy

Correct answer: B

Rationale: Rapid breathing is a common sign of a respiratory infection in infants. When infants have a respiratory infection, their breathing may become rapid as their body tries to get more oxygen. This symptom is often seen alongside cough and fever. Increased appetite (Choice A) is not typically associated with respiratory infections but can be seen in other conditions. Decreased urine output (Choice C) is more indicative of dehydration or kidney issues rather than a respiratory infection. Lethargy (Choice D) can be a symptom of various illnesses but is not as specific to respiratory infections as rapid breathing.

3. How does a double-blind experiment work?

• A. Both subject groups take turns receiving each treatment.
• B. Neither subjects nor researchers know which subjects are in the control or experimental group.
• C. Neither group of subjects knows whether they are in the control or experimental group, but the researchers do not know.
• D. Both subject groups know whether they are in the control or experimental group, but the researchers do not know.

Correct answer: B

Rationale: The correct answer is B. In a double-blind experiment, neither the subjects nor the researchers know which subjects are in the control or experimental group. This helps to eliminate bias and ensure that the results are more objective. Choice A is incorrect as in a double-blind experiment, subjects do not take turns receiving each treatment; it is about masking the treatment allocation. Choice C is incorrect because it implies that the researchers are aware of the group allocation, which goes against the principle of blinding in a double-blind study. Choice D is incorrect as both subject groups should not know whether they are in the control or experimental group to maintain the blindness of the study.

4. What is an important consideration when administering medications to a child with a history of chronic renal failure?

• A. Increased frequency of medication administration
• B. Adjustments in dosage due to altered drug metabolism
• C. Avoidance of all medications
• D. Use of only intravenous medications

Correct answer: B

Rationale: When administering medications to a child with chronic renal failure, it is crucial to consider adjustments in dosage due to altered drug metabolism. Children with chronic renal failure may have impaired drug excretion, leading to potential drug accumulation and toxicity. Increasing the frequency of medication administration (choice A) may not address the altered drug metabolism issue and could increase the risk of adverse effects. Avoiding all medications (choice C) is not practical or safe as some medications may be necessary for the child's health. Using only intravenous medications (choice D) is not always required and may not be the best route of administration for all medications needed.

5. What is the primary treatment for a child with an anaphylactic reaction?

• A. Oral antihistamines
• B. Intravenous fluids
• C. Epinephrine injection
• D. Antipyretics

Correct answer: C

Rationale: The correct answer is C: Epinephrine injection. An epinephrine injection is the primary treatment for an anaphylactic reaction in children. Epinephrine acts quickly to reverse severe symptoms such as difficulty breathing, low blood pressure, and hives. Oral antihistamines, although useful for milder allergic reactions, are not sufficient to manage the potentially life-threatening symptoms of anaphylaxis. Intravenous fluids may be necessary to support blood pressure in a child with anaphylaxis but are not the primary treatment. Antipyretics, on the other hand, are medications used to reduce fever and are not indicated as the primary treatment for an anaphylactic reaction.

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