Nursing Elites

1. Which nutrient is classified as a micronutrient?

• A. minerals
• B. proteins
• C. alcohols
• D. carbohydrates

Correct answer: A

Rationale: The correct answer is minerals. Micronutrients are required by the body in smaller amounts compared to macronutrients like proteins and carbohydrates. Proteins are macronutrients necessary for growth and repair, not classified as micronutrients. Alcohols and carbohydrates are not classified as micronutrients either.

2. How should pain be assessed in a nonverbal child?

• A. Ask the parents about the child’s usual behavior
• B. Observe the child’s facial expressions and body movements
• C. Measure the child’s blood pressure
• D. Use a pain rating scale for older children

Correct answer: B

Rationale: Observing the nonverbal child's facial expressions and body movements is crucial in assessing pain. Nonverbal children may not be able to communicate their discomfort verbally, making it essential to rely on physical cues. Asking parents about the child's usual behavior (choice A) may provide some insight but observing the child directly is more direct and reliable. Measuring blood pressure (choice C) is not typically a direct method for assessing pain in nonverbal children. Using a pain rating scale designed for older children (choice D) is also inappropriate for nonverbal children who cannot participate in such self-reporting tools.

3. How should a healthcare professional approach the care of a child with a newly diagnosed type 1 diabetes?

• A. Emphasize the importance of blood glucose monitoring
• B. Avoid insulin therapy
• C. Encourage a high-carbohydrate diet
• D. Recommend alternative therapies only

Correct answer: A

Rationale: Corrected Rationale: Emphasizing the importance of blood glucose monitoring is crucial for managing type 1 diabetes effectively. Monitoring blood glucose levels helps in maintaining optimal control of the condition, adjusting treatment plans as necessary, and preventing complications. Choice B is incorrect because insulin therapy is the mainstay treatment for type 1 diabetes to regulate blood sugar levels. Choice C is incorrect because while diet is important, encouraging a high-carbohydrate diet can lead to fluctuations in blood sugar levels. Choice D is incorrect because alternative therapies should not replace standard medical treatment like insulin therapy in type 1 diabetes management.

4. What is a common sign of an allergic reaction in children?

• A. Persistent cough
• B. Skin rash or hives
• C. Increased appetite
• D. Low-grade fever

Correct answer: B

Rationale: Skin rash or hives are common signs of an allergic reaction in children, often following exposure to allergens. While a persistent cough can occur in some cases, it is not typically a primary sign of an allergic reaction. Increased appetite is unrelated to allergic reactions. A low-grade fever is not a common sign of an allergic reaction but can be present in other conditions like infections.

5. What will the treatment for a newly admitted child with cystic fibrosis center on?

• A. Chest physiotherapy
• B. Mucus-drying agents
• C. Prevention of diarrhea
• D. Insulin therapy

Correct answer: A

Rationale: The correct answer is A: Chest physiotherapy. Treatment for cystic fibrosis focuses on chest physiotherapy and aerosol medications to manage and clear thick pulmonary secretions. Chest physiotherapy helps loosen and clear mucus from the lungs, aiding in breathing and reducing the risk of infections. Mucus-drying agents (choice B) are not typically used in the treatment of cystic fibrosis as the goal is to help clear mucus, not dry it. Prevention of diarrhea (choice C) is not a primary focus in the treatment of cystic fibrosis. Insulin therapy (choice D) is not relevant to cystic fibrosis, which primarily affects the respiratory and digestive systems.

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