Nursing Elites

1. Which nutrient source yields more than 4 kcalories per gram?

• A. plant fats
• B. plant proteins
• C. animal proteins
• D. plant carbohydrates

Correct answer: A

Rationale: The correct answer is plant fats (Choice A). Fats, including plant fats, provide 9 kcalories per gram, which is more than 4 kcalories. Plant proteins (Choice B) and animal proteins (Choice C) provide 4 kcalories per gram. Plant carbohydrates (Choice D) also provide 4 kcalories per gram. Therefore, Choices B, C, and D are incorrect because they do not yield more than 4 kcalories per gram.

2. What should the nurse anticipate as challenging in caring for a child with acute glomerulonephritis?

• A. Forced fluids
• B. Increased feedings
• C. Bed rest
• D. Frequent position changes

Correct answer: C

Rationale: The correct answer is C: Bed rest. Implementing bed rest can be challenging, especially in active children, but it's necessary to manage the symptoms of acute glomerulonephritis. Forced fluids (choice A) may be required to maintain hydration but are not typically challenging. Increased feedings (choice B) and frequent position changes (choice D) are not primary interventions in the care of a child with acute glomerulonephritis.

3. What is a key aspect of care for a child with an indwelling urinary catheter?

• A. Increase fluid intake
• B. Monitor for signs of infection
• C. Restrict mobility
• D. Administer daily antibiotics

Correct answer: B

Rationale: Monitoring for signs of infection is crucial when caring for a child with an indwelling urinary catheter. This is because catheter-associated urinary tract infections are common in such cases. Increasing fluid intake can be beneficial, but monitoring for infection takes precedence as it is crucial to prevent complications. Restricting mobility is not a key aspect of care for a child with an indwelling urinary catheter unless specifically advised by a healthcare provider. Administering daily antibiotics without proper assessment and indication can lead to antibiotic resistance and is not a standard practice in caring for a child with an indwelling urinary catheter.

4. What is a common symptom of an upper respiratory infection in children?

• A. Constipation
• B. Excessive vomiting
• C. Nasal congestion
• D. Abdominal pain

Correct answer: C

Rationale: Nasal congestion is a common symptom of an upper respiratory infection in children. It is typically accompanied by cough and sore throat. Constipation (choice A) and excessive vomiting (choice B) are not typical symptoms of upper respiratory infections. Abdominal pain (choice D) is more commonly associated with gastrointestinal issues rather than upper respiratory infections.

5. After surgical repair of a cleft palate, what should be used to prevent injury to the suture line?

• A. Straw
• B. Spoon
• C. Syringe
• D. Cup

Correct answer: C

Rationale: The correct answer is C: Syringe. Using a syringe helps in feeding without causing injury to the suture line after cleft palate repair because it avoids direct contact with the suture area. Straws and spoons can potentially put pressure on the suture line, leading to injury. Cups may not provide the necessary control to prevent contact with the suture line, unlike a syringe.

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