Nursing Elites

1. Which type of parenting style is associated with children who rank higher on many measures of social and cognitive development?

• A. Warm, responsive, positive
• B. Neutral, rigid, critical
• C. Absent, unstructured, negative
• D. Cold, neglectful, negative

Correct answer: A

Rationale: Research has shown that a warm, responsive, and positive parenting style is associated with children who rank higher on many measures of social and cognitive development. This style promotes secure attachment, emotional regulation, and overall well-being in children. In contrast, parenting styles characterized by neutrality, rigidity, negativity, or neglect have been linked to poorer outcomes in children's development. Understanding different parenting styles can help professionals tailor interventions to support families effectively and respectfully.

2. A nurse is providing discharge teaching to the parent of a child who has juvenile idiopathic arthritis. Which of the following statements should the nurse include?

• A. Encourage the child to sleep for 8 hours each night.
• B. Perform range-of-motion exercises once per week.
• C. Give your child NSAIDs on a regular schedule.
• D. Apply heat to the child's affected joints twice daily.

Correct answer: C

Rationale: The nurse should instruct the parent to give the child NSAIDs on a regular schedule to maintain therapeutic levels and control pain.

3. When receiving change-of-shift report for children, which child should the nurse assess first?

• A. A toddler who has a concussion and an episode of forceful vomiting
• B. An adolescent with infective endocarditis who reports having a headache
• C. An adolescent who was placed into Halo traction 1 hour ago and rates his pain at a 6 on a 0-10 scale
• D. A school-age child with acute glomerulonephritis and brown-colored urine

Correct answer: A

Rationale: The nurse should assess the toddler with a concussion and an episode of forceful vomiting first when receiving change-of-shift report for children. Forceful vomiting in a toddler with a concussion indicates increased intracranial pressure, requiring immediate assessment and intervention to prevent further complications.

4. Which type of food is the most difficult to swallow?

• A. Raw Vegetables
• B. Strained Fruit
• C. Chopped Meat
• D. Mashed Vegetables

Correct answer: C

Rationale: Chopped meat is the most difficult to swallow as it requires thorough chewing and coordination to avoid swallowing hazards, making it more challenging compared to raw vegetables, strained fruit, and mashed vegetables.

5. A healthcare professional is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment should the professional have on hand for the delivery?

• A. Bag-valve-mask system
• B. Sterile gauze and saline
• C. Soft arm restraints
• D. Endotracheal tube

Correct answer: D

Rationale: An endotracheal tube is crucial for managing the airway of a newborn with a diaphragmatic hernia. In this condition, there may be respiratory distress due to incomplete development of the diaphragm, allowing abdominal organs to move into the chest cavity and compress the lungs. The endotracheal tube helps in securing the airway and providing respiratory support if needed until definitive treatment can be initiated.

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