Nursing Elites

1. When a mother confides in the nurse that she is contemplating divorce, which suggestion by the nurse would help minimize the effects on the child?

• A. Tell the child together using appropriate terms.
• B. Reassure the child that no one loves him more than his parents.
• C. Engage in special activities with the child to compensate for the divorce.
• D. Discuss your feelings with the child.

Correct answer: A

Rationale: The correct answer is A. It is essential for both parents to inform the child about the divorce together, using age-appropriate language. This approach can help minimize the negative impact on the child by providing a sense of unity and understanding. Choice B is incorrect because offering false reassurance about love may not address the child's concerns effectively, as the situation is complex. Choice C is not suitable as engaging in special activities cannot substitute for the emotional stability that the child may lose due to the divorce. Choice D is incorrect because sharing the parent's feelings may burden the child with adult emotions, which could be overwhelming and confusing for their developmental stage.

2. A child is admitted to the hospital with pneumonia. What is the priority need that must be included in the nursing plan of care for this child?

• A. Rest
• B. Exercise
• C. Nutrition
• D. Elimination

Correct answer: A

Rationale: The correct answer is A: Rest. When a child is admitted to the hospital with pneumonia, the priority need in the nursing plan of care is to ensure adequate rest. Rest is crucial as it allows the child's body to fight the infection and recover. Choice B, Exercise, would not be appropriate as the child needs rest to conserve energy and promote healing. Choice C, Nutrition, is important for overall health but may not be the immediate priority when the child is acutely ill with pneumonia. Choice D, Elimination, is important but is not the priority need in this scenario compared to ensuring rest to aid recovery from pneumonia.

3. A child is admitted with extensive burns. The nurse notes burns on the child’s lips and singed nasal hairs. The nurse should suspect that the child has a(n)

• A. chemical burn
• B. inhalation injury
• C. electrical burn
• D. hot-water scald

Correct answer: B

Rationale: Burns on the lips and singed nasal hairs are indicative of an inhalation injury. This suggests that the child has likely inhaled hot gases or smoke, leading to damage in the respiratory tract. Choice A, chemical burn, is incorrect because the symptoms described are more aligned with inhalation rather than direct contact with chemicals. Choice C, electrical burn, is incorrect as there are no mentions of contact with an electrical source. Choice D, hot-water scald, is also incorrect as the presentation of burns on the lips and singed nasal hairs is not characteristic of scald injuries.

4. A healthcare provider is assessing a child with suspected pneumonia. What clinical manifestation is the provider likely to observe?

• A. Cough
• B. Diarrhea
• C. Rash
• D. Vomiting

Correct answer: A

Rationale: A cough is a common clinical manifestation of pneumonia. Pneumonia often presents with symptoms such as cough, fever, chest pain, and difficulty breathing. The inflammation and infection in the lungs lead to the characteristic cough observed in patients with pneumonia. Diarrhea, rash, and vomiting are not typically associated with pneumonia and are less likely to be observed in a child with this condition.

5. A healthcare professional is educating a group of parents on preventing childhood obesity. What should the professional recommend?

• A. Encourage high-calorie snacks
• B. Limit screen time
• C. Encourage fast food as a treat
• D. Allow the child to eat freely

Correct answer: B

Rationale: The correct answer is to limit screen time when preventing childhood obesity. Excessive screen time is associated with a sedentary lifestyle and can lead to increased consumption of unhealthy foods. Encouraging high-calorie snacks (choice A) contradicts the goal of preventing obesity. While fast food as an occasional treat (choice C) can be acceptable in moderation, it should not be encouraged as a preventive measure against obesity. Allowing the child to eat freely (choice D) without guidance can lead to overconsumption of unhealthy foods and contribute to obesity risk.

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