Nursing Elites

1. When caring for a child diagnosed with bronchiolitis, what is the priority nursing intervention?

• A. Administering bronchodilators
• B. Providing respiratory therapy
• C. Monitoring oxygen saturation
• D. Encouraging fluid intake

Correct answer: B

Rationale: The priority nursing intervention for a child with bronchiolitis is providing respiratory therapy. This intervention aims to maintain airway patency, optimize oxygenation, and support effective breathing. Administering bronchodilators, though important, may not be the initial priority as respiratory therapy takes precedence in ensuring adequate oxygenation and ventilation. Monitoring oxygen saturation is crucial but is usually part of the ongoing assessment following the initiation of respiratory therapy. Encouraging fluid intake is essential for hydration but is not the priority intervention when addressing the respiratory distress associated with bronchiolitis.

2. What would be important for the nurse to include when teaching an adolescent about tinea pedis?

• A. Keep your feet moist and exposed to the air as much as possible.
• B. Dry the area between your toes thoroughly.
• C. Wear nylon or synthetic socks every day.
• D. Walk barefoot in the school locker room.

Correct answer: B

Rationale: The correct answer is B: 'Dry the area between your toes thoroughly.' When educating an adolescent about tinea pedis, emphasis should be placed on keeping the feet dry, especially between the toes, to minimize the risk of fungal infection. Choice A is incorrect as keeping the feet moist can exacerbate the condition. Choice C is incorrect because nylon or synthetic socks can trap moisture, promoting fungal growth. Choice D is incorrect as walking barefoot in locker rooms increases the risk of contracting tinea pedis from contaminated surfaces.

3. A nurse plans to talk to the parents of a toddler about toilet training. What should the nurse explain is the most important factor in the process of toilet training?

• A. Parents’ attitude towards it
• B. Child’s motivation to remain dry
• C. Child’s ability to sit independently on the toilet
• D. Parents’ commitment to work on the toilet training

Correct answer: D

Rationale: The most crucial factor in successful toilet training is the parents' commitment to consistently work with their child. While parents' attitude and willingness are important, the key is their dedication to the process. The child's motivation and ability are also significant but rely heavily on parental guidance and support. Therefore, the correct choice is the parents' commitment to work on toilet training.

4. A child with a diagnosis of appendicitis is scheduled for surgery. What preoperative intervention is important for the nurse to perform?

• A. Administering antibiotics
• B. Maintaining strict NPO status
• C. Encouraging fluid intake
• D. Monitoring for signs of infection

Correct answer: D

Rationale: The correct preoperative intervention for a child with appendicitis scheduled for surgery is to monitor for signs of infection. This is crucial to ensure that any potential infections are promptly identified and managed before surgery. Administering antibiotics, maintaining strict NPO status, and encouraging fluid intake are important interventions in various clinical situations but are not the priority in this scenario. Administering antibiotics may be part of the treatment plan but is typically prescribed by a physician. Maintaining NPO status is important to prevent complications related to anesthesia but may not directly address the specific needs of a child with appendicitis. Encouraging fluid intake is generally beneficial for hydration but may not be the primary concern before surgery for appendicitis.

5. During a vaccination drive at a well-child clinic, a nurse observes that a recently hired nurse is not wearing gloves. What should the nurse advise the newly hired nurse to do?

• A. Speak with the nurse manager regarding techniques.
• B. Put on gloves because standard precautions are required.
• C. Continue with the immunizations because gloves are not needed.
• D. Evaluate the child’s appearance to determine whether gloves are needed.

Correct answer: B

Rationale: The correct answer is B: "Put on gloves because standard precautions are required." Standard precautions are essential in healthcare settings to prevent the transmission of infections, and wearing gloves is a crucial part of these precautions during immunizations. Choice A is incorrect because speaking with the nurse manager about techniques does not address the immediate need for wearing gloves. Choice C is incorrect because gloves are indeed needed to prevent the spread of infections. Choice D is incorrect as evaluating the child's appearance is not a substitute for wearing gloves which are a basic infection control measure.

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