Nursing Elites

1. Food energy is commonly expressed in kilocalories and in what other unit?

• A. kilojoules
• B. kilograms
• C. kilometers
• D. kilonewtons

Correct answer: A

Rationale: Food energy is commonly expressed in kilocalories and kilojoules. Kilocalories and kilojoules are both units of energy commonly used to measure the energy content of food. Kilograms, kilometers, and kilonewtons are units of mass, distance, and force, respectively, and are not used to express food energy.

2. How is gastroesophageal reflux (GER) typically treated in infants?

• A. Keeping the infant NPO
• B. Thickening the formula or breast milk with cereal
• C. Placing the infant to sleep on the side
• D. Switching the infant to cow's milk

Correct answer: B

Rationale: Thickening the formula or breast milk with cereal is a common treatment for gastroesophageal reflux (GER) in infants. By adding cereal, the feedings become heavier, making it less likely for the stomach contents to reflux. Keeping the infant NPO (nothing by mouth) is not typically necessary for GER treatment and might not be appropriate. Placing the infant to sleep on the side is not recommended due to the risk of sudden infant death syndrome (SIDS). Switching the infant to cow's milk is also not a recommended treatment for GER as it can exacerbate symptoms due to its protein content.

3. How should a healthcare provider respond to a parent concerned about their child's frequent ear infections?

• A. Recommend over-the-counter ear drops
• B. Suggest an ENT specialist evaluation
• C. Advise on increasing fluid intake
• D. Encourage more physical exercise

Correct answer: B

Rationale: When a parent expresses concerns about their child's frequent ear infections, suggesting an ENT specialist evaluation is the most appropriate response. This specialist can conduct a thorough examination to identify the underlying cause of the recurrent infections and recommend the most suitable treatment. Recommending over-the-counter ear drops (Choice A) may not address the root cause of the issue and could potentially lead to inappropriate treatment. Advising on increasing fluid intake (Choice C) and encouraging more physical exercise (Choice D) are unrelated to addressing the specific concern of frequent ear infections.

4. What is a common sign of dehydration in a child with diarrhea?

• A. Decreased urine output
• B. Increased appetite
• C. Warm, dry skin
• D. Elevated blood pressure

Correct answer: A

Rationale: The correct answer is A: Decreased urine output. When a child with diarrhea is dehydrated, they may have decreased urine output, indicating that their body is conserving fluids. This sign highlights the importance of fluid replacement to prevent worsening dehydration. Choices B, C, and D are incorrect. Increased appetite is not typically associated with dehydration but can be seen in other conditions. Warm, dry skin may be a sign of fever or other skin conditions, not specifically dehydration. Elevated blood pressure is not a common sign of dehydration in a child with diarrhea.

5. What is a common symptom of a respiratory infection in infants?

• A. Wheezing
• B. High appetite
• C. Increased thirst
• D. Lethargy

Correct answer: A

Rationale: Wheezing is a common symptom of respiratory infections in infants, often associated with coughing and difficulty breathing. It occurs due to the narrowing of the airways. Choice B, 'High appetite,' is incorrect as respiratory infections usually lead to a decrease in appetite rather than an increase. Choice C, 'Increased thirst,' is incorrect as it is not a typical symptom of a respiratory infection in infants. Choice D, 'Lethargy,' can be a symptom of respiratory infections but is not as specific and common as wheezing.

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