Nursing Elites

1. How should a healthcare provider address a child's concerns about a new medical diagnosis?

• A. Provide clear and age-appropriate information
• B. Avoid discussing the diagnosis
• C. Refer to a specialist immediately
• D. Suggest seeking alternative therapies

Correct answer: A

Rationale: Correct answer: Providing clear and age-appropriate information is crucial when addressing a child's concerns about a new medical diagnosis. Children often feel anxious and confused when faced with health issues, so offering them information in a way they can understand helps alleviate their fears and empowers them to cope better. Choice B is incorrect because avoiding discussing the diagnosis can lead to increased anxiety and uncertainty in the child. Choice C is incorrect as referring to a specialist immediately may not be necessary at the initial stage of addressing the child's concerns. Choice D is incorrect as suggesting alternative therapies without providing proper information about the medical diagnosis may not be suitable or effective.

2. What is a common sign of developmental dysplasia of the hip (DDH) in infants?

• A. Dislocated patella
• B. Limited abduction of the hip
• C. Swelling of the knee
• D. Hyperextension of the leg

Correct answer: B

Rationale: Limited abduction of the hip is a common sign of developmental dysplasia of the hip in infants. It indicates possible hip dislocation or instability, making it a key clinical manifestation to assess for DDH. Dislocated patella (Choice A) is not typically associated with DDH. Swelling of the knee (Choice C) and hyperextension of the leg (Choice D) are not specific signs linked to DDH in infants, further supporting why they are incorrect choices.

3. What action should be taken for a 2-year-old with laryngotracheobronchitis in an oxygen tent?

• A. Restrain the child and notify the healthcare provider
• B. Increase the oxygen concentration
• C. Take the child to the playroom
• D. Ask the mother to help in comforting the child

Correct answer: B

Rationale: In laryngotracheobronchitis (croup), a child may become restless due to poor oxygenation. Increasing the oxygen concentration in the oxygen tent is crucial to improve oxygenation levels and manage symptoms effectively. Restraint is not appropriate in this situation, as it may cause distress and worsen the child's condition. Taking the child to the playroom is not indicated when the child requires oxygen therapy. While comforting the child is important, the priority in this scenario is to optimize oxygen delivery to improve respiratory distress.

4. What is a common sign of hypothyroidism in children?

• A. Weight loss
• B. Increased heart rate
• C. Dry skin and constipation
• D. Elevated blood pressure

Correct answer: C

Rationale: Dry skin and constipation are typical signs of hypothyroidism in children. Hypothyroidism results from an underactive thyroid gland, leading to symptoms such as dry skin and constipation. Weight loss (Choice A) is more commonly associated with hyperthyroidism, where the thyroid gland is overactive. Increased heart rate (Choice B) and elevated blood pressure (Choice D) are also more characteristic of hyperthyroidism rather than hypothyroidism. Therefore, the correct answer is dry skin and constipation (Choice C) when identifying signs of hypothyroidism in children.

5. What should be assessed first in a child with suspected head trauma?

• A. Response to verbal stimuli
• B. Pupillary reaction
• C. Skin color
• D. Heart rate

Correct answer: A

Rationale: The correct answer is to assess the response to verbal stimuli first in a child with suspected head trauma. This assessment helps in determining the child's level of consciousness and neurological status. Assessing the response to verbal stimuli allows healthcare providers to quickly evaluate if the child is alert, oriented, and able to communicate effectively. This initial assessment is crucial in identifying any immediate concerns related to the child's neurological function. Choices B, C, and D are not the primary assessments in cases of suspected head trauma. While pupillary reaction, skin color, and heart rate are important assessments in trauma situations, assessing the response to verbal stimuli takes precedence in evaluating the neurological status of a child with head trauma.

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