Nursing Elites

1. How should a healthcare provider approach the care of a child with juvenile idiopathic arthritis (JIA)?

• A. Promote weight maintenance
• B. Encourage joint mobility exercises
• C. Avoid physical inactivity
• D. Ensure a balanced diet

Correct answer: B

Rationale: Encouraging joint mobility exercises is the appropriate approach to caring for a child with juvenile idiopathic arthritis (JIA). These exercises help maintain joint function and reduce stiffness, which are crucial in managing the condition. Choices A, C, and D are incorrect. Promoting weight maintenance is more relevant than weight gain as maintaining a healthy weight is important in managing JIA. Avoiding physical inactivity is not recommended as controlled and appropriate physical activities can help improve joint flexibility and overall health. Ensuring a balanced diet, which includes adequate protein, is important for overall nutrition but is not a specific intervention for managing JIA.

2. How should the healthcare provider assist parents of a SIDS infant in coping?

• A. Encourage seeking grief counseling
• B. Remain detached
• C. Alleviate feelings of guilt and blame
• D. Discuss the parents' mistakes

Correct answer: C

Rationale: Assisting parents of a SIDS infant in coping involves alleviating feelings of guilt and blame, providing emotional support, and offering appropriate counseling. It is crucial to address the parents' emotional well-being and help them cope with the loss. Choice A is not the best answer as it focuses solely on grief counseling, while the primary concern is addressing feelings of guilt and blame. Choice B is inappropriate as remaining detached does not provide the necessary emotional support these parents need. Choice D is incorrect as discussing the parents' mistakes can intensify their feelings of guilt and blame, rather than helping them cope effectively.

3. What is a key dietary consideration for a child with phenylketonuria (PKU)?

• A. High-fiber diet
• B. Low-phenylalanine diet
• C. Increased dairy intake
• D. High-sodium diet

Correct answer: B

Rationale: A low-phenylalanine diet is crucial for managing PKU to prevent neurological damage and maintain normal development. Phenylalanine is an amino acid found in protein-containing foods, and individuals with PKU have difficulty metabolizing it. Consuming foods low in phenylalanine helps prevent the buildup of toxic byproducts in the body. Choices A, C, and D are incorrect. A high-fiber diet, increased dairy intake, and high-sodium diet are not specific dietary considerations for PKU management. In fact, dairy products are a source of protein and phenylalanine, which should be limited in PKU.

4. How should a healthcare provider handle a child with a suspected head injury who is showing signs of drowsiness?

• A. Administer pain medication
• B. Perform a full neurological assessment
• C. Allow the child to sleep
• D. Contact a specialist immediately

Correct answer: B

Rationale: When a child with a suspected head injury is showing signs of drowsiness, administering pain medication should not be the first course of action as it may mask important symptoms. Allowing the child to sleep is not recommended as they need to be monitored. Contacting a specialist immediately may delay necessary assessments. Performing a full neurological assessment is the most appropriate action because it helps evaluate the head injury's extent, identify neurological deficits, and guide further intervention or treatment.

5. What is a common sign of iron-deficiency anemia in children?

• A. Yellowing of the skin
• B. Pallor and fatigue
• C. Rapid weight gain
• D. Increased appetite

Correct answer: B

Rationale: Pallor and fatigue are common signs of iron-deficiency anemia in children. Iron-deficiency anemia is characterized by a decreased production of red blood cells, leading to a paler appearance (pallor) and increased fatigue due to reduced oxygen-carrying capacity. Yellowing of the skin (choice A) is more commonly associated with liver or bile duct issues. Rapid weight gain (choice C) and increased appetite (choice D) are not typical signs of iron-deficiency anemia.

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