Nursing Elites

1. How should a healthcare provider assist in the management of a child with type 1 diabetes?

• A. Provide high-carbohydrate snacks
• B. Schedule frequent blood glucose tests
• C. Increase dietary fat intake
• D. Encourage a high-protein diet

Correct answer: B

Rationale: For the management of type 1 diabetes in a child, scheduling frequent blood glucose tests is essential. These tests help in monitoring blood sugar levels, adjusting insulin doses, and ensuring proper glucose control. Choices A, C, and D are incorrect. Providing high-carbohydrate snacks can lead to blood sugar spikes, increasing dietary fat intake is not recommended, and encouraging a high-protein diet is not a standard recommendation for managing type 1 diabetes in children.

2. What is an important dietary consideration for a child with cystic fibrosis?

• A. High-calorie, high-fat diet
• B. Low-sugar diet
• C. Increased dietary fiber
• D. High-sodium diet

Correct answer: A

Rationale: For a child with cystic fibrosis, an important dietary consideration is a high-calorie, high-fat diet. This type of diet helps address malabsorption issues commonly seen in individuals with cystic fibrosis and supports adequate growth and development. High-calorie, high-fat foods are recommended to help meet the increased energy needs of these individuals. Choices B, C, and D are not the most appropriate dietary considerations for a child with cystic fibrosis. A low-sugar diet may not provide enough calories for optimal growth, increased dietary fiber may exacerbate issues related to malabsorption, and a high-sodium diet is generally not recommended due to the risk of dehydration and electrolyte imbalances in individuals with cystic fibrosis.

3. The motive for a person who alters their diet due to religious convictions is most likely related to their ___.

• A. values
• B. body image
• C. ethnic heritage
• D. functional association

Correct answer: A

Rationale: The correct answer is A, 'values.' When individuals alter their diet due to religious convictions, it is primarily driven by their personal or cultural values associated with their faith. This choice reflects the strong influence that religious beliefs can have on dietary choices. Choice B, 'body image,' is incorrect because altering one's diet for religious reasons is more about spiritual beliefs than physical appearance. Choice C, 'ethnic heritage,' is incorrect as it pertains more to cultural background rather than religious convictions. Choice D, 'functional association,' is incorrect as it does not directly relate to the motivation behind altering one's diet for religious reasons.

4. What should be assessed in an infant diagnosed with hypertrophic pyloric stenosis?

• A. Diarrhea after each feeding
• B. Gastric pain and vigorous crying
• C. Poor appetite due to poor sucking reflex
• D. An olive-shaped mass right of the midline

Correct answer: D

Rationale: In hypertrophic pyloric stenosis, an olive-shaped mass can often be palpated in the infant's abdomen, which is a hallmark sign of this condition. This mass is located in the right upper quadrant of the abdomen, right of the midline. Choices A, B, and C are incorrect because while infants with hypertrophic pyloric stenosis may experience vomiting (not diarrhea), gastric pain, and irritability, and have feeding difficulties, the key assessment finding specific to this condition is the palpable olive-shaped mass in the abdomen.

5. What is the primary source of energy for the brain and nervous system?

• A. Protein
• B. Fat
• C. Carbohydrate
• D. Glucose

Correct answer: D

Rationale: Glucose is the correct answer as it is the primary source of energy for the brain and nervous system. The brain relies heavily on glucose to function optimally. While protein and fat play essential roles in the body, they are not the primary sources of energy for the brain and nervous system. Carbohydrates, on the other hand, are broken down into glucose, which is then used as fuel by the brain and nervous system.

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