Nursing Elites

1. 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.

2. What is a key aspect of managing a child with eczema?

• A. Daily baths with soap
• B. Regular use of emollients and moisturizers
• C. High-protein diet
• D. Frequent exposure to sunlight

Correct answer: B

Rationale: Regular use of emollients and moisturizers is a key aspect of managing eczema in children. Emollients help maintain skin hydration and reduce irritation, which are crucial in managing eczema symptoms. Daily baths with soap can actually worsen eczema by drying out the skin further. A high-protein diet and frequent exposure to sunlight are not directly related to managing eczema and may not have a significant impact on the condition.

3. What is a key sign of meningitis in an infant?

• A. Increased appetite
• B. Bulging fontanel
• C. Decreased respiratory rate
• D. Elevated blood pressure

Correct answer: B

Rationale: A bulging fontanel is a key sign of meningitis in infants, indicating increased intracranial pressure due to inflammation of the meninges. This can lead to the fontanel bulging. Choices A, C, and D are incorrect. Increased appetite is not typically associated with meningitis in infants; instead, they may have poor feeding. A decreased respiratory rate is not a common sign of meningitis in infants. Elevated blood pressure is also not a typical finding in infants with meningitis.

4. What is a common complication of uncontrolled type 1 diabetes in children?

• A. Hyperactivity
• B. Ketoacidosis
• C. Hypertension
• D. Hypoglycemia

Correct answer: B

Rationale: Ketoacidosis is a prevalent complication of uncontrolled type 1 diabetes in children. It is a serious condition characterized by high levels of ketones in the blood, leading to acidosis. Prompt medical attention is necessary to manage this potentially life-threatening condition. Choice A, hyperactivity, is not a typical complication of uncontrolled type 1 diabetes. Choice C, hypertension, is not a direct complication of type 1 diabetes in children. Choice D, hypoglycemia, is more commonly associated with low blood sugar levels, which can occur due to excessive insulin administration or inadequate food intake in diabetic individuals, rather than uncontrolled type 1 diabetes.

5. What is a common side effect of corticosteroid therapy in children?

• A. Increased appetite
• B. Decreased blood glucose levels
• C. Inhibited growth
• D. Mood changes

Correct answer: A

Rationale: The correct answer is A: Increased appetite. Corticosteroid therapy commonly causes increased appetite in children. This side effect can lead to weight gain and other metabolic changes. Option B is incorrect because corticosteroid therapy is more likely to result in increased blood glucose levels. Option C is incorrect because corticosteroid therapy can inhibit growth due to its impact on the endocrine system. Option D is incorrect because corticosteroid therapy can lead to mood changes such as irritability or even mood swings rather than improved mood.

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