Nursing Elites

1. The healthcare provider is caring for a newborn who is 2 days old. Which finding should be reported to the healthcare provider?

• A. Yellowing of the skin
• B. Presence of a small amount of blood in the diaper
• C. Peeling skin on the hands and feet
• D. Intermittent episodes of sneezing

Correct answer: A

Rationale: Yellowing of the skin may indicate jaundice in a newborn, which can be a sign of an underlying health issue such as an elevated bilirubin level. It is essential to report this finding to the healthcare provider for further assessment and appropriate management to prevent complications.

2. What is the appropriate amount of fluid to be administered per hour using an infusion pump?

• A. 108.3mL
• B. 68.75mL
• C. 58.3mL
• D. 1400mL

Correct answer: A

Rationale: The correct answer is 108.3mL. This amount is calculated based on the total daily fluid requirement, ensuring a consistent infusion rate over the hour.

3. What is the most important intervention to decrease the stressors of hospitalization for a 9-month-old infant being treated for a bacterial infection?

• A. Encourage the infant's parents to remain at the bedside and actively participate in the infant's care.
• B. Provide a brightly lit environment for the infant.
• C. Play tapes of the mother's voice.
• D. Assign the same nurse to the infant as much as possible.

Correct answer: A

Rationale: Encouraging the infant's parents to remain at the bedside and actively participate in the infant's care is crucial in decreasing the stressors of hospitalization for the infant. Parental presence provides comfort and security, promotes bonding, and maintains a sense of familiarity for the infant during a potentially stressful situation. This involvement can help reduce anxiety and promote better outcomes for the infant's emotional well-being and overall hospital experience. Providing a brightly lit environment (choice B) can actually increase stress for the infant, as infants generally prefer dimly lit environments for better sleep. Playing tapes of the mother's voice (choice C) may offer some comfort but does not substitute for parental presence. While assigning the same nurse to the infant (choice D) can provide continuity of care, it is not as effective as having the parents present for emotional support and bonding.

4. Are most children with hypertension asymptomatic?

• A. TRUE
• B. FALSE
• C.
• D.

Correct answer: A

Rationale: The statement is true. In many cases, children with hypertension do not show any symptoms, making it challenging to diagnose them. Regular blood pressure checks are crucial to detect hypertension early, as it can have serious health implications if left untreated. Choice B is incorrect because most children with hypertension do not exhibit symptoms, hence being asymptomatic. Choices C and D are empty as they do not provide additional options.

5. Which of the following drinks is recommended for reconstituting oral rehydration salts?

• A. Water
• B. Fruit juice
• C. Soda
• D. All of the above

Correct answer: A

Rationale: The correct answer is A: Water. Water is the ideal fluid to reconstitute oral rehydration salts because it helps in proper hydration without adding unnecessary sugars or acidity that may be present in fruit juice or soda. Using water ensures the salts are properly dissolved and can effectively rehydrate the individual. Choices B and C are incorrect because fruit juice and soda may contain sugars or acidity that can interfere with the rehydration process and are not recommended for reconstituting oral rehydration salts.

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