Nursing Elites

1. What is a common early sign of type 1 diabetes in children?

• A. Excessive thirst and frequent urination
• B. Severe abdominal pain
• C. Frequent headaches
• D. Sudden weight gain

Correct answer: A

Rationale: Excessive thirst and frequent urination are common early signs of type 1 diabetes in children. These symptoms occur due to high blood glucose levels, leading to increased thirst and urination. Severe abdominal pain (choice B) is not typically associated with type 1 diabetes. Although frequent headaches (choice C) can occur in some cases, they are not as specific to type 1 diabetes as excessive thirst and frequent urination. Sudden weight gain (choice D) is not a common early sign of type 1 diabetes; in fact, unexplained weight loss is more characteristic of the condition.

2. How should one manage a child with an allergy to multiple food items?

• A. Avoid all identified allergens
• B. Increase dietary exposure to allergens
• C. Administer daily antihistamines
• D. Restrict all food intake

Correct answer: A

Rationale: When managing a child with an allergy to multiple food items, the most appropriate approach is to avoid all identified allergens. This is crucial to prevent allergic reactions and ensure the child's safety. Choice B, increasing dietary exposure to allergens, is incorrect as it can lead to severe allergic reactions. Choice C, administering daily antihistamines, may help manage symptoms but does not address the root cause, which is avoiding allergens. Choice D, restricting all food intake, is not a viable option as it can lead to malnutrition and other health issues.

3. What is the recommended treatment for a child with a first-degree burn?

• A. Immediate application of ice
• B. Administration of oral antibiotics
• C. Application of cool, moist compresses
• D. Application of hot packs

Correct answer: C

Rationale: The recommended treatment for a child with a first-degree burn is the application of cool, moist compresses. This helps in reducing pain and swelling without causing further damage to the skin. Applying ice directly to a burn can lead to frostbite and worsen the injury (Choice A). Oral antibiotics are not necessary for first-degree burns as they do not typically involve infection (Choice B). Hot packs should be avoided as they can further damage the skin and increase inflammation (Choice D).

4. What type of vaccine should a child with a history of severe allergic reactions receive?

• A. Live attenuated vaccines
• B. Inactivated vaccines
• C. Subunit vaccines
• D. Recombinant vaccines

Correct answer: B

Rationale: Children with a history of severe allergic reactions should receive inactivated vaccines because they do not contain live pathogens. Live attenuated vaccines (choice A) contain weakened live pathogens and can potentially trigger an allergic reaction in sensitive individuals. Subunit vaccines (choice C) and recombinant vaccines (choice D) may contain components that could still trigger an allergic response in individuals with a history of severe allergies. Inactivated vaccines are the safest choice for individuals with a history of severe allergic reactions as they do not pose a risk of causing an allergic reaction due to the absence of live pathogens.

5. What is a primary goal in managing a child with asthma?

• A. Avoiding all physical activities
• B. Achieving and maintaining control of asthma symptoms
• C. Increasing daily sugar intake
• D. Restricting all forms of medication

Correct answer: B

Rationale: The primary goal in managing a child with asthma is to achieve and maintain control of asthma symptoms to ensure the child's well-being and quality of life. This involves using appropriate medications as prescribed, identifying and avoiding triggers, and developing an asthma action plan. Choices A, C, and D are incorrect because avoiding all physical activities can lead to deconditioning and is not recommended, increasing daily sugar intake is unrelated to managing asthma, and restricting all forms of medication can be harmful as medications are often necessary to control asthma symptoms.

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