Nursing Elites

1. What is a common sign of a urinary tract infection in older children?

• A. Frequent urination
• B. Increased appetite
• C. Elevated blood pressure
• D. Decreased energy levels

Correct answer: A

Rationale: Frequent urination is a common sign of a urinary tract infection in older children. It is often accompanied by other symptoms such as pain or discomfort. Increased appetite (Choice B) is not typically associated with urinary tract infections. Elevated blood pressure (Choice C) is more commonly linked to conditions like hypertension, not urinary tract infections. Decreased energy levels (Choice D) can be a sign of various health issues but are not a typical symptom of a urinary tract infection.

2. What should be monitored closely in a child receiving chemotherapy?

• A. Blood glucose levels
• B. White blood cell count
• C. Blood pressure
• D. Heart rate

Correct answer: B

Rationale: The correct answer is B: White blood cell count. During chemotherapy, it is crucial to monitor the white blood cell count closely to detect potential neutropenia (low white blood cell count) and the associated risk of infections. Monitoring blood glucose levels (Choice A) is important for diabetic management and not directly related to chemotherapy. Blood pressure (Choice C) and heart rate (Choice D) are essential vital signs to monitor but are not the primary focus when monitoring a child receiving chemotherapy.

3. Why must a child with acute laryngotracheobronchitis be kept NPO?

• A. The epinephrine administration may cause nausea and vomiting
• B. The child is being hydrated with IV fluids
• C. The child may not feel hungry
• D. Rapid respirations pose a risk for aspiration

Correct answer: D

Rationale: In acute laryngotracheobronchitis, rapid respirations increase the risk of aspiration due to compromised airway protection and potential for secretions to enter the lungs. Keeping the child NPO helps prevent the risk of aspiration pneumonia. Choice A is incorrect because epinephrine is not typically used for laryngotracheobronchitis. Choice B is incorrect as hydration with IV fluids does not eliminate the risk of aspiration. Choice C is also incorrect because the child being hungry is not the primary reason for keeping them NPO in this condition.

4. What is a common early sign of RSV (respiratory syncytial virus) in infants?

• A. High fever
• B. Nasal congestion
• C. Rash
• D. Jaundice

Correct answer: B

Rationale: Nasal congestion is a common early sign of RSV in infants, often accompanied by cough and wheezing. High fever, rash, and jaundice are not typically associated with RSV. While RSV can lead to fever, it is usually not one of the earliest signs. Rash and jaundice are unrelated to RSV symptoms.

5. What is a primary intervention for a child with a suspected respiratory infection?

• A. Administer antiviral medications
• B. Increase fluid intake and rest
• C. Restrict all physical activity
• D. Provide high-dose vitamin supplements

Correct answer: B

Rationale: Increasing fluid intake and rest is a primary intervention for a child with a suspected respiratory infection because it helps support the body’s recovery and maintains hydration levels. Antiviral medications (Choice A) are only used for specific viral infections and are not routinely recommended for suspected respiratory infections. Restricting physical activity (Choice C) may be necessary in certain cases to prevent overexertion, but it is not a primary intervention. Providing high-dose vitamin supplements (Choice D) may support the immune system in general but is not a primary intervention for a suspected respiratory infection.

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