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 included in the medical management of a sickle cell crisis?

• A. Information for parents on home care
• B. Adequate hydration and pain management
• C. Pain management and iron supplements
• D. Adequate oxygenation and factor VIII

Correct answer: B

Rationale: The correct answer is B: Adequate hydration and pain management. During a sickle cell crisis, it is essential to provide hydration to prevent vaso-occlusive events and manage pain effectively with analgesics. Adequate hydration helps maintain blood flow and prevent further sickling of red blood cells. Pain management is crucial to alleviate the severe pain associated with sickle cell crises. Options A, C, and D are incorrect. Providing information for parents on home care (Option A) may be important for ongoing management but is not specific to an acute crisis. Iron supplements (Option C) are not typically indicated during a sickle cell crisis. Adequate oxygenation and factor VIII (Option D) are not primary interventions for managing a sickle cell crisis; instead, oxygen therapy may be considered in severe cases, and factor VIII is not a standard treatment for sickle cell disease.

3. What is the primary goal in managing a child with chronic asthma?

• A. Achieve and maintain symptom control
• B. Avoid all physical activity
• C. Increase dietary sodium
• D. Restrict medication use

Correct answer: A

Rationale: The primary goal in managing a child with chronic asthma is to achieve and maintain symptom control. This helps improve the child's quality of life by reducing asthma symptoms and exacerbations. Choice B is incorrect because avoiding all physical activity is not recommended for children with asthma; in fact, regular physical activity can be beneficial. Choice C is incorrect as increasing dietary sodium is not a primary goal in managing asthma. Choice D is incorrect because restricting medication use can lead to uncontrolled asthma symptoms and complications.

4. What is the most effective therapy for maintaining remission of acute lymphoblastic leukemia?

• A. Surgery to remove enlarged lymph nodes
• B. Long-term chemotherapy
• C. Nutritional supplements to enhance blood cell production
• D. Blood transfusions to replace ineffective red cells

Correct answer: B

Rationale: The correct answer is B: Long-term chemotherapy. Long-term chemotherapy, specifically with methotrexate, is the most effective therapy for maintaining remission in acute lymphoblastic leukemia. Surgery to remove enlarged lymph nodes (Choice A) is not the primary treatment for leukemia. Nutritional supplements (Choice C) may support overall health but are not the mainstay therapy for maintaining leukemia remission. Blood transfusions (Choice D) are used to address anemia in some cases but are not the primary treatment for maintaining remission in acute lymphoblastic leukemia.

5. How should a caregiver manage a child with a newly diagnosed hearing impairment?

• A. Increase the volume of all auditory stimuli
• B. Refer for audiologic evaluation and intervention
• C. Avoid using any assistive devices
• D. Encourage frequent use of headphones

Correct answer: B

Rationale: When a child is newly diagnosed with a hearing impairment, it is essential to refer them for audiologic evaluation and intervention. This step is crucial to accurately assess the extent of the impairment, determine appropriate interventions, and support the child's communication and development. Increasing the volume of all auditory stimuli (choice A) is not a recommended approach as it may not address the specific needs of the child and could potentially cause discomfort. Avoiding the use of assistive devices (choice C) can hinder the child's ability to communicate effectively. Encouraging frequent use of headphones (choice D) is also not advisable as it may not be suitable for managing hearing impairments and could potentially worsen the condition.

Similar Questions