Nursing Elites

1. What is a common sign of iron-deficiency anemia in children?

• A. Yellowing of the skin
• B. Pallor and fatigue
• C. Rapid weight gain
• D. Increased appetite

Correct answer: B

Rationale: Pallor and fatigue are common signs of iron-deficiency anemia in children. Iron-deficiency anemia is characterized by a decreased production of red blood cells, leading to a paler appearance (pallor) and increased fatigue due to reduced oxygen-carrying capacity. Yellowing of the skin (choice A) is more commonly associated with liver or bile duct issues. Rapid weight gain (choice C) and increased appetite (choice D) are not typical signs of iron-deficiency anemia.

2. What is an important aspect of care for a child with congenital adrenal hyperplasia?

• A. Monitoring electrolyte levels
• B. Restricting physical activity
• C. Administering high doses of vitamin A
• D. Providing a high-protein diet

Correct answer: A

Rationale: The correct answer is A: Monitoring electrolyte levels. In the management of congenital adrenal hyperplasia, it is crucial to monitor electrolyte levels to prevent imbalances and related complications. Restricting physical activity (choice B) is not a typical aspect of care for this condition. Administering high doses of vitamin A (choice C) is not a standard treatment for congenital adrenal hyperplasia and can be harmful in excess. Providing a high-protein diet (choice D) may be beneficial for some conditions but is not a specific requirement for managing congenital adrenal hyperplasia.

3. What will the treatment for a newly admitted child with cystic fibrosis center on?

• A. Chest physiotherapy
• B. Mucus-drying agents
• C. Prevention of diarrhea
• D. Insulin therapy

Correct answer: A

Rationale: The correct answer is A: Chest physiotherapy. Treatment for cystic fibrosis focuses on chest physiotherapy and aerosol medications to manage and clear thick pulmonary secretions. Chest physiotherapy helps loosen and clear mucus from the lungs, aiding in breathing and reducing the risk of infections. Mucus-drying agents (choice B) are not typically used in the treatment of cystic fibrosis as the goal is to help clear mucus, not dry it. Prevention of diarrhea (choice C) is not a primary focus in the treatment of cystic fibrosis. Insulin therapy (choice D) is not relevant to cystic fibrosis, which primarily affects the respiratory and digestive systems.

4. How should a healthcare professional handle a child with a new diagnosis of type 2 diabetes?

• A. Focus on increasing physical activity and dietary management
• B. Initiate insulin therapy immediately
• C. Limit all carbohydrate intake
• D. Recommend frequent fasting

Correct answer: A

Rationale: In managing type 2 diabetes in a child, focusing on increasing physical activity and dietary management is crucial, especially in the initial treatment phase. This approach helps improve insulin sensitivity and overall glycemic control. Initiating insulin therapy immediately is not the first-line treatment for type 2 diabetes in children. Limiting all carbohydrate intake is not advisable as carbohydrates are essential for providing energy and nutrients. Recommending frequent fasting can be harmful and is not a recommended strategy for managing type 2 diabetes in children.

5. Your friend Carrie took a daily supplement of vitamin C and tells you that she feels a lot better. Her statement to you is best described as what?

• A. an anecdote
• B. theory
• C. interpretation
• D. conclusion

Correct answer: A

Rationale: The correct answer is A, 'an anecdote.' An anecdote is a personal account or experience, not necessarily backed by scientific evidence. In this case, Carrie's statement about feeling better after taking vitamin C is based on her personal experience and does not constitute scientific evidence or a generalizable conclusion. Choice B, 'theory,' would imply a systematic explanation based on scientific evidence, which is not the case here. Choice C, 'interpretation,' typically involves explaining or understanding something based on available information, not a personal account. Choice D, 'conclusion,' would be a general statement derived from specific information or facts, which is not applicable in this context.

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