Nursing Elites

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

• A. Fever
• B. Weight loss
• C. Abdominal pain
• D. Increased appetite

Correct answer: A

Rationale: Fever is a common symptom of a urinary tract infection in children. It is often accompanied by other symptoms such as pain or discomfort. Weight loss (choice B) is not a typical symptom of a urinary tract infection in children. Abdominal pain (choice C) can be present but is not as specific as fever. Increased appetite (choice D) is not a common symptom of a urinary tract infection.

2. In what units are energy measurements expressed by most scientists and nutritionists outside the United States?

• A. newtons
• B. liters
• C. kilojoules
• D. kilocalories

Correct answer: C

Rationale: Kilojoules are the standard units of energy used by most scientists and nutritionists worldwide. Newtons are units of force, liters are units of volume, and kilocalories are more commonly used in the United States but not as widely adopted internationally for energy measurements. Therefore, the correct answer is 'kilojoules.'

3. The parents of a child with sickle cell anemia ask why their child experiences pain. What is the most likely cause?

• A. Inflammation of the vessels
• B. Obstructed blood flow
• C. Overhydration
• D. Stress-related headaches

Correct answer: B

Rationale: In sickle cell anemia, pain is primarily caused by the obstruction of blood flow by sickle-shaped cells. This obstruction leads to inadequate oxygen supply to tissues, resulting in tissue damage and pain. Choice A, inflammation of the vessels, is incorrect as it is not the primary cause of pain in sickle cell anemia. Choice C, overhydration, is unrelated to the pathophysiology of sickle cell anemia and would not lead to the characteristic pain experienced. Choice D, stress-related headaches, is also unrelated to the underlying mechanisms of pain in sickle cell anemia.

4. How much energy is required to raise the temperature of one kilogram of water by 1°C?

• A. 10 calories
• B. 100 calories
• C. 1 kilocalorie
• D. 10 kilocalories

Correct answer: C

Rationale: The correct answer is 1 kilocalorie. This is the amount of energy required to raise the temperature of 1 kilogram of water by 1°C. Choice A (10 calories) and Choice D (10 kilocalories) are incorrect as they do not represent the correct unit of measurement for this specific scenario. Choice B (100 calories) is also incorrect as it overestimates the amount of energy required. The specific heat capacity of water is approximately 1 calorie/gram °C, which means that 1 kilogram (1000 grams) of water requires 1 kilocalorie (1000 calories) to raise its temperature by 1°C.

5. How should a healthcare provider handle a child with a suspected head injury who is showing signs of drowsiness?

• A. Administer pain medication
• B. Perform a full neurological assessment
• C. Allow the child to sleep
• D. Contact a specialist immediately

Correct answer: B

Rationale: When a child with a suspected head injury is showing signs of drowsiness, administering pain medication should not be the first course of action as it may mask important symptoms. Allowing the child to sleep is not recommended as they need to be monitored. Contacting a specialist immediately may delay necessary assessments. Performing a full neurological assessment is the most appropriate action because it helps evaluate the head injury's extent, identify neurological deficits, and guide further intervention or treatment.

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