Nursing Elites

1. What is a key intervention for a child with a new diagnosis of asthma?

• A. Provide a peak flow meter
• B. Limit all physical activity
• C. Increase dairy consumption
• D. Recommend frequent use of nasal decongestants

Correct answer: A

Rationale: The correct answer is A: Provide a peak flow meter. Providing a peak flow meter is crucial for a child with a new diagnosis of asthma as it helps monitor asthma control and manage symptoms by tracking changes in airflow. This device assists in assessing how well the lungs are functioning and guides treatment decisions. Limiting all physical activity (choice B) is not recommended as regular exercise can actually help improve lung function in asthmatic children. Increasing dairy consumption (choice C) is not a key intervention for asthma, and recommending frequent use of nasal decongestants (choice D) is not suitable for asthma management in children.

2. What is a common side effect of the antibiotic tetracycline in children?

• A. Discoloration of teeth
• B. Increased appetite
• C. Elevated blood glucose levels
• D. Decreased bone density

Correct answer: A

Rationale: Discoloration of teeth is a well-known side effect of tetracycline, especially when administered to children below 8 years of age. Tetracycline can bind to calcium ions in developing teeth, causing them to become discolored and appear yellow or brown. Increased appetite, elevated blood glucose levels, and decreased bone density are not commonly associated with the use of tetracycline in children, making them incorrect choices.

3. How is gastroesophageal reflux (GER) typically treated in infants?

• A. Keeping the infant NPO
• B. Thickening the formula or breast milk with cereal
• C. Placing the infant to sleep on the side
• D. Switching the infant to cow's milk

Correct answer: B

Rationale: Thickening the formula or breast milk with cereal is a common treatment for gastroesophageal reflux (GER) in infants. By adding cereal, the feedings become heavier, making it less likely for the stomach contents to reflux. Keeping the infant NPO (nothing by mouth) is not typically necessary for GER treatment and might not be appropriate. Placing the infant to sleep on the side is not recommended due to the risk of sudden infant death syndrome (SIDS). Switching the infant to cow's milk is also not a recommended treatment for GER as it can exacerbate symptoms due to its protein content.

4. 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.

5. What is the appropriate intervention for a child with an undescended testicle?

• A. Wait until puberty
• B. Perform an orchidopexy
• C. Administer hormone therapy
• D. Increase physical activity

Correct answer: B

Rationale: The appropriate intervention for a child with an undescended testicle is to perform an orchidopexy. This surgical procedure is recommended if the testicle has not descended naturally within the first year of life. Waiting until puberty is not advised as early intervention is crucial for optimal outcomes. Administering hormone therapy is not the first-line treatment for an undescended testicle and is typically not recommended. Increasing physical activity does not address the underlying issue of an undescended testicle and is not a suitable intervention.

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