Nursing Elites

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

• A. Insulin administration
• B. Increased dietary fat intake
• C. Restricted fluid intake
• D. Routine physical examinations only

Correct answer: A

Rationale: The correct answer is A: Insulin administration. When a child is diagnosed with type 1 diabetes, insulin administration is a crucial intervention. Insulin helps regulate blood glucose levels by enabling cells to take in glucose from the bloodstream. Without sufficient insulin, blood glucose levels can become dangerously high, leading to various complications. Increased dietary fat intake (choice B) is not a recommended intervention for type 1 diabetes management, as it can contribute to weight gain and other health issues. Restricted fluid intake (choice C) is also not appropriate, as adequate hydration is essential for overall health. Routine physical examinations (choice D) are important but are not the primary intervention needed to manage type 1 diabetes.

2. What is a common sign of dehydration in a child with diarrhea?

• A. Decreased urine output
• B. Increased appetite
• C. Warm, dry skin
• D. Elevated blood pressure

Correct answer: A

Rationale: The correct answer is A: Decreased urine output. When a child with diarrhea is dehydrated, they may have decreased urine output, indicating that their body is conserving fluids. This sign highlights the importance of fluid replacement to prevent worsening dehydration. Choices B, C, and D are incorrect. Increased appetite is not typically associated with dehydration but can be seen in other conditions. Warm, dry skin may be a sign of fever or other skin conditions, not specifically dehydration. Elevated blood pressure is not a common sign of dehydration in a child with diarrhea.

3. By chemical analysis, what nutrient is present in the highest amounts in most foods?

• A. fats
• B. water
• C. proteins
• D. carbohydrates

Correct answer: B

Rationale: The correct answer is B. Water is the most abundant nutrient in many foods. Water content varies across different foods, but in general, it is present in the highest amounts. Fats (Choice A) are essential but are not found in higher amounts compared to water. Proteins (Choice C) and carbohydrates (Choice D) are also important nutrients, but they are typically found in lower quantities in most foods compared to water.

4. What is the result of the metabolism of energy nutrients?

• A. Energy is released.
• B. Body fat increases.
• C. Energy is destroyed.
• D. Body water decreases.

Correct answer: A

Rationale: The correct answer is A. Energy is released during the metabolism of energy nutrients. This released energy is utilized by the body for various functions. Choice B is incorrect because the metabolism of energy nutrients does not directly result in an increase in body fat. Choice C is incorrect as energy is not destroyed but rather transformed and utilized by the body. Choice D is incorrect as the metabolism of energy nutrients does not lead to a decrease in body water.

5. What is the recommended first step in the management of a child with a suspected head injury?

• A. Administer pain medication
• B. Assess the child's level of consciousness
• C. Perform a CT scan
• D. Monitor for seizures

Correct answer: B

Rationale: The correct first step in managing a child with a suspected head injury is to assess the child's level of consciousness. This assessment is crucial as it helps determine the severity of the injury and guides further management. Administering pain medication (Choice A) should not be done before assessing the level of consciousness. Performing a CT scan (Choice C) may be necessary but is not the initial step. Monitoring for seizures (Choice D) is important but comes after assessing the child's level of consciousness.

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