Nursing Elites

1. What is a primary goal in managing a child with asthma?

• A. Avoiding all physical activities
• B. Achieving and maintaining control of asthma symptoms
• C. Increasing daily sugar intake
• D. Restricting all forms of medication

Correct answer: B

Rationale: The primary goal in managing a child with asthma is to achieve and maintain control of asthma symptoms to ensure the child's well-being and quality of life. This involves using appropriate medications as prescribed, identifying and avoiding triggers, and developing an asthma action plan. Choices A, C, and D are incorrect because avoiding all physical activities can lead to deconditioning and is not recommended, increasing daily sugar intake is unrelated to managing asthma, and restricting all forms of medication can be harmful as medications are often necessary to control asthma symptoms.

2. If a group of people consumes an amount of protein equal to the estimated average requirement for their population group, what percentage of people will receive insufficient amounts?

• A. 10
• B. 25
• C. 33
• D. 50

Correct answer: D

Rationale: If a group consumes an amount of protein equal to the estimated average requirement, 50% of the people will receive insufficient amounts. The estimated average requirement is the amount of a nutrient that is estimated to meet the requirement of half the healthy individuals in a particular life stage and gender group. Therefore, 50% of the group will not be meeting their individual needs if they are consuming only the average requirement. Choices A, B, and C are incorrect because at the estimated average requirement level, a higher percentage than those values will receive insufficient amounts.

3. How should a healthcare provider address concerns about a child’s developmental milestones?

• A. Recommend delaying intervention until school age
• B. Provide resources for early intervention services
• C. Suggest dietary changes
• D. Avoid further assessment

Correct answer: B

Rationale: Correct Answer: Providing resources for early intervention services is crucial for addressing developmental concerns and supporting the child's growth and development. Early intervention is key to improving outcomes. Recommending delaying intervention until school age (Choice A) is not advised as addressing issues early leads to better results. Suggesting dietary changes (Choice C) is not the primary approach to addressing developmental milestones. Avoiding further assessment (Choice D) can impede the timely identification and management of developmental delays.

4. What is a common complication of untreated type 1 diabetes in children?

• A. Diabetic ketoacidosis
• B. High blood pressure
• C. Asthma
• D. Frequent infections

Correct answer: A

Rationale: Diabetic ketoacidosis is a serious complication of untreated type 1 diabetes in children. It is characterized by high blood sugar levels, ketones in the urine, and acidosis. Prompt medical attention is required to manage this condition. High blood pressure (Choice B) can be a complication of diabetes but is not as directly linked to untreated type 1 diabetes as diabetic ketoacidosis. Asthma (Choice C) and frequent infections (Choice D) are not typically associated with untreated type 1 diabetes in children.

5. What dietary recommendation is essential for a child with phenylketonuria (PKU)?

• A. High-protein diet
• B. Low-fat diet
• C. Low-phenylalanine diet
• D. High-fiber diet

Correct answer: C

Rationale: The correct answer is C: 'Low-phenylalanine diet.' Children with phenylketonuria (PKU) need to follow a low-phenylalanine diet to manage the condition. Phenylalanine is an amino acid found in protein-containing foods, and individuals with PKU have difficulty metabolizing it, leading to neurological damage and other complications. Therefore, restricting phenylalanine intake is crucial. Choice A, 'High-protein diet,' is incorrect because high protein intake would increase phenylalanine levels, worsening the condition. Choice B, 'Low-fat diet,' and Choice D, 'High-fiber diet,' are not the primary focus for PKU patients. The key dietary intervention for PKU is controlling phenylalanine intake, which is best achieved through a low-phenylalanine diet.

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