Nursing Elites

1. What is an essential aspect of managing a child with juvenile idiopathic arthritis (JIA)?

• A. Encouraging joint mobility and physical therapy
• B. Restricting all forms of exercise
• C. Increasing sugar intake
• D. Using only oral medications

Correct answer: A

Rationale: Encouraging joint mobility and physical therapy is crucial in managing juvenile idiopathic arthritis (JIA). This approach helps maintain joint function, reduce stiffness, and improve the overall quality of life for children with JIA. Restricting all forms of exercise (Choice B) is not recommended, as appropriate physical activity is beneficial for joint health and overall well-being. Increasing sugar intake (Choice C) is not a recommended practice for managing JIA, as a healthy diet is important for overall well-being and can help reduce inflammation. Using only oral medications (Choice D) may not be sufficient for managing JIA, as a comprehensive treatment plan often includes a combination of medications, physical therapy, and other interventions to effectively manage the condition.

2. Which of the following is considered a micronutrient?

• A. Protein
• B. Carbohydrate
• C. Vitamin C
• D. Fat

Correct answer: C

Rationale: Corrected Question: Vitamin C is considered a micronutrient because it is required in small amounts for proper body functioning and is essential for health. Proteins, carbohydrates, and fats are macronutrients, needed in larger quantities for energy and other body functions. Vitamin C, being a micronutrient, plays a crucial role in various bodily functions even though it is needed in smaller quantities compared to macronutrients. Therefore, the correct answer is C. Choice A (Protein), Choice B (Carbohydrate), and Choice D (Fat) are incorrect as they are macronutrients required in larger amounts for energy and other body functions.

3. 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.

4. What is the most common initial symptom of juvenile idiopathic arthritis?

• A. Joint swelling and pain
• B. Skin rash
• C. Gastrointestinal bleeding
• D. Neurological deficits

Correct answer: A

Rationale: The correct answer is A: Joint swelling and pain. These are the most common initial symptoms of juvenile idiopathic arthritis, typically affecting multiple joints. Skin rash (choice B), gastrointestinal bleeding (choice C), and neurological deficits (choice D) are not typical initial symptoms of juvenile idiopathic arthritis. Skin rash may be seen in other conditions like dermatitis or systemic lupus erythematosus, gastrointestinal bleeding may be associated with conditions like inflammatory bowel disease, and neurological deficits could be indicative of conditions like multiple sclerosis.

5. 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.

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