Nursing Elites

1. What is an important dietary consideration for a child with cystic fibrosis?

• A. High-calorie, high-fat diet
• B. Low-sugar diet
• C. Increased dietary fiber
• D. High-sodium diet

Correct answer: A

Rationale: For a child with cystic fibrosis, an important dietary consideration is a high-calorie, high-fat diet. This type of diet helps address malabsorption issues commonly seen in individuals with cystic fibrosis and supports adequate growth and development. High-calorie, high-fat foods are recommended to help meet the increased energy needs of these individuals. Choices B, C, and D are not the most appropriate dietary considerations for a child with cystic fibrosis. A low-sugar diet may not provide enough calories for optimal growth, increased dietary fiber may exacerbate issues related to malabsorption, and a high-sodium diet is generally not recommended due to the risk of dehydration and electrolyte imbalances in individuals with cystic fibrosis.

2. In what position does the Pavlik harness hold a child's femurs for developmental hip dysplasia?

• A. Abduction
• B. Adduction
• C. Flexion
• D. Extension

Correct answer: A

Rationale: The Pavlik harness is designed to position a child's femurs in abduction for developmental hip dysplasia. Abduction helps align the hip joint correctly and promotes proper development in cases of hip dysplasia. Adduction (choice B) brings the legs closer to the midline, which is not the desired position in this condition. Flexion (choice C) refers to bending at a joint, while extension (choice D) is the opposite of flexion. However, in the case of developmental hip dysplasia, abduction is crucial for the Pavlik harness to work effectively.

3. What is a common complication of untreated asthma in children?

• A. Delayed puberty
• B. Growth retardation
• C. Chronic sinusitis
• D. Frequent headaches

Correct answer: C

Rationale: The correct answer is C: Chronic sinusitis. Untreated asthma can lead to chronic sinusitis in children due to prolonged inflammation and infection of the respiratory tract. Choices A, B, and D are incorrect. Delayed puberty and growth retardation are not common complications of untreated asthma in children. Frequent headaches may be associated with asthma exacerbations but are not typical long-term complications.

4. How should a caregiver handle a child with a known peanut allergy?

• A. Educate on allergen avoidance
• B. Increase exposure to peanuts
• C. Administer antihistamines as needed
• D. Suggest occasional consumption of peanuts

Correct answer: A

Rationale: Educating on allergen avoidance is the correct approach when dealing with a child who has a known peanut allergy. This helps in managing the allergy effectively and preventing potential allergic reactions. Increasing exposure to peanuts (Choice B) is dangerous and can trigger severe allergic reactions in a child with a peanut allergy. While antihistamines (Choice C) can help alleviate some symptoms, they should not be the primary method of managing a peanut allergy. Suggesting occasional consumption of peanuts (Choice D) is extremely risky and should never be done for a child with a known peanut allergy.

5. What is the recommended treatment for a child with a first-degree burn?

• A. Immediate application of ice
• B. Administration of oral antibiotics
• C. Application of cool, moist compresses
• D. Application of hot packs

Correct answer: C

Rationale: The recommended treatment for a child with a first-degree burn is the application of cool, moist compresses. This helps in reducing pain and swelling without causing further damage to the skin. Applying ice directly to a burn can lead to frostbite and worsen the injury (Choice A). Oral antibiotics are not necessary for first-degree burns as they do not typically involve infection (Choice B). Hot packs should be avoided as they can further damage the skin and increase inflammation (Choice D).

Similar Questions