Nursing Elites

1. What is one primary factor that influences nutrient needs in individuals?

• A. Age
• B. Gender
• C. Genetics
• D. Physical activity level

Correct answer: A

Rationale: Correct. Age is one of the primary factors influencing nutrient needs. Different life stages, such as infancy, childhood, adulthood, and old age, require varying amounts of nutrients. Gender (choice B) can influence nutrient needs to some extent, but age plays a more significant role. Genetics (choice C) may affect how individuals metabolize certain nutrients but is not a primary factor in determining overall nutrient needs. Physical activity level (choice D) can impact energy requirements but is not as fundamental as age in influencing overall nutrient needs.

2. What is a primary concern for a child with a new diagnosis of diabetes mellitus?

• A. Increased growth rate
• B. Risk of hyperglycemia
• C. Risk of dehydration
• D. Improved appetite

Correct answer: B

Rationale: The correct answer is B: Risk of hyperglycemia. When a child is newly diagnosed with diabetes mellitus, one of the primary concerns is the risk of hyperglycemia, which refers to high blood glucose levels. Hyperglycemia can lead to various complications if not managed properly, making it crucial to stabilize blood glucose levels. Choices A, C, and D are incorrect because increased growth rate, risk of dehydration, and improved appetite are not primary concerns specifically associated with a new diagnosis of diabetes mellitus.

3. What is an important nursing intervention for a child with a newly inserted central venous catheter?

• A. Regularly monitor for signs of infection
• B. Administer intravenous fluids only as ordered
• C. Restrict the child's movement
• D. Perform daily dressing changes only

Correct answer: A

Rationale: Regularly monitoring for signs of infection is a critical nursing intervention for a child with a newly inserted central venous catheter. This intervention is essential to detect any early signs of infection, such as redness, swelling, or drainage at the catheter site, which can lead to serious complications like sepsis. Administering intravenous fluids as ordered is important but not the most crucial intervention for a newly inserted central venous catheter. Restricting the child's movement is unnecessary unless specified by the healthcare provider. Performing daily dressing changes alone is not sufficient to ensure the catheter's integrity and the child's safety; monitoring for signs of infection is key.

4. Which statement is true of minerals in their role as nutrients?

• A. They are organic compounds.
• B. They yield 4 kilocalories per gram.
• C. Some become dissolved in body fluids.
• D. Some are destroyed during cooking.

Correct answer: C

Rationale: The correct statement is that some minerals become dissolved in body fluids, making them available for absorption and utilization by the body. Minerals are not organic compounds, so choice A is incorrect. Choice B is incorrect because minerals do not provide energy like macronutrients such as carbohydrates and fats. Choice D is incorrect because minerals are elements and cannot be destroyed by cooking; however, their availability and absorption may be affected by cooking methods.

5. The parents of a child with sickle cell anemia ask why their child experiences pain. What is the most likely cause?

• A. Inflammation of the vessels
• B. Obstructed blood flow
• C. Overhydration
• D. Stress-related headaches

Correct answer: B

Rationale: In sickle cell anemia, pain is primarily caused by the obstruction of blood flow by sickle-shaped cells. This obstruction leads to inadequate oxygen supply to tissues, resulting in tissue damage and pain. Choice A, inflammation of the vessels, is incorrect as it is not the primary cause of pain in sickle cell anemia. Choice C, overhydration, is unrelated to the pathophysiology of sickle cell anemia and would not lead to the characteristic pain experienced. Choice D, stress-related headaches, is also unrelated to the underlying mechanisms of pain in sickle cell anemia.

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