Nursing Elites

1. What is the appropriate intervention for a child with an undescended testicle?

• A. Wait until puberty
• B. Perform an orchidopexy
• C. Administer hormone therapy
• D. Increase physical activity

Correct answer: B

Rationale: The appropriate intervention for a child with an undescended testicle is to perform an orchidopexy. This surgical procedure is recommended if the testicle has not descended naturally within the first year of life. Waiting until puberty is not advised as early intervention is crucial for optimal outcomes. Administering hormone therapy is not the first-line treatment for an undescended testicle and is typically not recommended. Increasing physical activity does not address the underlying issue of an undescended testicle and is not a suitable intervention.

2. What is a key dietary consideration for a child with phenylketonuria (PKU)?

• A. High-fiber diet
• B. Low-phenylalanine diet
• C. Increased dairy intake
• D. High-sodium diet

Correct answer: B

Rationale: A low-phenylalanine diet is crucial for managing PKU to prevent neurological damage and maintain normal development. Phenylalanine is an amino acid found in protein-containing foods, and individuals with PKU have difficulty metabolizing it. Consuming foods low in phenylalanine helps prevent the buildup of toxic byproducts in the body. Choices A, C, and D are incorrect. A high-fiber diet, increased dairy intake, and high-sodium diet are not specific dietary considerations for PKU management. In fact, dairy products are a source of protein and phenylalanine, which should be limited in PKU.

3. What dietary modification is important for a child with celiac disease?

• A. Increase dairy intake
• B. Avoid gluten-containing foods
• C. Decrease protein intake
• D. Increase fiber intake

Correct answer: B

Rationale: The correct answer is B: Avoid gluten-containing foods. For a child with celiac disease, it is crucial to eliminate gluten from their diet to manage the condition effectively. Gluten triggers an immune response in individuals with celiac disease, leading to symptoms and damage to the small intestine. Choices A, C, and D are incorrect because increasing dairy intake, decreasing protein intake, or increasing fiber intake are not specific dietary modifications for managing celiac disease.

4. Which of the following statements about nutrition is true?

• A. Nutrition is the only factor that influences health.
• B. Nutrient needs are the same for everyone.
• C. Certain nutrients are more important than others.
• D. Nutrient recommendations are designed to meet the needs of most healthy people.

Correct answer: D

Rationale: The correct answer is D. Nutrient recommendations are designed to meet the needs of most healthy people, providing guidelines for a balanced diet. Choice A is incorrect because while nutrition plays a crucial role in health, it is not the only factor influencing it. Choice B is incorrect as nutrient needs vary based on factors like age, gender, activity level, and health status. Choice C is incorrect because all nutrients are essential for different bodily functions, and none can be deemed universally more important than others.

5. What is the study of how a person's genes interact with nutrients?

• A. genetic counseling
• B. nutritional genomics
• C. genetic metabolomics
• D. nutritional genetics

Correct answer: B

Rationale: Nutritional genomics, the correct answer, specifically focuses on how a person's genes interact with nutrients, affecting health and disease. Genetic counseling (choice A) refers to the process of helping people understand and adapt to the medical, psychological, and familial implications of genetic contributions to disease. Genetic metabolomics (choice C) combines genetic and metabolomic data to study metabolic pathways. Nutritional genetics (choice D) generally refers to the broader field of genetics as it relates to nutrition, while nutritional genomics, the most precise term, delves into the specific gene-nutrient interactions.

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