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. Which characteristic is most typical of a chronic disease?

• A. It has a rapid onset.
• B. It rarely has noticeable symptoms.
• C. It produces sharp pains.
• D. It progresses gradually.

Correct answer: D

Rationale: The correct answer is D. Chronic diseases are characterized by a gradual progression over time, affecting individuals for an extended period. Option A is incorrect as chronic diseases do not have a rapid onset like acute conditions. Option B is incorrect as chronic diseases often manifest noticeable symptoms. Option C is incorrect as sharp pains are not a defining characteristic of chronic diseases. Chronic diseases can present a variety of symptoms depending on the specific condition, but gradual progression is a common feature distinguishing them from acute illnesses.

3. 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.

4. What is a common sign of hypothyroidism in children?

• A. Weight loss
• B. Increased heart rate
• C. Dry skin and constipation
• D. Elevated blood pressure

Correct answer: C

Rationale: Dry skin and constipation are typical signs of hypothyroidism in children. Hypothyroidism results from an underactive thyroid gland, leading to symptoms such as dry skin and constipation. Weight loss (Choice A) is more commonly associated with hyperthyroidism, where the thyroid gland is overactive. Increased heart rate (Choice B) and elevated blood pressure (Choice D) are also more characteristic of hyperthyroidism rather than hypothyroidism. Therefore, the correct answer is dry skin and constipation (Choice C) when identifying signs of hypothyroidism in children.

5. Which nutrient source yields more than 4 kcalories per gram?

• A. plant fats
• B. plant proteins
• C. animal proteins
• D. plant carbohydrates

Correct answer: A

Rationale: The correct answer is plant fats (Choice A). Fats, including plant fats, provide 9 kcalories per gram, which is more than 4 kcalories. Plant proteins (Choice B) and animal proteins (Choice C) provide 4 kcalories per gram. Plant carbohydrates (Choice D) also provide 4 kcalories per gram. Therefore, Choices B, C, and D are incorrect because they do not yield more than 4 kcalories per gram.

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