Nursing Elites

1. What is the first-line treatment for a child with a bacterial ear infection?

• A. Intravenous antibiotics
• B. Oral antibiotics
• C. Nasal decongestants
• D. Antihistamines

Correct answer: B

Rationale: The correct answer is B: Oral antibiotics. Oral antibiotics are the first-line treatment for bacterial ear infections in children as they effectively target the infection at the source and help alleviate symptoms. Intravenous antibiotics (Choice A) are typically reserved for severe cases where oral antibiotics are not sufficient. Nasal decongestants (Choice C) and antihistamines (Choice D) are not the primary treatments for bacterial ear infections. Nasal decongestants are used for nasal congestion, and antihistamines are used for allergies. However, these medications do not directly address the bacterial infection in the ear, unlike oral antibiotics.

2. What is a common sign of an allergic reaction in children?

• A. Persistent cough
• B. Skin rash or hives
• C. Increased appetite
• D. Low-grade fever

Correct answer: B

Rationale: Skin rash or hives are common signs of an allergic reaction in children, often following exposure to allergens. While a persistent cough can occur in some cases, it is not typically a primary sign of an allergic reaction. Increased appetite is unrelated to allergic reactions. A low-grade fever is not a common sign of an allergic reaction but can be present in other conditions like infections.

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. How should a caregiver manage a child with a newly diagnosed hearing impairment?

• A. Increase the volume of all auditory stimuli
• B. Refer for audiologic evaluation and intervention
• C. Avoid using any assistive devices
• D. Encourage frequent use of headphones

Correct answer: B

Rationale: When a child is newly diagnosed with a hearing impairment, it is essential to refer them for audiologic evaluation and intervention. This step is crucial to accurately assess the extent of the impairment, determine appropriate interventions, and support the child's communication and development. Increasing the volume of all auditory stimuli (choice A) is not a recommended approach as it may not address the specific needs of the child and could potentially cause discomfort. Avoiding the use of assistive devices (choice C) can hinder the child's ability to communicate effectively. Encouraging frequent use of headphones (choice D) is also not advisable as it may not be suitable for managing hearing impairments and could potentially worsen the condition.

5. What type of nutrient is needed by the body and must be supplied by foods?

• A. nutraceutical
• B. metabolic nutrient
• C. organic nutrient
• D. essential nutrient

Correct answer: D

Rationale: The correct answer is D, essential nutrient. Essential nutrients are substances that the body needs for normal functioning but cannot produce in sufficient amounts, so they must be obtained through the diet. Nutraceuticals (choice A) are products derived from food sources that are purported to provide extra health benefits beyond basic nutrition. Metabolic nutrients (choice B) and organic nutrients (choice C) are not standard terms used to describe nutrients needed by the body. Therefore, choices A, B, and C are incorrect.

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