Nursing Elites

1. What is the main purpose of Recommended Dietary Allowances (RDAs)?

• A. To provide guidelines for nutrient intakes that meet the needs of most healthy people.
• B. To specify the minimum amount of nutrients required for survival.
• C. To establish maximum safe levels of nutrient intakes.
• D. To recommend specific nutrient intake levels to prevent chronic diseases.

Correct answer: A

Rationale: The main purpose of Recommended Dietary Allowances (RDAs) is to provide guidelines for nutrient intakes that meet the needs of most healthy people. Choice B is incorrect because RDAs aim beyond just survival requirements. Choice C is incorrect because establishing maximum safe levels is the role of Tolerable Upper Intake Levels (ULs). Choice D is incorrect because preventing chronic diseases is more associated with Dietary Reference Intakes (DRIs) like Adequate Intakes (AIs) and Tolerable Upper Intake Levels (ULs). Therefore, the correct answer is A.

2. How should a healthcare provider address a child's nutritional needs with a lactose intolerance diagnosis?

• A. Recommend lactose-free dairy products
• B. Increase dairy intake
• C. Encourage high-fiber diet
• D. Use oral probiotics only

Correct answer: A

Rationale: In managing lactose intolerance in a child, recommending lactose-free dairy products is crucial. These products help address the child's nutritional needs without causing symptoms related to lactose consumption. Choice B is incorrect because increasing dairy intake would exacerbate symptoms in a lactose-intolerant individual as they cannot digest lactose properly. Choice C, encouraging a high-fiber diet, is not directly related to managing lactose intolerance and may not address the primary issue of lactose malabsorption. Choice D, using oral probiotics only, may not be sufficient to address the child's nutritional needs in case of lactose intolerance as the main concern is avoiding lactose-containing products.

3. What is an important aspect of managing a child with ADHD?

• A. Increasing academic workload
• B. Consistent behavior management strategies
• C. Restricting all physical activity
• D. Encouraging solitary activities

Correct answer: B

Rationale: Consistent behavior management strategies are crucial when managing a child with ADHD. By implementing consistent strategies, such as clear rules, positive reinforcement, and structure, it helps the child improve focus, manage impulsivity, and regulate their behavior. Choice A, 'Increasing academic workload,' is incorrect as overwhelming a child with ADHD with more academic tasks can exacerbate their symptoms. Choice C, 'Restricting all physical activity,' is also incorrect as physical activity is beneficial for children with ADHD to release excess energy and improve focus. Choice D, 'Encouraging solitary activities,' is not ideal as social interaction and engagement with others are important for a child's development and well-being.

4. Before publication in a reputable journal, the findings of a research study must undergo scrutiny by experts in the field in a process known as what?

• A. peer review
• B. cohort review
• C. research intervention
• D. double-blind examination

Correct answer: A

Rationale: The correct answer is A: peer review. Before publication, research findings must undergo peer review, where experts in the field evaluate the validity and significance of the study. Choice B, cohort review, is incorrect as it does not involve the same level of evaluation by experts. Choice C, research intervention, is not a term used to describe the evaluation process before publication. Choice D, double-blind examination, refers to a study design where neither the participants nor the researchers know who is receiving a particular treatment, which is not the same as the peer review process.

5. What is the key to preventing recurrent respiratory infections in children with cystic fibrosis?

• A. Routine use of antibiotics
• B. Daily chest physiotherapy
• C. Increased fluid intake
• D. Dietary supplements

Correct answer: B

Rationale: The correct answer is B: Daily chest physiotherapy. Daily chest physiotherapy is essential in cystic fibrosis as it helps in clearing mucus from the lungs, reducing the frequency of respiratory infections. Antibiotics (Choice A) may treat infections but are not the key preventive measure. Increased fluid intake (Choice C) and dietary supplements (Choice D) can be beneficial for overall health but do not directly prevent recurrent respiratory infections in children with cystic fibrosis.

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