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. Which of the following is considered a micronutrient?

• A. Protein
• B. Carbohydrate
• C. Vitamin C
• D. Fat

Correct answer: C

Rationale: Corrected Question: Vitamin C is considered a micronutrient because it is required in small amounts for proper body functioning and is essential for health. Proteins, carbohydrates, and fats are macronutrients, needed in larger quantities for energy and other body functions. Vitamin C, being a micronutrient, plays a crucial role in various bodily functions even though it is needed in smaller quantities compared to macronutrients. Therefore, the correct answer is C. Choice A (Protein), Choice B (Carbohydrate), and Choice D (Fat) are incorrect as they are macronutrients required in larger amounts for energy and other body functions.

3. What is a long-term complication of cleft lip and palate?

• A. Cognitive impairment
• B. Altered growth and development
• C. Faulty dentition
• D. Physical abilities

Correct answer: C

Rationale: The correct long-term complication of cleft lip and palate is faulty dentition. Individuals with cleft lip and palate may experience dental issues such as missing, extra, or misaligned teeth, which can affect speech and the aesthetic appearance of the mouth. Cognitive impairment, as mentioned in choice A, is not a typical long-term complication associated with cleft lip and palate. While altered growth and development (choice B) can be affected during early stages, it is not a prominent long-term complication. Choice D, physical abilities, is not directly related to the typical long-term complications of cleft lip and palate.

4. How should a healthcare provider manage a child with newly diagnosed congenital hypothyroidism?

• A. Monitor for signs of hyperactivity
• B. Ensure regular thyroid hormone replacement therapy
• C. Encourage a high-calcium diet
• D. Increase physical exercise

Correct answer: B

Rationale: Correct Answer: Ensuring regular thyroid hormone replacement therapy is crucial for managing congenital hypothyroidism in children. This therapy supports normal growth and development by replacing the deficient thyroid hormones. Monitoring for signs of hyperactivity (Choice A) is not the primary management for congenital hypothyroidism; rather, the focus should be on addressing the hormone deficiency. Encouraging a high-calcium diet (Choice C) may not directly address the thyroid hormone deficiency characteristic of congenital hypothyroidism. Increasing physical exercise (Choice D) is not the mainstay treatment for this condition; hormone replacement therapy is the cornerstone of management.

5. What will the treatment for a newly admitted child with cystic fibrosis center on?

• A. Chest physiotherapy
• B. Mucus-drying agents
• C. Prevention of diarrhea
• D. Insulin therapy

Correct answer: A

Rationale: The correct answer is A: Chest physiotherapy. Treatment for cystic fibrosis focuses on chest physiotherapy and aerosol medications to manage and clear thick pulmonary secretions. Chest physiotherapy helps loosen and clear mucus from the lungs, aiding in breathing and reducing the risk of infections. Mucus-drying agents (choice B) are not typically used in the treatment of cystic fibrosis as the goal is to help clear mucus, not dry it. Prevention of diarrhea (choice C) is not a primary focus in the treatment of cystic fibrosis. Insulin therapy (choice D) is not relevant to cystic fibrosis, which primarily affects the respiratory and digestive systems.

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