Nursing Elites

1. What is the primary symptom of a urinary tract infection in young children?

• A. Frequent urination
• B. Abdominal pain
• C. Vomiting
• D. Fever

Correct answer: D

Rationale: The correct answer is D, Fever. In young children, fever is a common primary symptom of a urinary tract infection, often accompanied by irritability and discomfort. Frequent urination (Choice A) is a symptom more commonly seen in adults with UTIs. While abdominal pain (Choice B) and vomiting (Choice C) can be present, they are not as primary as fever in young children with UTIs.

2. Which lab result should be abnormal in a child with hemophilia?

• A. Prothrombin time
• B. Bleeding time
• C. Platelet count
• D. Partial thromboplastin time

Correct answer: D

Rationale: In a child with hemophilia, the lab result that should be abnormal is the partial thromboplastin time (PTT). Hemophilia is a disorder that affects the clotting factors in the intrinsic pathway of coagulation, leading to a prolonged PTT. Prothrombin time (Choice A) assesses the extrinsic pathway and should be normal in hemophilia. Bleeding time (Choice B) evaluates platelet function, which is typically normal in hemophilia. Platelet count (Choice C) measures the number of platelets and is not directly affected by hemophilia.

3. How should the nurse manage a child with acute lymphoblastic leukemia (ALL) who is receiving chemotherapy?

• A. Avoid all physical activity
• B. Ensure strict infection control measures
• C. Increase daily caloric intake
• D. Limit fluid intake

Correct answer: B

Rationale: The correct answer is B: Ensure strict infection control measures. Children with acute lymphoblastic leukemia (ALL) who are undergoing chemotherapy have compromised immune systems, making them highly susceptible to infections. Implementing strict infection control measures, such as hand hygiene, limiting exposure to sick individuals, and maintaining a clean environment, is essential to prevent infections. Choice A is incorrect because avoiding all physical activity may not be necessary as long as the child's activity level is appropriate. Choice C is incorrect because increasing daily caloric intake is important to support the child's nutritional needs during treatment. Choice D is incorrect because limiting fluid intake is not typically recommended unless specifically advised by the healthcare provider.

4. What should be a priority for a 4-year-old child with nephrosis?

• A. Impaired body image
• B. Skin impairment
• C. Nutritional deficit
• D. Injury

Correct answer: B

Rationale: The correct answer is B: Skin impairment. Skin care is a priority in nephrosis due to edema and increased risk of skin breakdown, requiring careful monitoring and management. While impaired body image (Choice A) can be a concern, it is not typically a priority in a 4-year-old with nephrosis. Nutritional deficit (Choice C) is important but addressing skin impairment takes precedence due to the immediate risk of complications related to skin breakdown. Injury (Choice D) is a general concern for children but is not the priority in a child with nephrosis.

5. What is the primary treatment for a child with acute otitis media?

• A. Antihistamines
• B. Nasal decongestants
• C. Antibiotics
• D. Ear drops

Correct answer: C

Rationale: The correct answer is C: Antibiotics. Antibiotics are the primary treatment for acute otitis media because the condition is often caused by a bacterial infection. Antihistamines (choice A) and nasal decongestants (choice B) are not the primary treatments for acute otitis media as they do not target the bacterial infection. Ear drops (choice D) are not the primary treatment for acute otitis media; antibiotics are required to treat the underlying bacterial cause.

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