Nursing Elites

1. What is the priority assessment for a child with suspected appendicitis?

• A. Temperature
• B. Heart rate
• C. Respiratory rate
• D. Pain level

Correct answer: D

Rationale: The priority assessment for a child with suspected appendicitis is 'Pain level.' Evaluating the pain level, particularly in the lower right quadrant, is crucial as it helps in determining the severity of the condition, leading to prompt diagnosis and treatment. Monitoring temperature, heart rate, and respiratory rate are important aspects of assessment; however, they are secondary to assessing the pain level in cases of suspected appendicitis. Pain assessment is key in diagnosing this condition since the classic presentation includes abdominal pain that often starts around the umbilicus and then localizes to the right lower quadrant.

2. Which of the following best describes the purpose of dietary guidelines?

• A. To ensure food safety and sanitation.
• B. To promote overall health and reduce the risk of chronic diseases.
• C. To prevent foodborne illnesses.
• D. To provide recommendations for physical activity.

Correct answer: B

Rationale: The correct answer is B: 'To promote overall health and reduce the risk of chronic diseases.' Dietary guidelines aim to improve public health by providing recommendations on dietary patterns and nutrient intake. While ensuring food safety and sanitation (choice A) is important, it is not the primary purpose of dietary guidelines. Preventing foodborne illnesses (choice C) is more related to food safety practices rather than dietary guidelines. Recommendations for physical activity (choice D) are important for overall health but are separate from dietary guidelines, which primarily focus on nutrition.

3. What should be monitored in a child receiving chemotherapy?

• A. Blood glucose levels
• B. Blood cell counts
• C. Weight gain
• D. Skin elasticity

Correct answer: B

Rationale: The correct answer is monitoring blood cell counts. During chemotherapy, it is crucial to monitor blood cell counts to detect potential side effects such as neutropenia (low white blood cell count) and anemia (low red blood cell count). These conditions can increase the risk of infections and fatigue. Monitoring blood glucose levels (Choice A) is not typically a primary concern in children receiving chemotherapy unless they have pre-existing conditions like diabetes. Weight gain (Choice C) and skin elasticity (Choice D) are not directly related to monitoring the effects of chemotherapy in children. Therefore, the most important parameter to monitor in a child receiving chemotherapy is blood cell counts.

4. What is a common complication of uncontrolled type 1 diabetes in children?

• A. Hyperactivity
• B. Ketoacidosis
• C. Hypertension
• D. Hypoglycemia

Correct answer: B

Rationale: Ketoacidosis is a prevalent complication of uncontrolled type 1 diabetes in children. It is a serious condition characterized by high levels of ketones in the blood, leading to acidosis. Prompt medical attention is necessary to manage this potentially life-threatening condition. Choice A, hyperactivity, is not a typical complication of uncontrolled type 1 diabetes. Choice C, hypertension, is not a direct complication of type 1 diabetes in children. Choice D, hypoglycemia, is more commonly associated with low blood sugar levels, which can occur due to excessive insulin administration or inadequate food intake in diabetic individuals, rather than uncontrolled type 1 diabetes.

5. What is a common symptom of an upper respiratory infection in children?

• A. Constipation
• B. Excessive vomiting
• C. Nasal congestion
• D. Abdominal pain

Correct answer: C

Rationale: Nasal congestion is a common symptom of an upper respiratory infection in children. It is typically accompanied by cough and sore throat. Constipation (choice A) and excessive vomiting (choice B) are not typical symptoms of upper respiratory infections. Abdominal pain (choice D) is more commonly associated with gastrointestinal issues rather than upper respiratory infections.

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