Nursing Elites

1. What should be assessed in a child with suspected appendicitis?

• A. Level of consciousness
• B. Bowel sounds and pain location
• C. Skin color and temperature
• D. Heart rate and blood pressure

Correct answer: B

Rationale: The correct answer is to assess bowel sounds and pain location. In a child with suspected appendicitis, focusing on bowel sounds and pain location, particularly in the lower right quadrant, is crucial. This assessment helps to identify symptoms commonly associated with appendicitis. Assessing the level of consciousness (Choice A) is important in other conditions such as head injuries or neurological issues. Skin color and temperature (Choice C) are more indicative of circulatory or skin-related problems. Heart rate and blood pressure (Choice D) are vital signs that are essential to assess in various conditions but are not specific to suspected appendicitis.

2. 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.

3. How should hydration status be assessed in a child with vomiting and diarrhea?

• A. Check skin turgor and mucous membranes
• B. Measure blood glucose levels
• C. Assess heart rate and blood pressure
• D. Evaluate bowel sounds

Correct answer: A

Rationale: Checking skin turgor and mucous membranes is the appropriate method to assess hydration status in a child with vomiting and diarrhea. Skin turgor is an indicator of skin elasticity, which decreases when an individual is dehydrated. Mucous membranes, such as the inside of the mouth, can also show signs of dehydration like dryness. Measuring blood glucose levels (choice B) is not relevant to assessing hydration status in this scenario. Assessing heart rate and blood pressure (choice C) is important in evaluating the overall condition of a child but may not directly indicate hydration status. Evaluating bowel sounds (choice D) is more related to assessing gastrointestinal function rather than hydration status.

4. How should a healthcare professional address the concerns of parents about their child’s developmental delay?

• A. Recommend immediate diagnostic testing
• B. Suggest waiting for natural development
• C. Provide information about early intervention services
• D. Advise on increasing physical activity

Correct answer: C

Rationale: When addressing concerns about a child's developmental delay, providing information about early intervention services is crucial as it can facilitate timely support and resources. This option helps parents understand the available support systems and interventions for their child. Recommending immediate diagnostic testing may cause unnecessary anxiety without first exploring other supportive options. Suggesting waiting for natural development could result in missed opportunities for early intervention that are crucial for improving developmental outcomes. Advising on increasing physical activity is not directly related to addressing developmental delays and does not address the core issue of developmental delay.

5. What is a primary concern for a child with a new diagnosis of diabetes mellitus?

• A. Increased growth rate
• B. Risk of hyperglycemia
• C. Risk of dehydration
• D. Improved appetite

Correct answer: B

Rationale: The correct answer is B: Risk of hyperglycemia. When a child is newly diagnosed with diabetes mellitus, one of the primary concerns is the risk of hyperglycemia, which refers to high blood glucose levels. Hyperglycemia can lead to various complications if not managed properly, making it crucial to stabilize blood glucose levels. Choices A, C, and D are incorrect because increased growth rate, risk of dehydration, and improved appetite are not primary concerns specifically associated with a new diagnosis of diabetes mellitus.

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