Nursing Elites

1. Which of the following is an example of a macronutrient?

• A. Vitamin C
• B. Iron
• C. Calcium
• D. Fiber

Correct answer: D

Rationale: The correct answer is D: Fiber. Macronutrients are nutrients required by the body in larger amounts, and they include carbohydrates, proteins, and fats. Fiber is a type of carbohydrate that falls under this category. Vitamin C (choice A) is a water-soluble vitamin, Iron (choice B) is a mineral, and Calcium (choice C) is also a mineral, not a macronutrient. Therefore, Fiber is the only macronutrient listed in the choices.

2. In what position does the Pavlik harness hold a child's femurs for developmental hip dysplasia?

• A. Abduction
• B. Adduction
• C. Flexion
• D. Extension

Correct answer: A

Rationale: The Pavlik harness is designed to position a child's femurs in abduction for developmental hip dysplasia. Abduction helps align the hip joint correctly and promotes proper development in cases of hip dysplasia. Adduction (choice B) brings the legs closer to the midline, which is not the desired position in this condition. Flexion (choice C) refers to bending at a joint, while extension (choice D) is the opposite of flexion. However, in the case of developmental hip dysplasia, abduction is crucial for the Pavlik harness to work effectively.

3. What should be monitored in a child with congenital adrenal hyperplasia (CAH)?

• A. Blood glucose levels
• B. Electrolyte balance
• C. Urine output
• D. Hemoglobin levels

Correct answer: B

Rationale: In a child with congenital adrenal hyperplasia (CAH), monitoring electrolyte balance is crucial. CAH can lead to adrenal insufficiency, causing imbalances in electrolytes such as sodium and potassium. Monitoring electrolyte levels helps in preventing complications like dehydration, electrolyte disturbances, and adrenal crisis. While blood glucose levels may need monitoring in other conditions like diabetes, it is not the primary concern in CAH. Urine output is important in assessing kidney function but is not a direct monitoring parameter for CAH. Hemoglobin levels are more relevant in conditions such as anemia, not specifically in CAH.

4. If a group of people consumes an amount of protein equal to the estimated average requirement for their population group, what percentage of people will receive insufficient amounts?

• A. 10
• B. 25
• C. 33
• D. 50

Correct answer: D

Rationale: If a group consumes an amount of protein equal to the estimated average requirement, 50% of the people will receive insufficient amounts. The estimated average requirement is the amount of a nutrient that is estimated to meet the requirement of half the healthy individuals in a particular life stage and gender group. Therefore, 50% of the group will not be meeting their individual needs if they are consuming only the average requirement. Choices A, B, and C are incorrect because at the estimated average requirement level, a higher percentage than those values will receive insufficient amounts.

5. Why would a person who eats a bowl of oatmeal for breakfast every day most likely be making a food choice based on ___?

• A. habit
• B. availability
• C. body image
• D. environmental concerns

Correct answer: A

Rationale: The correct answer is A: habit. Eating the same food regularly often stems from habit, which is a behavior that is repeated regularly and tends to occur subconsciously. Choice B, availability, is incorrect as it refers to the accessibility of a particular food rather than the frequency of consumption. Choice C, body image, is also incorrect as this term relates to how one perceives their own body rather than their food choices. Choice D, environmental concerns, is unrelated to the scenario provided, which is about the frequency of choosing oatmeal for breakfast.

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