What sign(s) indicate(s) moderate dehydration?
- A. 10% weight loss
- B. Dry mucous membranes
- C. Normal anterior fontanel
- D. Increased urinary output
- E. Lethargy
Correct Answer: A,B,C
Rationale: Moderate dehydration is characterized by 10% weight loss, dry mucous membranes, and a normal fontanel; urine output decreases, and irritability, not lethargy, is typical.
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Which food would the nurse recommend to include in the child's diet?
- A. Cooked vegetables
- B. Pretzels
- C. Whole-grain cereal
- D. Yogurt
Correct Answer: C
Rationale: Whole-grain cereal, a high-roughage food, helps alleviate constipation by promoting bowel movements.
What will be included regarding primary sources of lead in the community?
- A. Increased lead content of air
- B. Use of aluminum cookware
- C. Deteriorating paint in older buildings
- D. Inhaling smog
Correct Answer: C
Rationale: Deteriorating paint in older buildings is a primary source of lead exposure in children.
Which finding in a newborn is suggestive of tracheoesophageal fistula?
- A. Failure to pass meconium in 24 hours
- B. Choking on the first feeding
- C. Palpable mass in the sternal area
- D. Visible peristalsis across abdomen
Correct Answer: B
Rationale: Choking on the first feeding is a key indicator of tracheoesophageal fistula due to the abnormal connection between the esophagus and trachea.
What acid-base imbalance would the nurse expect to occur from this persistent vomiting?
- A. Hyperkalemia
- B. Hypernatremia
- C. Acidosis
- D. Alkalosis
Correct Answer: D
Rationale: Persistent vomiting causes loss of hydrochloric acid and sodium chloride, leading to metabolic alkalosis.
What dietary modification would the nurse advise?
- A. Soft foods with rice, bananas, toast, and applesauce
- B. Small amounts of clear fluids such as gelatin
- C. An oral rehydrating solution, such as Pedialyte
- D. Chicken soup because it is high in sodium
Correct Answer: C
Rationale: An oral rehydrating solution like Pedialyte replaces fluids and electrolytes lost in mild diarrhea.
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