Nursing Elites

1. Which word completes the sentence "He was ____ by the unexpected turn of events."

• A. elated (joyful)
• B. bewildered (confused)
• C. vindicated (justified)
• D. apathetic (uninterested)

Correct answer: B

Rationale: "Bewildered" best describes the confusion caused by the unexpected events.

2. Edema is a condition characterized by swelling caused by a buildup of lymph fluid. What factors can contribute to edema?

• A. Regular exercise
• B. Maintaining a healthy weight
• C. Poor circulation or blockage in the lymphatic system
• D. Proper hydration

Correct answer: C

Rationale: Edema is a condition where there is an abnormal accumulation of fluid in the body tissues, leading to swelling. Poor circulation or blockage in the lymphatic system can contribute to edema by hindering the proper drainage of lymph fluid. When the lymphatic system is not functioning efficiently, it can result in fluid retention and swelling in the affected areas. Regular exercise and maintaining a healthy weight can actually help improve circulation and lymphatic flow, reducing the risk of edema. Proper hydration is important for overall health but specifically does not directly contribute to the development of edema as poor circulation or lymphatic blockages do.

3. The hormone responsible for milk production in the breasts after childbirth is:

• A. Estrogen
• B. Prolactin
• C. Oxytocin
• D. Relaxin

Correct answer: B

Rationale: The correct answer is B: Prolactin. Prolactin is the hormone responsible for milk production in the breasts after childbirth. It is produced by the pituitary gland and stimulates the alveoli in the breasts to produce milk. Estrogen plays a role in breast development during pregnancy but is not responsible for milk production. Oxytocin is responsible for the ejection of milk from the breasts during breastfeeding. Relaxin is a hormone that helps prepare the body for childbirth by relaxing the ligaments in the pelvis. Therefore, the hormone directly responsible for milk production after childbirth is prolactin.

4. Functional nursing has some advantages, which one is an EXCEPTION?

• A. Psychological and sociological needs are emphasized.
• B. Great control of work activities.
• C. Most economical way of delivering nursing services.
• D. Workers feel secure in dependent role

Correct answer: B

Rationale: Functional nursing is a task-oriented approach where each nurse is assigned specific duties, leading to efficient task completion but often resulting in a lack of holistic care. While functional nursing may provide great control over work activities and can be cost-effective due to specialization, it does not emphasize psychological and sociological needs, which is a significant disadvantage. Additionally, the dependent role that workers feel in functional nursing can lead to disempowerment and hinder professional growth and autonomy. Therefore, option A, 'Psychological and sociological needs are emphasized,' is the exception among the advantages of functional nursing.

5. Which of the following guidelines should be least considered in formulating objectives for

• A. Written nursing care plan
• B. Holistic approach
• C. Prescribed standards
• D. Staff preferences

Correct answer: D

Rationale: When formulating objectives for a written nursing care plan, staff preferences should be the least considered guideline. Objectives in a care plan should be based on the patient's needs, evidence-based practices, and prescribed standards of care to ensure quality and effective treatment. Staff preferences may introduce biased decisions that do not align with the best interests of the patient. It is crucial to prioritize holistic care, which considers all aspects of the patient's well-being, and adhere to prescribed standards to provide comprehensive and individualized care. By disregarding staff preferences and focusing on what is best for the patient, healthcare professionals can deliver optimal care that promotes patient outcomes and satisfaction.

6. What is kwashiorkor, a protein deficiency disease, characterized by?

• A. Muscle wasting
• B. Night blindness
• C. Scurvy
• D. Rickets

Correct answer: A

Rationale: Rationale: Kwashiorkor is a type of severe acute malnutrition caused by a deficiency of dietary protein. It is characterized by symptoms such as edema (swelling due to fluid retention), skin lesions, an enlarged liver with fatty infiltrates, and muscle wasting. Muscle wasting is a key feature of kwashiorkor due to the body breaking down muscle tissue to obtain essential amino acids for vital functions. Night blindness (option B) is a symptom of vitamin A deficiency, scurvy (option C) is caused by a lack of vitamin C, and rickets (option D) is a condition resulting from a deficiency of vitamin D, calcium, or phosphate.

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