Nursing Elites

1. Which of the following drugs may cause weight gain?

• A. Amphetamines
• B. Steroids
• C. Antibiotics
• D. Nonsteroidal anti-inflammatory drugs

Correct answer: B

Rationale: The correct answer is B, Steroids. Steroids are known to cause weight gain as a side effect. Amphetamines, choice A, are more likely to cause appetite suppression and weight loss. Antibiotics, choice C, and nonsteroidal anti-inflammatory drugs, choice D, are not typically associated with weight gain as a common side effect.

2. What is the best position to measure the leg circumference of a client with bipedal edema?

• A. Dorsal recumbent
• B. Sitting
• C. Standing
• D. Supine

Correct answer: A

Rationale: When measuring the leg circumference of a client with bipedal edema, the best position to ensure accurate and consistent measurements is the dorsal recumbent position. This position allows the legs to be comfortably positioned, with the individual lying on their back and legs extended. This facilitates accurate measurement of the circumference without the influence of gravity. Sitting and standing positions may not provide optimal conditions for accurate leg circumference measurements as they may not allow the legs to be fully extended. The supine position, although similar to dorsal recumbent, may not provide the same level of comfort and accuracy in leg circumference measurement for a client with bipedal edema.

3. How long is the Practical Nurse Course training program conducted in phases for?

• A. 46 weeks
• B. 18 months
• C. 6 weeks
• D. 52 weeks

Correct answer: D

Rationale: The correct answer is D: 52 weeks. The Practical Nurse Course is conducted over a period of 52 weeks. This duration allows for a comprehensive training program that covers all necessary aspects of practical nursing. Choices A, B, and C are incorrect because they do not reflect the specific length of time associated with the Practical Nurse Course.

4. The nurse teaches the mother of an infant how to care for her infant following repair of a cleft lip. It is MOST important for the nurse to include which of the following instructions?

• A. Feed the infant with a newborn nipple while holding him in the recumbent position
• B. Clean the suture site with a cotton-tipped swab soaked in Betadine
• C. Place the infant in the prone position after feeding
• D. Feed the infant with a rubber-tipped syringe and burp frequently

Correct answer: D

Rationale: The correct answer is D because feeding the infant with a rubber-tipped syringe reduces the risk of injury to the surgical site and prevents aspiration. Choice A is incorrect because feeding in the recumbent position can increase the risk of aspiration. Choice B is incorrect as Betadine is not recommended for wound care near the mouth due to its potential toxicity if ingested. Choice C is incorrect because placing the infant in the prone position after feeding can increase the risk of regurgitation and aspiration.

5. The client is four hours post-operative abdominal aortic aneurysm repair. Which nursing intervention should be implemented for this client?

• A. Assist the client in ambulating
• B. Assess the client’s bilateral pedal pulses
• C. Maintain a continuous IV heparin drip
• D. Provide clear liquids to the client

Correct answer: B

Rationale: Assessing the client’s bilateral pedal pulses is crucial at this point to monitor the perfusion to the lower extremities after abdominal aortic aneurysm repair surgery. Ambulation (Choice A) may be appropriate but should be guided by the assessment findings. Maintaining a continuous IV heparin drip (Choice C) is not typically indicated post-operatively for this type of surgery. Providing clear liquids (Choice D) may not be suitable immediately after the surgery, as the client needs time to recover before resuming oral intake.

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