Nursing Elites

1. Protecting the rights and privacy of the patient and their family is part of which of the following steps for determining and fulfilling the nursing care needs of the patient?

• A. Evaluation
• B. Planning
• C. Implementation
• D. Assessment

Correct answer: C

Rationale: The correct answer is C: Implementation. Implementation is the phase where the nursing care plan is put into action, which includes safeguarding the patient's and their family's rights and privacy. Evaluation (choice A) involves reviewing the effectiveness of the care plan, Planning (choice B) is the phase where the care plan is developed, and Assessment (choice D) is the initial step where data about the patient is collected.

2. The nurse understands that which characteristics are of anthrax? Select all that apply.

• A. Cutaneous lesions become a black eschar and flu-like symptoms are a sign of pulmonary anthrax
• B. Cutaneous lesions become a black eschar
• C. Gastrointestinal anthrax causes blood anthrax
• D. Flu-like symptoms are a sign of pulmonary anthrax

Correct answer: A

Rationale: The correct characteristics of anthrax are that cutaneous anthrax causes black eschar lesions, and flu-like symptoms are typical of pulmonary anthrax. Choice B is incorrect because it only includes information about cutaneous anthrax lesions but doesn't cover the flu-like symptoms of pulmonary anthrax. Choice C is incorrect as gastrointestinal anthrax does not cause 'blood anthrax,' it causes symptoms like severe abdominal pain, vomiting, and diarrhea. Choice D is incorrect as flu-like symptoms are associated with pulmonary anthrax, not with gastrointestinal anthrax.

3. Which of the following is a process of heat loss that involves the transfer of heat from one surface to another?

• A. Radiation
• B. Conduction
• C. Convection
• D. Evaporation

Correct answer: B

Rationale: Conduction is the process of heat transfer that occurs between objects or substances that are in direct contact with each other. In this process, heat is transferred from a hotter surface to a cooler surface through direct contact. This type of heat transfer does not involve the movement of the substances themselves, only the transfer of thermal energy. Radiation (Choice A) is the transfer of heat through electromagnetic waves, while convection (Choice C) is the transfer of heat through the movement of fluids. Evaporation (Choice D) is a cooling process that involves the phase change of a liquid into a gas.

4. The nurse has been assigned to train the unlicensed nursing assistant about prioritizing care. Which client should the nurse instruct the unlicensed nursing assistant to see first?

• A. The client who needs both sequential compression devices removed
• B. The elderly woman who needs assistance ambulating to the bathroom
• C. The surgical client who needs help changing the gown after bathing
• D. The male client who needs the intravenous fluid discontinued

Correct answer: A

Rationale: The correct answer is A. Removing sequential compression devices could increase the risk of thromboembolism, which is a serious complication. Therefore, this client should be seen first to prevent any potential harm. Choice B may be important, but it does not pose an immediate risk compared to thromboembolism. Choice C is a routine care task that can be delayed, and Choice D, discontinuing intravenous fluid, is important but not as urgent as preventing thromboembolism.

5. Enteral feedings may be appropriate for patients with:

• A. Acute cholecystitis
• B. Hepatic encephalopathy
• C. Ulcerative colitis in remission
• D. Acute exacerbation of Crohn’s disease

Correct answer: D

Rationale: Enteral feedings are commonly utilized for patients experiencing acute exacerbations of Crohn’s disease to provide necessary nutrition and rest the bowel. Choices A, B, and C are incorrect because enteral feedings are not typically indicated for acute cholecystitis, hepatic encephalopathy, or ulcerative colitis in remission.

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