Nursing Elites

1. The nurse is told in report that the client has aortic stenosis. Which anatomical position should the nurse auscultate to assess the murmur?

• A. Second intercostal space, right sternal border
• B. Erb’s point
• C. Second intercostal space, left sternal border
• D. Fourth intercostal space, left sternal border

Correct answer: A

Rationale: The correct anatomical position for auscultating the murmur of aortic stenosis is the second intercostal space, right sternal border. This is where the aortic valve is best auscultated, and the murmur of aortic stenosis is heard most clearly. Choices B, C, and D are incorrect as the murmur of aortic stenosis is best heard at the second intercostal space on the right side of the sternum.

2. Which of the following is NOT a terminal learning objective for Phase I of the M6 Practical Nurse Course?

• A. Identify principles of basic-level anatomy, physiology, microbiology, and nutrition
• B. Perform basic-level pharmacological calculations
• C. Integrate the knowledge of drug therapy into nursing practice
• D. Identify basic principles of field nursing

Correct answer: C

Rationale: The correct answer is C. Integrating drug therapy knowledge is not a terminal learning objective for Phase I of the M6 Practical Nurse Course. Phase I typically focuses on foundational knowledge and skills, such as understanding basic-level anatomy, physiology, microbiology, and nutrition (Choice A), performing basic-level pharmacological calculations (Choice B), and identifying basic principles of field nursing (Choice D). While drug therapy knowledge is important in nursing practice, it is not a specific terminal learning objective for Phase I of this course.

3. The nurse on the postsurgical unit received a client who was transferred from the post-anesthesia care unit (PACU) and is planning care for this client. The nurse understands that staff should begin planning for this client’s discharge at which point during the hospitalization?

• A. Is admitted to the surgical unit
• B. Is transferred from the PACU to the postsurgical unit
• C. Is able to perform activities of daily living independently
• D. Has been assessed by the healthcare provider for the first time after surgery

Correct answer: A

Rationale: Discharge planning should begin as soon as the patient is admitted to the surgical unit to ensure a smooth transition. It is important to start early to address any potential barriers to discharge, coordinate resources, and provide adequate education and support. Choices B, C, and D are not the appropriate points to start discharge planning as they do not mark the beginning of the hospitalization phase related to the surgical unit.

4. The system used at the division level and forward comprises six basic modules. Which module is composed of a dental officer, dental specialist, x-ray specialist, laboratory specialist, and needed equipment?

• A. Treatment squad
• B. Area support squad
• C. Medical service squad
• D. Dental squad

Correct answer: D

Rationale: The correct answer is D, the Dental squad. This squad is specifically composed of a dental officer, dental specialist, x-ray specialist, laboratory specialist, and necessary equipment. The other choices, A, B, and C, do not include the specific group of specialists mentioned in the question. Therefore, they are incorrect. The Treatment squad may involve a broader range of medical professionals, while the Area support squad and Medical service squad focus on different aspects of healthcare support not related to the dental field.

5. A patient with diabetes should be advised to avoid which type of carbohydrate?

• A. Simple carbohydrates
• B. Complex carbohydrates
• C. Fiber-rich carbohydrates
• D. All carbohydrates

Correct answer: A

Rationale: A patient with diabetes should be advised to avoid simple carbohydrates. Simple carbohydrates can cause rapid spikes in blood glucose levels due to their quick absorption, which can be challenging to manage for individuals with diabetes. Complex carbohydrates and fiber-rich carbohydrates are generally better choices for individuals with diabetes as they are absorbed more slowly, leading to more stable blood glucose levels. Avoiding all carbohydrates is not necessary or recommended, as carbohydrates are an essential source of energy and nutrients in a balanced diet.

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