Nursing Elites

1. What is the mission of the Army Medical Department?

• A. Ensure that each soldier receives a physical examination annually
• B. Deliver healthcare to regions of the U.S. designated as disaster areas by the President
• C. Maintain the health of the Army and preserve its combat effectiveness
• D. Offer medical, dental, and veterinary education and training

Correct answer: C

Rationale: The correct answer is C: 'Maintain the health of the Army and preserve its combat effectiveness.' This mission statement reflects the primary goal of the Army Medical Department, which is to ensure that military personnel remain healthy and fit for duty to preserve the Army's fighting strength. Choices A, B, and D are incorrect because they do not capture the core purpose of the Army Medical Department, which is focused on the health and readiness of the military forces, rather than performing annual physical examinations, responding to disasters, or providing education and training.

2. Listed below are five categories that identify the responsibilities of the practical nurse manager in personnel management. Which of these categories is most appropriate for the task 'Ensure that personnel are utilized in their designated roles'?

• A. Accountability
• B. Personal/professional development
• C. Individual training
• D. Military appearance/physical condition

Correct answer: A

Rationale: The correct answer is 'Accountability'. Accountability in personnel management ensures that individuals are utilized in their designated roles, such as ensuring that soldiers are utilized in their Military Occupational Specialty (MOS). This category focuses on ensuring that personnel are assigned and performing their duties as required. The other choices, personal/professional development, individual training, and military appearance/physical condition, do not directly relate to the specific task of ensuring individuals are utilized in their designated roles.

3. The nurse is preparing a postoperative nursing care plan for the client recovering from a hemorrhoidectomy. Which intervention should the nurse implement?

• A. Establish a rapport with the client to decrease embarrassment when assessing the site
• B. Encourage the client to lie in the lithotomy position twice a day
• C. Milk the tube inserted during surgery to allow the passage of flatus
• D. Digitally dilate the rectal sphincter to express old blood

Correct answer: A

Rationale: Establishing rapport with the client is essential in postoperative care to create a trusting relationship, decrease embarrassment, and improve the client's comfort during assessments. Choice B is incorrect because the lithotomy position is not typically recommended post-hemorrhoidectomy. Choice C is incorrect because milking the tube inserted during surgery is not a standard practice after a hemorrhoidectomy. Choice D is incorrect as digitally dilating the rectal sphincter can cause harm and is not a part of routine post-hemorrhoidectomy care.

4. A patient with hypothyroidism should be advised to consume more of which nutrient?

• A. Calcium
• B. Iodine
• C. Vitamin C
• D. Iron

Correct answer: B

Rationale: The correct answer is B: Iodine. Iodine is crucial for the production of thyroid hormones. A deficiency in iodine can lead to hypothyroidism. Calcium (Choice A) is important for bone health but is not directly related to thyroid function. Vitamin C (Choice C) is essential for the immune system and skin health but does not play a significant role in thyroid function. Iron (Choice D) is vital for red blood cell production and oxygen transport but is not specifically relevant to hypothyroidism.

5. In patients receiving chemotherapy, which nutrient is often supplemented to manage mucositis?

• A. Vitamin E
• B. Vitamin B12
• C. Zinc
• D. Calcium

Correct answer: C

Rationale: Zinc supplementation is often recommended to manage mucositis in patients undergoing chemotherapy. Zinc plays a crucial role in wound healing and immune function, which can help alleviate the symptoms of mucositis. Vitamin E (Choice A) is known for its antioxidant properties but is not typically used to manage mucositis. Vitamin B12 (Choice B) is important for red blood cell production and nerve function but is not directly associated with mucositis management. Calcium (Choice D) is essential for bone health and muscle function but is not a primary nutrient supplemented to manage mucositis.

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