Nursing Elites

1. What intervention would be the most important for the nurse to implement for the client with a left nephrectomy?

• A. Assess the intravenous fluids for rate and volume
• B. Change the surgical dressing every day at the same time
• C. Monitor the client’s medication levels daily
• D. Monitor the percentage of each meal eaten

Correct answer: A

Rationale: The most important intervention for a client with a left nephrectomy is to assess the intravenous fluids for rate and volume. After nephrectomy, monitoring intravenous fluids is crucial to ensure proper hydration and kidney function. Changing the surgical dressing daily, monitoring medication levels, and tracking meal intake are also important aspects of care but not as critical as ensuring adequate intravenous fluid management post-surgery.

2. What is the best way to manage a patient's intake of dietary fiber?

• A. Increase intake gradually
• B. Increase intake suddenly
• C. Decrease intake abruptly
• D. Maintain a high intake

Correct answer: A

Rationale: The correct way to manage a patient's intake of dietary fiber is to increase it gradually. This approach helps prevent gastrointestinal discomfort that can occur when fiber intake is suddenly increased. Choice B is incorrect because sudden increases in fiber intake can lead to bloating, gas, and other digestive issues. Choice C is incorrect as decreasing fiber intake abruptly can disrupt bowel regularity and cause constipation. Choice D is incorrect because maintaining a high intake of fiber without considering the patient's current levels can also cause digestive problems.

3. What is the most crucial and most difficult management skill required of the M6 practical nurse?

• A. Preparing time schedules and task assignment rosters
• B. Inspecting equipment for damage and proper function
• C. Preparing reports and maintaining records
• D. Effectively managing personnel

Correct answer: D

Rationale: The correct answer is D: Effectively managing personnel. In a healthcare setting, managing personnel is crucial as it involves leading, motivating, and coordinating the healthcare team to ensure quality patient care. While tasks like preparing schedules, inspecting equipment, and maintaining records are important, managing personnel involves dealing with human factors, conflicts, and emotions, making it the most challenging skill for a practical nurse.

4. Which of the following is the primary enlisted personnel performing nursing care duties at the various levels of health care?

• A. 68A30
• B. 68WM6
• C. Physician assistant
• D. 6.80E+21

Correct answer: B

Rationale: The correct answer is B: 68WM6. The 68WM6 (Practical Nurse) is the primary enlisted personnel performing nursing care duties. Choice A (68A30) does not correspond to a primary enlisted personnel role in nursing. Choice C (Physician assistant) is not an enlisted personnel role but rather a separate healthcare profession. Choice D (6.80E+21) is a numerical value and does not relate to enlisted personnel performing nursing care duties.

5. The system used at the division level and forward is comprised of 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, Dental squad. The Dental squad is composed of a dental officer, dental specialist, x-ray specialist, laboratory specialist, and necessary equipment. This module specifically focuses on dental care and services. Choices A, B, and C are incorrect as they do not include the specific specialists mentioned in the question or focus on dental services.

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