Nursing Elites

1. 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.

2. A 31-year-old client is seeking contraceptive information. Before responding to the client’s questions about contraceptives, the nurse obtains a health history. What factor in the client’s history indicates to the nurse that oral contraceptives are contraindicated?

• A. More than 30 years of age
• B. Had two multiple pregnancies
• C. Smokes 1 pack of cigarettes a day
• D. Has a history of borderline hypertension

Correct answer: C

Rationale: The correct answer is C. Smoking, especially in clients over 30, increases the risk of thromboembolic events, making oral contraceptives contraindicated. Choice A is incorrect as age alone is not a contraindication for oral contraceptives. Choice B is incorrect as having multiple pregnancies is not a contraindication for oral contraceptives. Choice D is incorrect as borderline hypertension is not a strict contraindication for oral contraceptives.

3. Which of the following is a specialized medical treatment and teaching facility that provides general and specialized medical and dental care and treatment?

• A. CONUS
• B. MEDCEN
• C. MEDCOM
• D. MEDDAC

Correct answer: B

Rationale: The correct answer is B, 'MEDCEN.' A MEDCEN (Medical Center) is a specialized medical treatment and teaching facility that offers general and specialized medical and dental care. Choice A, 'CONUS,' refers to the continental United States and is not related to medical facilities. Choice C, 'MEDCOM,' stands for Medical Command, which is an administrative entity responsible for overseeing medical units, not providing direct care. Choice D, 'MEDDAC,' refers to Medical Department Activity, which is a smaller medical unit compared to a MEDCEN and may not provide the same level of specialized care.

4. One potential side effect associated with the use of nonsteroidal anti-inflammatory drugs is:

• A. Stomach irritation and bleeding
• B. Stomatitis and esophagitis
• C. Impaired folate absorption
• D. Increased potassium excretion

Correct answer: A

Rationale: The correct answer is A: Stomach irritation and bleeding. Nonsteroidal anti-inflammatory drugs (NSAIDs) can lead to stomach irritation and bleeding by affecting the gastric mucosa. Stomatitis and esophagitis (choice B) are not commonly associated with NSAIDs. Impaired folate absorption (choice C) is not a typical side effect of NSAIDs. Increased potassium excretion (choice D) is not a common side effect of NSAIDs.

5. Neomycin may decrease absorption of which nutrient?

• A. Iron, copper, and zinc
• B. Protein and amino acids
• C. Fat-soluble vitamins
• D. Water-soluble vitamins

Correct answer: C

Rationale: The correct answer is C: Fat-soluble vitamins. Neomycin is known to interfere with the absorption of fat-soluble vitamins. This is because neomycin can disrupt the normal gut flora responsible for the absorption of these vitamins. Choices A, B, and D are incorrect because neomycin primarily affects the absorption of fat-soluble vitamins, not minerals, proteins, amino acids, or water-soluble vitamins.

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