Nursing Elites

1. A client says to the nurse “I am worthless person, I should be dead” The nurse best replies:

• A. “Don’t say you are worthless, you are not a worthless person”
• B. “We are going to help you with your feelings”
• C. “What makes you feel you’re worthless?”
• D. “What you say is not true”

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

2. This vaccine content is derived from RNA recombinants.

• A. Measles C. Hepatitis B vaccines
• B. Tetanus toxoids D. DPT
• C.
• D.

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

3. Metabolic control is especially important for women with gestational diabetes to ensure the infant does not develop:

• A. microsomia
• B. macrosomia
• C. type 1 diabetes
• D. type 2 diabetes

Correct answer: B

Rationale: Metabolic control is crucial for women with gestational diabetes to prevent the development of macrosomia, which is characterized by an abnormally large baby. This condition poses risks such as birth injuries and necessitates careful management of blood sugar levels. Microsomia is not a known term related to this context. Type 1 and type 2 diabetes are not conditions the infant would develop as a result of gestational diabetes in the mother.

4. Theresa, a mother with a 2-year-old daughter, asks, 'At what age can I start taking my daughter's blood pressure as a routine procedure, since hypertension is common in our family?' What would your answer be?

• A. At 2 years old, you may
• B. As early as 1 year old
• C. When she's 3 years old
• D. When she's 6 years old

Correct answer: D

Rationale: Regular blood pressure checks generally start from age 3, but in the case of a family history of hypertension, they should start when the child is around 6 years old. This is because the readings will be more reliable and indicative of the child's health condition at this age. The other options are incorrect because they suggest earlier ages for routine blood pressure checks. While blood pressure can be measured at any age, it is not typically included as part of a routine health check-up for very young children unless there are specific health concerns.

5. A client was rushed in the E.R showing a whitish, leathery and painless burned area on his skin. The nurse is correct in classifying this burn as:

• A. First degree burn C. Third degree burn
• B. Second degree burn D. Partial thickness burn
• C.
• D.

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

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