Nursing Elites

1. Which of the following nutrients deficiency may lead to a diabetes-like condition?

• A. chromium
• B. iron
• C. molybdenum
• D. selenium

Correct answer: A

Rationale: Chromium is essential for proper glucose metabolism. A deficiency in chromium can result in insulin resistance, which shares similarities with diabetes. Iron, molybdenum, and selenium deficiencies do not directly lead to a diabetes-like condition. Iron deficiency causes anemia, molybdenum deficiency is rare and can lead to specific metabolic issues, and selenium deficiency may result in thyroid problems but not a diabetes-like condition.

2. Through the client’s health history, you gather that Mr. Dizon smokes and drinks coffee. When taking the blood pressure of a client who recently smoked or drank coffee, how long should the nurse wait before taking the client’s blood pressure for accurate reading?

• A. 15 minutes
• B. 30 minutes
• C. 1 hour
• D. 5 minutes

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. What is the end product of lipid digestion?

• A. fatty acid
• B. sucrose
• C. monosaccharide
• D. amino acid

Correct answer: A

Rationale: The correct answer is A, fatty acid. During the process of lipid digestion, triglycerides are broken down into fatty acids and glycerol. These end products are then absorbed into the bloodstream or lymphatic system for further processing. Choices B, C, and D are incorrect because sucrose is a disaccharide, monosaccharide is a simple sugar unit, and amino acid is a building block of proteins, not the end product of lipid digestion.

4. Each statement is true of proteins, except one. Which is the exception?

• A. Proteins are composed of building blocks called amino acids
• B. The classification of the 20 common amino acids is based on the properties of their side chains
• C. The general structure of an amino acid varies considerably
• D. Amino acids polymerize to form long chains called polypeptides

Correct answer: B

Rationale: The correct answer is B. The classification of the 20 common amino acids is not based on the properties of their side chains, but rather on the structure of their amino and carboxyl groups. These groups are consistent among all amino acids, while the side chains, also known as R groups, are what vary and give each amino acid its unique properties. Choice A is correct because proteins are indeed composed of amino acids. Choice C is incorrect because while the side chains of amino acids can vary, the general structure of an amino acid - a central carbon atom bonded to an amino group, a carboxyl group, a hydrogen atom, and a side chain - is consistent. Choice D is correct because amino acids do polymerize to form long chains called polypeptides, which can then fold into complex shapes to form proteins.

5. Which team member works with the client to evaluate the need for special feeding devices and then teaches the client how to use the device?

• A. dietitian
• B. speech-language pathologist
• C. dietetic technician
• D. occupational therapist

Correct answer: D

Rationale: An occupational therapist is the team member who works with the client to evaluate the need for special feeding devices and teaches the client how to use them. Occupational therapists specialize in helping individuals with physical or cognitive impairments to perform daily activities. In this scenario, the need for special feeding devices may be due to impaired motor function or disability, making the occupational therapist the correct choice. The other options, dietitian, speech-language pathologist, and dietetic technician, do not typically specialize in evaluating the need for feeding devices or teaching clients how to use them.

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