Nursing Elites

1. A nurse at a health fair is assessing the weight status of four clients. Which of the following clients is classified as overweight?

• A. A female client who has a body mass index of 24
• B. A male client who has a body mass index of 29
• C. A female client who has a waist circumference of 101.6 cm (40 in)
• D. A male client who has a waist circumference of 96.52 cm (38 in)

Correct answer: B

Rationale: A body mass index (BMI) of 25 or higher is classified as overweight. Choice B, a male client with a BMI of 29, falls into the overweight category. Choice A, a female client with a BMI of 24, is within the normal range. Choices C and D provide information on waist circumference, which is not sufficient to determine if a client is overweight or not, as waist circumference alone does not provide the overall picture of weight status compared to BMI.

2. A condition that often progresses to become type 2 diabetes mellitus is:

• A. type 1 diabetes mellitus
• B. high blood pressure
• C. chronic pancreatitis
• D. impaired glucose tolerance

Correct answer: D

Rationale: Impaired glucose tolerance is a pre-diabetic state characterized by higher than normal blood sugar levels. It is often associated with insulin resistance and can progress to type 2 diabetes mellitus. Type 1 diabetes mellitus (Choice A) is an autoimmune condition where the body attacks insulin-producing cells, leading to a lack of insulin production. High blood pressure (Choice B) and chronic pancreatitis (Choice C) are not directly linked to the progression to type 2 diabetes mellitus.

3. A client is being taught about foods to include in a low-fiber diet. Which statement indicates the client understands the teaching?

• A. "A fresh pear would be a good snack option."?
• B. "I can prepare refried beans for supper."?
• C. "Bran cereal would be a good breakfast choice."?
• D. "I should choose white rice as a side dish."?

Correct answer: D

Rationale: The correct answer is "I should choose white rice as a side dish." In a low-fiber diet, foods that are low in fiber are recommended to reduce gastrointestinal irritation. White rice is a low-fiber option suitable for this diet. Choices A, B, and C are high-fiber options and not suitable for a low-fiber diet. A fresh pear, refried beans, and bran cereal are all high in fiber, which should be avoided in a low-fiber diet.

4. Match the energy-yielding nutrient to the amount of energy it provides to the body: Carbs, Fats, Proteins.

• A. Carbs - 4kcal/g
• B. Fats - 9kcal/g
• C. Proteins - 4kcal/g
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, All of the above. Carbohydrates and proteins provide 4 kcal per gram, while fats provide 9 kcal per gram. Therefore, all three energy-yielding nutrients provide different amounts of energy to the body. Choice A, B, and C are incorrect because each of them individually provides a specific amount of energy per gram, but when considering all nutrients together, they collectively cover the spectrum of energy provision to the body.

5. Which of the following nursing interventions is appropriate after a total thyroidectomy?

• A. Place pillows under your patient’s shoulders.
• B. Raise the knee-gatch to 30 degrees
• C. Keep you patient in a high-fowler’s position.
• D. Support the patient’s head and neck with pillows and sandbags.

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

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