Nursing Elites

1. A nurse is caring for a client who has stomatitis following radiation treatment. Which of the following is an appropriate intervention for the nurse to take?

• A. Serve foods without sauces or gravies
• B. Offer mouth rinses with normal saline & water
• C. Serve foods while still at a hot temperature
• D. Instruct the client to drink liquids without a straw

Correct answer: B

Rationale: Offering mouth rinses with normal saline and water can help soothe and clean the mouth of clients with stomatitis.

2. A nurse is preparing to teach a group of clients about vitamins and minerals. The nurse should include in the teaching that which of the following minerals is necessary for the transmission of nerve impulses?

• A. Phosphorus
• B. Calcium
• C. Chloride
• D. Zinc

Correct answer: B

Rationale: Corrected Rationale: Calcium is essential for nerve transmission, muscle contraction, and blood clotting. It is a crucial mineral that plays a vital role in the proper functioning of the nervous system. Phosphorus is important for bone health and energy production but is not directly involved in nerve impulse transmission. Chloride is an electrolyte that helps maintain fluid balance but is not primarily responsible for nerve impulse transmission. Zinc is essential for immune function, wound healing, and DNA synthesis but is not directly related to nerve impulse transmission.

3. A nurse is providing anticipatory guidance to a client who has Phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?

• A. Diet sodas should not be consumed more than two or three times per week.
• B. Serum bilirubin should be monitored one or two times per month during pregnancy
• C. Breastfeeding will prevent your baby from developing PKU.
• D. A low-protein diet should be followed for three months prior to conception.

Correct answer: D

Rationale: A low-protein diet helps manage PKU by reducing phenylalanine levels, which is crucial for maternal and fetal health.

4. A nurse is discussing denture care with the partner of a client who is unable to perform oral hygiene. Which of the following should be included in the discussion?

• A. Floss dentures as part of daily cleaning.
• B. Wipe dentures before storing them in a dry container at night.
• C. Wrap gloved fingers with gauze to remove dentures.
• D. Use a washcloth to clean the denture surfaces.

Correct answer: C

Rationale: Wrapping gloved fingers with gauze provides a safe and effective method for removing dentures, preventing damage.

5. A nurse is assessing a client who has a stage III pressure ulcer that is healing poorly. The nurse should identify that which of the following vitamin deficiencies increases the client’s risk for delayed wound healing?

• A. Vitamin C
• B. Vitamin D
• C. Vitamin E
• D. Vitamin B6

Correct answer: A

Rationale: Vitamin C deficiency can impair collagen synthesis and delay wound healing, making it important for recovery from pressure ulcers.

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