Nursing Elites

1. A nurse is caring for a client who is receiving parenteral nutrition. Which of the following findings indicates the therapy is effective?

• A. Client has soft, formed bowel movements.
• B. Client’s mucous membranes are pink.
• C. Client reports ability to complete ADLs.
• D. Client’s blood glucose level is within the expected reference range.

Correct answer: D

Rationale: Having a blood glucose level within the expected reference range indicates that parenteral nutrition is effectively meeting the client's nutritional needs.

2. A nurse is providing teaching to a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

• A. Albumin in my urine is an indication of normal kidney function.
• B. I will keep my HbA1c at five percent.
• C. I will have ketones in my urine if my blood glucose is maintained at 190 milligrams per deciliter.
• D. I will keep my blood glucose levels between 200 and 212 milligrams per deciliter.

Correct answer: B

Rationale: Maintaining an HbA1c level of 5 percent indicates good long-term blood glucose control and understanding of diabetes management.

3. A nurse is reviewing the laboratory findings of a client who has heart failure. Which of the following findings indicates that the client is experiencing fluid volume excess?

• A. BUN 8 mg/dL
• B. Hgb 15 g/dL
• C. Creatinine 0.8 mg/dL
• D. Sodium 140 mEq/L

Correct answer: A

Rationale: A BUN level of 8 mg/dL is indicative of fluid volume excess, which is common in clients with heart failure.

4. A nurse is teaching about implementing a heart-healthy diet to a client who has coronary artery disease. Which of the following foods should the nurse recommend to the client?

• A. Baked ham
• B. Processed cheese
• C. Broiled salmon
• D. Canned potato soup

Correct answer: C

Rationale: Broiled salmon is a heart-healthy food due to its high omega-3 fatty acid content, which helps reduce inflammation and improve cardiovascular health.

5. A nurse is planning care for a client who reports increasing difficulty swallowing food. Which of the following interventions should the nurse plan to take?

• A. Turn on the client’s television during meals.
• B. Place the client into a semi-reclining position for meals.
• C. Encourage the client to rest prior to mealtimes.
• D. Encourage the client to use a straw when drinking liquids.

Correct answer: C

Rationale: Encouraging the client to rest prior to mealtimes can help reduce fatigue and improve the ability to swallow.

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