Nursing Elites

1. 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.

2. A nurse is teaching a client who has chronic kidney disease about dietary needs. Which of the following foods should the nurse identify as being the lowest in phosphorus?

• A. Medium apple
• B. Bran cereal
• C. Scrambled eggs
• D. Ground turkey

Correct answer: A

Rationale: Apples are low in phosphorus, making them a suitable option for clients with chronic kidney disease.

3. A nurse is teaching an in-service about manifestations of hypoglycemia to a group of newly licensed nurses. Which of the following should the nurse include in the teaching?

• A. Blurred vision
• B. Vomiting
• C. Kussmaul respirations
• D. Bradycardia

Correct answer: A

Rationale: Blurred vision is a common symptom of hypoglycemia and should be included in the teaching.

4. A nurse is teaching a group of clients who are at risk for heart disease about decreasing saturated fats in their diet. Which of the following fats should the nurse recommend the clients use when cooking?

• A. Palm oil
• B. Peanut oil
• C. Canola oil
• D. Stick margarine

Correct answer: C

Rationale: Canola oil is lower in saturated fats and is a healthier option for clients at risk for heart disease.

5. A nurse has just inserted an NG tube for a client who is to start enteral tube feedings. Which of the following actions should the nurse take to verify tube placement?

• A. Measure the tube length.
• B. Obtain an abdominal x-ray.
• C. Flush the tube with 20 mL of water.
• D. Auscultate the client’s lungs.

Correct answer: B

Rationale: Obtaining an abdominal x-ray is the most accurate method to verify the correct placement of an NG tube.

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