Nursing Elites

1. A patient is being discharged with a vitamin K deficiency. What food should the nurse recommend to the patient to include in their diet?

• A. Oranges
• B. Spinach
• C. Fish
• D. Nuts

Correct answer: B

Rationale: Spinach is an excellent source of vitamin K, which plays a vital role in blood clotting and bone health. Oranges, fish, and nuts do not contain significant amounts of vitamin K, making them less suitable choices to address a vitamin K deficiency. Therefore, the correct recommendation for a patient with a vitamin K deficiency would be to include spinach in their diet to help replenish this essential vitamin.

2. Churns chyme and has an environment of pH2; holds 4-6 cups of food:

• A. stomach
• B. pancreas
• C. large intestine
• D. small intestine

Correct answer: A

Rationale: The stomach churns food into chyme and has a highly acidic environment (pH 2) to aid in the digestion of proteins and other nutrients.

3. Among people who are ill, significant weight loss may be masked by?

• A. dehydration
• B. a large tumor
• C. drug therapy
• D. fluid retention

Correct answer: D

Rationale: Fluid retention can mask weight loss in ill individuals as the retained fluid adds to body weight, making it difficult to detect true fat or muscle loss. Dehydration (Choice A) would actually lead to weight loss rather than masking it. While a large tumor (Choice B) could contribute to weight loss, it would not mask the weight loss itself. Drug therapy (Choice C) may cause side effects, including weight changes, but it is unlikely to mask significant weight loss in the same way that fluid retention does.

4. Which consumption pattern of fermentable carbohydrate is considered most cariogenic?

• A. A single exposure to a large quantity
• B. A single exposure to a small quantity
• C. Multiple exposures of small quantities
• D. Multiple exposures followed by chewing sugarless gum

Correct answer: C

Rationale: Multiple exposures of small quantities are considered most cariogenic. The total amount of dietary fermentable carbohydrate seems to matter less than the form and frequency in which it is consumed. Having multiple exposures of even small quantities of fermentable carbohydrate throughout the day promotes a highly cariogenic environment in the mouth. Choices A and B, involving single exposures, are less cariogenic as they do not sustain the fermentation process over time. Choice D suggests a beneficial practice by chewing sugarless gum after exposures, which can reduce the risk, making it less cariogenic compared to multiple exposures of small quantities.

5. Sickle cell disease is an example of an inherited mistake in the amino acid sequence.

• A. TRUE
• B. FALSE
• C.
• D.

Correct answer: A

Rationale: The statement is TRUE. Sickle cell disease is caused by a genetic mutation in the hemoglobin gene, leading to an abnormal amino acid sequence. This results in the production of abnormal hemoglobin molecules, causing red blood cells to become sickle-shaped. This inherited condition is a classic example of a genetic error affecting the amino acid sequence, making choice A the correct answer. Choices B, C, and D are incorrect as they do not accurately reflect the nature of sickle cell disease.

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