Nursing Elites

1. A nurse is reviewing the lab findings of a client who has Clostridium Difficile. Which of the following findings should indicate to the nurse that the client is experiencing Fluid Volume Deficit?

• A. Hct 53%
• B. Potassium 3.5
• C. Sodium 145
• D. HbA1c 5

Correct answer: A

Rationale: An elevated hematocrit level (Hct 53%) indicates hemoconcentration, a sign of fluid volume deficit.

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 teaching a group of clients about stress. Which of the following should the nurse include in the teaching?

• A. Protein requirements decrease in times of stress.
• B. Acute stress causes an increase in metabolism.
• C. Stress causes a positive nitrogen balance in the body.
• D. Glucose is broken down more slowly during times of stress.

Correct answer: B

Rationale: Acute stress causes an increase in metabolism, which is an important factor in stress management.

4. A nurse is caring for an older adult client who reports difficulty chewing due to ill-fitting dentures. Which of the following foods should the nurse recommend for the client?

• A. Dried fruit
• B. Roast beef
• C. Tuna fish
• D. Apple slices

Correct answer: C

Rationale: Tuna fish is soft and easy to chew, making it suitable for clients with ill-fitting dentures.

5. A nurse is caring for a client who has a small-bore jejunostomy and is receiving a continuous tube feeding with a high-viscosity formula. Which of the following actions should the nurse take to prevent the tubing from clogging?

• A. Replace the bag and tubing every 24 hr
• B. Flush the tubing with 10 mL water every 6 hr
• C. Admin the feeding by gravity drip
• D. Heat the formula prior to infusion

Correct answer: B

Rationale: Flushing the tubing with 10 mL of water every 6 hours helps prevent clogging when using high-viscosity formulas.

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