Nursing Elites

1. A nurse is teaching a newly licensed nurse about ergonomic principles. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?

• A. Stands with feet together when lifting a client up in bed.
• B. Raises the client's head of bed before pulling the client up.
• C. Uses a mechanical lift to move a client from bed to chair.
• D. Places a gait belt around the client's upper chest before assisting the client to stand.

Correct answer: C

Rationale: The correct answer is C because using a mechanical lift is an ergonomic practice that ensures safe body mechanics and prevents injuries. Choice A is incorrect as standing with feet together when lifting a client does not promote proper body mechanics. Choice B is incorrect as raising the client's head of bed before pulling the client up is not directly related to ergonomic principles. Choice D is incorrect as placing a gait belt around the client's upper chest is a safety measure for assisting with standing but does not address ergonomic principles.

2. A nurse is caring for a client who has Raynaud's disease. Which action should the nurse take?

• A. Provide information about stress management.
• B. Maintain a warm temperature in the client's room.
• C. Administer epinephrine for acute episodes.
• D. Give glucocorticoid steroids twice a day.

Correct answer: A

Rationale: The correct action for the nurse to take when caring for a client with Raynaud's disease is to provide information about stress management. Raynaud's disease is a condition where the blood vessels narrow in response to cold or stress, leading to reduced blood flow to certain areas of the body, usually the fingers and toes. Stress management helps reduce triggers for Raynaud's disease by minimizing emotional stress, which can trigger vasospasms. Choice B is incorrect as maintaining a warm temperature, rather than a cool one, is recommended for individuals with Raynaud's disease to prevent triggering vasospasms. Choice C is incorrect because epinephrine is not typically used to manage Raynaud's disease, as it can further constrict blood vessels. Choice D is incorrect as glucocorticoid steroids are not a first-line treatment for Raynaud's disease.

3. How should a healthcare professional manage a patient with hypertension who is non-compliant with medication?

• A. Provide education on the importance of medication
• B. Refer the patient to a specialist
• C. Discontinue the medication
• D. Explore alternative treatment options

Correct answer: A

Rationale: Providing education on the importance of medication is crucial in managing hypertension in patients who are non-compliant. By educating the patient about the significance of taking medication as prescribed, the healthcare professional can help improve the patient's understanding and motivation to adhere to the treatment plan. Referring the patient to a specialist (Choice B) may be necessary in some cases but addressing non-compliance should start with education. Discontinuing the medication (Choice C) without addressing the root cause of non-compliance can worsen the patient's condition. Exploring alternative treatment options (Choice D) should come after ensuring the patient understands the importance of the current treatment regimen.

4. A nurse is caring for a client who has acute pancreatitis. Which of the following laboratory results should the nurse expect to be elevated?

• A. Serum creatinine.
• B. Amylase.
• C. Hemoglobin.
• D. Blood glucose.

Correct answer: B

Rationale: The correct answer is B: Amylase. Amylase is typically elevated in clients with acute pancreatitis due to inflammation of the pancreas. Elevated serum creatinine levels are more indicative of kidney dysfunction rather than pancreatitis. Hemoglobin levels are not directly related to pancreatitis. While blood glucose levels can be affected by pancreatitis, they are not typically the primary laboratory result expected to be elevated in this condition.

5. A healthcare professional is preparing to administer an intermittent enteral feeding to a client who has an NG tube. Which of the following actions should the healthcare professional take first?

• A. Check the residual volume.
• B. Flush the tube with 0.9% sodium chloride.
• C. Elevate the head of the bed to 45 degrees.
• D. Warm the formula to body temperature.

Correct answer: C

Rationale: Elevating the head of the bed to 45 degrees is the priority action before administering an enteral feeding through an NG tube. This position helps prevent aspiration by promoting proper flow and digestion of the feeding. Checking the residual volume, flushing the tube, and warming the formula are important steps but come after ensuring the client is in the correct position to minimize the risk of complications.

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