Nursing Elites

1. An adolescent client has bloodshot eyes, a voracious appetite, and dry mouth. Which drug abuse would the nurse most likely suspect?

• A. Marijuana
• B. Amphetamines
• C. Barbiturates
• D. Anxiolytics

Correct answer: A

Rationale: The symptoms described, including bloodshot eyes, a voracious appetite, and dry mouth, are consistent with marijuana use. Bloodshot eyes are a common side effect of marijuana due to its effect on blood vessels in the eyes. Marijuana also often causes an increase in appetite (known as 'the munchies') and can result in dry mouth. Amphetamines typically cause symptoms like increased alertness, energy, and decreased appetite. Barbiturates and anxiolytics would not typically cause bloodshot eyes, a voracious appetite, and dry mouth as described in the scenario. Therefore, the most likely drug abuse the nurse would suspect in this case is marijuana.

2. Each is a portion of the alimentary canal, except one. Which is the exception?

• A. Oral cavity
• B. Pharynx
• C. Larynx
• D. Esophagus

Correct answer: C

Rationale: The correct answer is C, Larynx. The larynx is part of the respiratory system, responsible for voice production and breathing. The alimentary canal is involved in the digestive process and includes structures like the oral cavity (mouth), pharynx, and esophagus. Choices A, B, and D are parts of the alimentary canal, where digestion occurs, making them incorrect answers.

3. What does a QRS Complex represent in an ECG reading?

• A. Atrial depolarization
• B. Ventricular repolarization
• C. Ventricular depolarization
• D. End of ventricular depolarization

Correct answer: C

Rationale: The QRS Complex in an ECG reading represents ventricular depolarization, which is the process of the heart's ventricles preparing to contract by changing the electrical charge in the cell, hence choice 'C' is the correct answer. Choice 'A' is incorrect because atrial depolarization is represented by the P wave in an ECG reading, not the QRS Complex. Choice 'B' is incorrect as ventricular repolarization is depicted by the T wave, not the QRS Complex. Finally, choice 'D' is also incorrect because the QRS Complex is not the end of ventricular depolarization, but the process itself.

4. In the US, low iron intake is often associated with?

• A. low intake of fruits and vegetables
• B. pregnancy
• C. high sugar and fat intakes
• D. high protein intake

Correct answer: C

Rationale: Diets high in sugar and fat often lack essential nutrients like iron, leading to a risk of iron deficiency anemia, especially when iron-rich foods are not consumed adequately.

5. A nurse is instructing a group of clients about nutrition. The nurse should include that which of the following is a trigger for the formation of vitamin D in the body?

• A. Calcium
• B. Vitamin A depletion
• C. Exposure to sunlight
• D. Weight-bearing exercise

Correct answer: C

Rationale: Exposure to sunlight is the trigger for the formation of vitamin D in the body. When the skin is exposed to sunlight, it produces vitamin D. This process is essential for maintaining healthy levels of vitamin D in the body. Calcium (Choice A) is important for bone health but is not the trigger for vitamin D formation. Vitamin A depletion (Choice B) does not directly trigger the formation of vitamin D. Weight-bearing exercise (Choice D) is crucial for bone health but is not directly related to the formation of vitamin D.

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