Nursing Elites

1. With which type of cancer is asbestos exposure most strongly associated?

• A. Liver cancer
• B. Peritoneal cancer
• C. Skin cancer
• D. Esophageal cancer

Correct answer: B

Rationale: Asbestos exposure is most strongly associated with peritoneal cancer, a type of cancer that affects the lining of the abdomen. While asbestos can potentially contribute to other types of cancer, there is a significant body of research indicating a robust correlation between asbestos exposure and peritoneal cancer. Asbestos exposure can also lead to mesothelioma, a cancer that affects the lining of the chest. The other options - liver cancer, skin cancer, and esophageal cancer - are not typically associated with asbestos exposure.

2. Myxedema coma is a life-threatening complication of long-standing and untreated hypothyroidism with one of the following characteristics.

• A. Hyperglycemia
• B. Hypothermia
• C. Hyperthermia
• D. Hypoglycemia

Correct answer: A

Rationale: Myxedema coma is associated with hypothermia, not hyperthermia. Therefore, the correct characteristic of myxedema coma is hypothermia. This condition is a medical emergency that requires prompt recognition and intervention to prevent serious complications. The presence of hyperglycemia is not a defining characteristic of myxedema coma, making choice A the correct answer in this case. Hyperthermia and hypoglycemia are not typically seen in myxedema coma and are not consistent with the clinical presentation of this condition.

3. Systemic disease often manifests in the oral cavity first. Disease within the oral cavity can cause systemic complications.

• A. Both statements are true.
• B. Both statements are false.
• C. The first statement is true; the second is false.
• D. The first statement is false; the second is true.

Correct answer: A

Rationale: Both statements are true. Systemic diseases can often present with oral manifestations before other systemic signs appear. Additionally, oral diseases can have systemic implications by affecting a person's overall health, such as through inflammation or compromised nutrient intake. Choice B is incorrect because both statements are true, as supported by medical literature. Choice C is incorrect because the second statement is also true. Choice D is incorrect because the first statement is true.

4. A nurse that is always ready to answer for all his actions and decision is said to be:

• A. Accountable C. Critical thinker
• B. Responsible D. Assertive
• C.
• D.

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

5. James wants to know the recommended intake for iron for his gender and age. Which of the following would provide the best answer for James?

• A. EAR
• B. UL
• C. RDA
• D. DV

Correct answer: C

Rationale: The Recommended Dietary Allowance (RDA) is the correct answer for James because it provides the daily intake level that meets the nutrient needs of most healthy individuals in a specific age and gender group. Choice A, EAR (Estimated Average Requirement), represents the average daily nutrient intake level estimated to meet the requirement of half the healthy individuals in a particular life stage and gender group. Choice B, UL (Tolerable Upper Intake Level), is the maximum daily intake unlikely to cause adverse health effects. Choice D, DV (Daily Value), is a general guide used for food labeling that represents how much a nutrient in a serving of food contributes to a daily diet based on a 2000-calorie daily intake.

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