Nursing Elites

1. Because of increasing cases of fluorosis, low levels of fluoride are added to commercial infant formula. Breast milk provides low levels of fluoride.

• 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: D

Rationale: The first statement is false; fluoride is not added to infant formulas due to the risk of fluorosis. The second statement is true; breast milk contains low levels of fluoride.

2. What is a major constituent of cell membranes?

• A. cholesterol
• B. phospholipid
• C. saturated
• D. triglyceride

Correct answer: B

Rationale: Phospholipids are a major component of cell membranes, providing structural integrity and facilitating cell signaling. Cholesterol (choice A) is also present in cell membranes but in smaller amounts and plays a different role. Saturated (choice C) and triglyceride (choice D) are not major constituents of cell membranes.

3. A client who follows the dietary laws of Orthodox Judaism is being cared for by a nurse. Which of the following meal choices should the nurse request for the client?

• A. Turkey and cheese sandwich
• B. Spaghetti with tomato sauce
• C. Pork chop and applesauce
• D. Scrambled eggs and bacon

Correct answer: B

Rationale: The correct meal choice for a client following the dietary laws of Orthodox Judaism is 'Spaghetti with tomato sauce.' Orthodox Judaism prohibits mixing meat and dairy and consuming pork. The other choices - 'Turkey and cheese sandwich' (mixing meat and dairy), 'Pork chop and applesauce' (contains pork), and 'Scrambled eggs and bacon' (mixing meat and dairy) - do not adhere to the kosher dietary laws.

4. A client with celiac disease should avoid which of the following?

• A. Quinoa
• B. Barley
• C. Rice
• D. Oats

Correct answer: B

Rationale: The correct answer is B: Barley. Barley contains gluten, which is harmful to individuals with celiac disease. Gluten triggers an immune response in people with celiac disease, damaging the lining of the small intestine. Choices A, C, and D (Quinoa, Rice, and Oats) are gluten-free and safe for individuals with celiac disease to consume.

5. If a person could not make bile, what would happen?

• A. experience fatigue, as the body would not be able to make lipid carriers to deliver fat to body cells for energy
• B. have less cholesterol being made by the liver
• C. need to consume higher levels of fat
• D. be unable to absorb most lipids, and fat would be excreted in the feces

Correct answer: D

Rationale: The correct answer is D. Bile is essential for emulsifying fats in the small intestine, allowing them to be absorbed. Without bile, most fats would not be absorbed and would be excreted in the feces. Choices A, B, and C are incorrect because the primary role of bile is in the digestion and absorption of fats, rather than affecting lipid carriers, cholesterol production, or dietary fat consumption.

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