Nursing Elites

1. Before administration of blood and blood products, the nurse should first:

• A. Check with another R.N the client’s name, Identification number, ABO and RH type.
• B. Explain the procedure to the client
• C. Assess baseline vital signs of the client
• D. Check for the BT order

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

2. A client who 1) _____ diet requires 2) ___ amounts of vitamin C.

• A. A) Follows a vegan diet, B) More
• B. B) Smokes cigarettes, B) More
• C. A) Follows a vegan diet, C) The same
• D. B) Smokes cigarettes, C) The same

Correct answer: B

Rationale: The correct answer is B) Smokes cigarettes, More. Smoking increases the need for vitamin C as it can deplete the body's vitamin C levels. Vegan diets, on the other hand, require more vitamin C for optimal absorption due to the absence of heme iron, which enhances non-heme iron absorption. Choices A and C are incorrect because vegan diets require more vitamin C, while smoking increases the need for vitamin C.

3. 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.

4. Which chemical structure is represented by glycerol combined with two fatty acids?

• A. Compound lipids
• B. Monoglycerides
• C. Diglycerides
• D. Structural lipids

Correct answer: C

Rationale: The correct answer is C: Diglycerides. A diglyceride is a glycerol molecule combined with two fatty acids. This is a common form of fat during digestion and absorption. Choice A, Compound lipids, is incorrect because these lipids are composed of simple lipids plus additional compounds, which is not the case with a glycerol molecule combined with two fatty acids. Choice B, Monoglycerides, is incorrect because these are glycerol molecules combined with only one fatty acid, not two. Lastly, choice D, Structural lipids, is incorrect because these are major components of cell membranes and do not directly relate to the combination of glycerol and two fatty acids.

5. Which food is recommended for someone with lactose intolerance?

• A. Skim milk
• B. Cheese
• C. Lactose-free yogurt
• D. Whole milk

Correct answer: C

Rationale: Lactose-free yogurt is suitable for individuals with lactose intolerance as it has reduced lactose content.

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