Nursing Elites

1. Before Dianne performs the formal research study, what do you call the pre-testing, small-scale trial run to determine the effectiveness of data collection and methodological problems that might be encountered?

• A. Sampling
• B. Pre-testing
• C. Pre-Study
• D. Pilot Study

Correct answer: D

Rationale: The correct answer is 'Pilot Study.' A pilot study is a small-scale trial run conducted before the formal research study to identify and address any issues related to data collection and methodology. This helps in determining the effectiveness of the research process and identifying potential problems that may arise. Choice A, 'Sampling,' refers to the process of selecting a subset of individuals from a larger population for research. Choice B, 'Pre-testing,' simply involves testing something before the main testing phase. Choice C, 'Pre-Study,' is not a commonly used term in research methodology and does not specifically refer to the small-scale trial run described in the question.

2. The nurse is correct in performing suctioning when she applies the suction intermittently during:

• A. Insertion of the suction catheter
• B. Withdrawing of the suction catheter
• C. both insertion and withdrawing of the suction catheter
• D. When the suction catheter tip reaches the bifurcation of the trachea

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

3. The small intestine is comprised of the cecum, colon, and rectum. The large intestine includes the duodenum, jejunum, and ileum.

• 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: B

Rationale: Both statements are false. The small intestine consists of the duodenum, jejunum, and ileum, while the large intestine includes the cecum, colon, and rectum.

4. If it is determined that a child is being physically abused by a parent, what would be the most important goal for the nurse to establish with the family?

• A. The child and any siblings will reside in a secure environment
• B. The family will feel at ease in their relationship with the counselor
• C. The family will gain insight into their abusive behavior patterns
• D. The mother will learn to apply verbal discipline with her children

Correct answer: A

Rationale: The primary objective when dealing with cases of child abuse is to ensure the safety of the child and any siblings. This means creating a secure environment free from harm, which is why choice 'A' is the correct answer. While choices 'B', 'C', and 'D' might be subsequent steps in a comprehensive plan to deal with the situation, they are not the immediate priority. Understanding abusive behavioral patterns or improving the relationship with the counselor will not directly lead to the child's safety. Likewise, teaching the mother to apply verbal discipline doesn't guarantee the child's safety if the abusive behavior continues. Therefore, these options are not the most important initial goal.

5. The purpose of the health history is to identify health-related considerations and medications that may cause nutritional risk. Many medications, such as prednisone, have drug-nutrient interactions that can influence nutrient needs.

• 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. The health history aims to uncover health-related factors that could pose nutritional risks, including medications like prednisone that may have interactions affecting nutrient requirements. Choice B is incorrect as both statements are accurate, emphasizing the significance of health history in assessing nutritional concerns.

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