Nursing Elites

1. According to the DASH Eating Plan, Carmen's daily sodium intake should not exceed how many milligrams to ensure the plan's effectiveness?

• A. 1000 milligrams
• B. 2500 milligrams
• C. 3000 milligrams
• D. 1500 milligrams

Correct answer: D

Rationale: The DASH Eating Plan is designed to lower blood pressure and is most effective when daily sodium intake is limited to 1500 milligrams or less. Therefore, choice D is the correct answer. Choices A (1000 milligrams), B (2500 milligrams), and C (3000 milligrams) are incorrect because they either fall below or exceed the recommended daily sodium intake for the DASH Eating Plan.

2. The breakdown in teamwork is often times a failure in:

• A. Electricity
• B. Inadequate supply
• C. Leg work
• D. Communication

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.

3. After a few hours in the Emergency Room, Mr. Dizon is admitted to the ward with an order of hourly monitoring of blood pressure. The nurse finds that the cuff is too narrow and this will cause the blood pressure reading to be:

• A. inconsistent
• B. low systolic and high diastolic
• C. higher than what the reading should be
• D. lower than what the reading should be

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.

4. A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube. Which of the following actions should the nurse take?

• A. Measure the client’s gastric residual every 12 hours.
• B. Obtain the client’s electrolyte levels every 4 hours.
• C. Keep the client’s head elevated at 15° during feedings.
• D. Flush the client’s tube with 30 mL of water every 4 hours.

Correct answer: D

Rationale: Flushing the client’s tube with 30 mL of water every 4 hours is essential to maintain tube patency and prevent blockages. This action helps ensure the continuous flow of enteral feedings without obstruction. Measuring the client’s gastric residual every 12 hours (Choice A) is important but not the priority when initiating enteral feedings. Obtaining the client’s electrolyte levels every 4 hours (Choice B) is unnecessary and not directly related to tube feeding initiation. Keeping the client’s head elevated at 15° during feedings (Choice C) is a good practice to prevent aspiration, but tube flushing is more crucial to prevent tube occlusion.

5. Which of the following is a normal finding during assessment of a Chest tube in a 3 way bottle system?

• A. There is a continuous bubbling in the drainage bottle
• B. There is an intermittent bubbling in the suction control bottle
• C. The water fluctuates during inhalation of the patient
• D. There is 3 cm of water left in the water seal bottle

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.

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