Nursing Elites

1. Dental hygienists are in a key position to assess and detect signs and symptoms of systemic disease because more than one third of the patients treated in a dental office frequently do not interact with a general health care provider.

• A. Both the statement and the reason are correct and related
• B. Both the statement and the reason are correct but are not related
• C. The statement is correct, but the reason is not correct
• D. The statement is not correct, but the reason is correct

Correct answer: A

Rationale: Dental hygienists often see patients more regularly than general healthcare providers, allowing them to identify systemic issues early.

2. Which vitamin is also known as Niacin?

• A. Vitamin B1
• B. Vitamin B2
• C. Vitamin B3
• D. Vitamin B12

Correct answer: C

Rationale: The correct answer is Vitamin B3, also known as Niacin. Niacin is essential for energy metabolism and can help improve cholesterol levels. Vitamin B1 is Thiamine, Vitamin B2 is Riboflavin, and Vitamin B12 is Cobalamin. These vitamins have different functions in the body and are not synonymous with Niacin.

3. Which physiologic role does vitamin C play in the body?

• A. Transcribing DNA to RNA
• B. Absorption and regulation of calcium
• C. Protects integrity of cellular membranes
• D. Catalyst for synthesis of blood-clotting factors

Correct answer: C

Rationale: Vitamin C plays a crucial role in protecting the integrity of cellular membranes. It is essential for collagen synthesis, which is important for wound healing and maintaining skin, blood vessels, and other tissues. Choice A is incorrect as the transcription of DNA to RNA is facilitated by vitamin A. Choice B is incorrect as calcium absorption and regulation are functions of vitamin D. Choice D is incorrect as vitamin K serves as a catalyst for the synthesis of blood-clotting factors, not vitamin C.

4. Which types of diabetes are characterized by the body's cells becoming resistant to insulin? (Select all that apply)

• A. Gestational diabetes
• B. Type II diabetes
• C. Type I diabetes
• D. Both A and B

Correct answer: D

Rationale: In both gestational diabetes and Type II diabetes, the body's cells become resistant to insulin, leading to elevated blood glucose levels. Insulin resistance in these types of diabetes prevents glucose from entering the cells, causing it to accumulate in the bloodstream. On the other hand, Type I diabetes is characterized by the body's inability to produce insulin because the immune system mistakenly attacks and destroys the insulin-producing cells in the pancreas. Therefore, the correct answer is both A and B. Choice C, Type I diabetes, is not characterized by insulin resistance but rather by the body's inability to produce insulin. Therefore, it is incorrect. Choice D, Both A and B, includes the correct options of gestational diabetes and Type II diabetes, making it the correct answer.

5. A client is on a 2,000-calorie American Diabetes Association (ADA) diet and substitutes whole milk with skim milk. Which of the following items can the client add to the oatmeal on his breakfast tray?

• A. One 1/8 teaspoon of salt
• B. One ounce of raisins
• C. One tablespoon of low-fat margarine
• D. One teaspoon of brown sugar

Correct answer: B

Rationale: The correct answer is one ounce of raisins. Raisins are a healthy option to add to oatmeal as they provide natural sweetness without added sugars. They are a good source of fiber and essential nutrients. Option A, one 1/8 teaspoon of salt, is not necessary for flavoring oatmeal. Option C, one tablespoon of low-fat margarine, may add unnecessary fat to the meal. Option D, one teaspoon of brown sugar, adds extra sugar, which should be limited in a diabetes-friendly diet.

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