Nursing Elites

1. he can be expected to:

• A. Profit from vocational training with moderate supervision
• B. Live successfully in the community
• C. Perform simple tasks in closely supervised settings
• D. Acquire academic skills of 6th grade level

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.

2. A client is being educated by a nurse on snacks suitable for a low-fat, low-sodium, and low-cholesterol diet. Which of the following food choices by the client indicates the need for further teaching?

• A. A slice of cheese
• B. A jam sandwich
• C. A cup of plain popcorn
• D. A small container of applesauce

Correct answer: A

Rationale: The correct answer is A: A slice of cheese. Cheese is high in fat, sodium, and cholesterol, making it unsuitable for a low-fat, low-sodium, and low-cholesterol diet. Choices B, C, and D are more appropriate for such a diet. B: A jam sandwich can be low in fat, sodium, and cholesterol if made with whole grain bread and a low-sugar jam. C: A cup of plain popcorn is a good choice as it is low in fat and can be made without added salt. D: A small container of applesauce is also a suitable option for a low-fat, low-sodium, and low-cholesterol diet.

3. Select all that apply. Which nutrients are needed by the body to make hemoglobin?

• A. Iron
• B. Vitamin B12
• C. Niacin
• D. Folate

Correct answer: A

Rationale: The correct answer is A: Iron. Iron is an essential nutrient needed by the body to make hemoglobin, the protein in red blood cells that carries oxygen. While other nutrients like vitamin B12, niacin, and folate are important for various bodily functions, they are not directly involved in the production of hemoglobin. Vitamin B12 is essential for nerve function and DNA synthesis, niacin is important for metabolism, and folate is crucial for cell division and DNA synthesis. Therefore, only iron is specifically required for hemoglobin production.

4. Which of the following statements are true about iron?

• A. The iron needs of vegans are 20% higher, and the needs of endurance athletes are 10% lower.
• B. It is one of the most common nutrient deficiencies in the world.
• C. Its absorption is increased by Vitamin C and during pregnancy.
• D. Its absorption is increased by tannic acid and calcium in milk.

Correct answer: C

Rationale: Choice C is correct because iron absorption is indeed increased by Vitamin C and during pregnancy. The other choices are incorrect. Choice A is wrong as there are no universally accepted percentages for the iron needs of vegans and endurance athletes. Choice B is inaccurate as iron deficiency is actually one of the most common nutritional deficiencies worldwide. Choice D is incorrect because tannic acid and calcium in milk actually inhibit iron absorption rather than increasing it.

5. The healthcare professional in the dialysis unit understands that patients may experience various complications during hemodialysis. What describes a common complication during hemodialysis?

• A. confusion
• B. profuse sweating
• C. hypertension
• D. leg cramps

Correct answer: D

Rationale: Leg cramps are a common complication during hemodialysis due to shifts in fluid and electrolyte levels that occur during the treatment. Confusion (choice A) is not a common complication specifically related to hemodialysis. Profuse sweating (choice B) is not typically associated with hemodialysis complications. Hypertension (choice C) might be a pre-existing condition in some patients but is not a direct common complication of hemodialysis.

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