Nursing Elites

1. What does oliguria lead to in patients with acute kidney injury?

• A. Hypophosphatemia and overgrowth of bone tissue
• B. An increase in blood potassium levels due to excessive excretion of parathyroid hormone
• C. Sodium retention and elevated levels of potassium
• D. Edema due to increased urine production

Correct answer: C

Rationale: In patients with acute kidney injury, oliguria (reduced urine output) often results in sodium retention and hyperkalemia (elevated levels of potassium). This is due to the kidneys' decreased capacity to excrete these substances. Choice A is incorrect because hypophosphatemia and overgrowth of bone tissue are not direct consequences of oliguria in acute kidney injury. Choice B is incorrect because an increase in blood potassium levels is not caused by excessive excretion of parathyroid hormone but rather by decreased excretion of potassium. Choice D is incorrect because edema is not caused by increased urine production but rather by fluid overload due to decreased urine output.

2. The OR team performs distinct roles for one surgical procedure to be accomplished within a prescribed time frame and deliver a standard patient outcome. While the surgeon performs the surgical procedure, who monitors the status of the client like urine output, blood loss?

• A. Scrub Nurse
• B. Surgeon
• C. Anaesthesiologist
• D. Circulating Nurse

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. The component that should receive the highest priority before physical examination is the:

• A. Psychological preparation of the client
• B. Physical Preparation of the client
• C. Preparation of the Environment
• D. Preparation of the Equipments

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. When is infertility said to exist?

• A. When a woman has no uterus
• B. When a woman has no children
• C. When a couple has been trying to conceive for 1 year without success
• D. When a couple has desired a child for 6 months

Correct answer: C

Rationale: Infertility is defined as not being able to get pregnant despite having frequent, unprotected sex for at least a year for most couples. Therefore, the correct answer is C. A, B, and D are incorrect. While having no uterus (choice A) may result in infertility, it is not the sole determining factor. Similarly, not having children (choice B) does not automatically indicate infertility. Lastly, the time frame of 6 months (choice D) is not sufficient to determine infertility; typically, a year of trying without success is required for such a diagnosis.

5. Nurse Joel and Ana are helping a 16-year-old Nursing Student in a case filed against the student for frustrated homicide. Nurse Joel and Ana are aware of the different circumstances of crimes. They are correct in identifying which of the following circumstances will be best applied in this case?

• A. Justifying
• B. Aggravating
• C. Mitigating
• D. Exempting

Correct answer: A

Rationale: In cases of frustrated homicide, the circumstance of 'justifying' is the most applicable. Justifying circumstances are those that exempt the individual from criminal liability because the act is considered morally right or justified under the circumstances. Aggravating circumstances would worsen the offense, mitigating circumstances would lessen the penalty, and exempting circumstances would completely excuse the individual from liability, none of which are suitable in a case of frustrated homicide.

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