Nursing Elites

1. In responding to the care concerns of children with severe disease, referral to the hospital is of the essence especially if the child manifests which of the following?

• A. Wheezing
• B. Stop feeding well
• C. Fast breathing
• D. Difficulty to awaken

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.

2. One of the most common factors that compromise the vitamin D status of older adults, particularly those living in assisted living communities is _____.

• A. decreased intake of fruits and vegetables
• B. lack of physical activity
• C. malabsorption due to atrophic gastritis
• D. lack of exposure to sunlight

Correct answer: D

Rationale: The correct answer is 'D: lack of exposure to sunlight.' Older adults, especially those in assisted living communities, are at risk of vitamin D deficiency due to spending most of their time indoors, which reduces their exposure to sunlight. Sunlight is essential for the body to produce vitamin D. Choices A, B, and C are less likely to be major factors in compromising vitamin D status. While a decreased intake of fruits and vegetables and lack of physical activity can impact overall health, they are not as directly related to vitamin D status. Malabsorption due to atrophic gastritis may affect the absorption of certain nutrients, but vitamin D synthesis primarily depends on sunlight exposure.

3. Generally, patients who wear dentures have reduced masticatory efficiency. Mandibular implant-supported dentures can have positive effects on the clinical aspects of mastication and swallowing.

• 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. Patients who wear dentures typically experience reduced masticatory efficiency. Mandibular implant-supported dentures are known to have positive effects on the clinical aspects of mastication and swallowing, significantly improving chewing function. Option A is correct because both statements align with these facts. Option B is incorrect as both statements are true. Option C is incorrect as the second statement is also true. Option D is incorrect as the first statement is true.

4. Who among the following can work as a practicing nurse in the Philippines without taking the Licensure examination?

• A. Internationally well known experts which services are for a fee
• B. Those that are hired by local hospitals in the country
• C. Expert nurse clinicians hired by prestigious hospitals
• D. Those involved in medical mission who’s services are for free

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.

5. The counting of sponges is done by the Surgeon together with the:

• A. Circulating nurse
• B. Scrub nurse
• C. Assistant surgeon
• D. Nurse supervisor

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

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