Nursing Elites

1. Medications that reduce stomach acidity can impair the absorption of _____.

• A. calcium
• B. iron
• C. vitamin D
• D. vitamin C

Correct answer: B

Rationale: Reduced stomach acidity impairs the absorption of iron, as an acidic environment is necessary for optimal iron absorption in the stomach. Choices A, C, and D are incorrect as medications that reduce stomach acidity typically do not significantly affect the absorption of calcium, vitamin D, or vitamin C.

2. Vitamin deficiencies, especially the B-complex vitamins, seldom occur in isolation. Folate, a B-complex vitamin, is the exception because it functions separately from other vitamins.

• 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: C

Rationale: The first statement is true; the second is false. If a deficiency of one vitamin is suspected, symptoms of other vitamin B deficiencies also may be present. Folate deficiencies usually occur with other nutrient deficiencies. Specifically, folate functions in conjunction with vitamins B12 and C in maintaining normal levels of mature red blood cells.

3. Theresa, a mother with a 2-year-old daughter, asks, 'At what age can I start taking my daughter's blood pressure as a routine procedure, since hypertension is common in our family?' What would your answer be?

• A. At 2 years old, you may
• B. As early as 1 year old
• C. When she's 3 years old
• D. When she's 6 years old

Correct answer: D

Rationale: Regular blood pressure checks generally start from age 3, but in the case of a family history of hypertension, they should start when the child is around 6 years old. This is because the readings will be more reliable and indicative of the child's health condition at this age. The other options are incorrect because they suggest earlier ages for routine blood pressure checks. While blood pressure can be measured at any age, it is not typically included as part of a routine health check-up for very young children unless there are specific health concerns.

4. After ileostomy, which of the following condition is NOT expected?

• A. Increased weight
• B. Irritation of skin around the stoma
• C. Liquid stool
• D. Establishment of regular bowel movement

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.

5. Which student lunch is the least nutritious?

• A. Ham sandwich, apple, and milk
• B. Hamburger, fries, and soft drink
• C. Macaroni and cheese, green beans, and peaches
• D. Meatloaf, broccoli, and pear slices

Correct answer: B

Rationale: The correct answer is B - 'Hamburger, fries, and soft drink' as it contains foods high in unhealthy fats, sugars, and low nutritional value. A hamburger, fries, and a soft drink are considered less nutritious compared to the other options. Choice A includes a ham sandwich, apple, and milk, which provide a balance of protein, fiber, and calcium. Choice C consists of macaroni and cheese, green beans, and peaches, offering a mix of carbohydrates, vegetables, and fruits. Choice D contains meatloaf, broccoli, and pear slices, which provide a good source of protein, vitamins, and fiber. Therefore, option B is the least nutritious among the given choices.

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