Nursing Elites

1. Mrs. Pichay who is for thoracentesis is assigned by the nurse to any of the following positions, EXCEPT:

• A. straddling a chair with arms and head resting on the back of the chair
• B. lying on the unaffected side with the bed elevated 30-40 degrees
• C. lying prone with the head of the bed lowered 15-30 degrees
• D. sitting on the edge of the bed with her feet supported and arms and head on a padded overhead table

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.

2. 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.

3. A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, 'I don't understand why my child is so upset. I've never seen my child act this way around others before.' Which of the following statements should the nurse make?

• A. This is a normal, expected reaction for a child of this age.
• B. This is a response to an overstimulating environment.
• C. This is a common reaction to an overexposure to caregivers.
• D. This is a typical reaction for a child who is sick.

Correct answer: A

Rationale: The correct answer is 'This is a normal, expected reaction for a child of this age.' Separation anxiety typically peaks around 8-10 months of age, leading to distress when separated from caregivers. Choice B is incorrect because the infant's behavior is more likely due to separation anxiety rather than overstimulation. Choice C is incorrect as the infant's behavior is not related to overexposure to caregivers but rather a natural developmental stage. Choice D is incorrect as the infant's behavior is not indicative of illness but rather a normal emotional response.

4. What are the contraindications for using MI Paste?

• A. Children under six
• B. Individuals with a milk casein allergy
• C. Pregnant women
• D. Both A and B

Correct answer: D

Rationale: MI Paste is contraindicated in children under six and in individuals with a milk casein allergy. The reason is that MI Paste contains casein phosphopeptide, which is derived from milk. Therefore, it may cause allergic reactions in those who are sensitive to milk proteins. Pregnant women (Choice C) are not contraindicated for using MI Paste unless they have a known allergy to milk casein. Hence, the correct answer is 'D: Both A and B'.

5. Your alertness to both the physical and emotional needs of clients is based on which of the following philosophical frameworks?

• A. There is a basic similarity among human beings.
• B. All behavior has meaning for communicating a message or need.
• C. Human beings are systems of interdependent and interrelated parts.
• D. Each individual has the potential for growth and change in the direction of positive mental health.

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.

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