Nursing Elites

1. After bronchoscopy, the nurse's priority is to check which of the following before feeding?

• A. Gag reflex
• B. Wearing off of anesthesia
• C. Swallowing reflex
• D. Peristalsis

Correct answer: A

Rationale: After a bronchoscopy procedure, the nurse's priority is to check the patient's gag reflex before allowing them to eat to prevent aspiration. The gag reflex helps protect the airway by triggering a cough or gag response if something touches the back of the throat. This is crucial to ensure that the patient can protect their airway and prevent food or fluids from entering the lungs, especially when the throat may be sensitive or compromised post-bronchoscopy. Checking for the wearing off of anesthesia, swallowing reflex, or peristalsis are important assessments but not the immediate priority before feeding in this context.

2. This study, which is an in-depth study of one boy, is a:

• A. case study
• B. longitudinal study
• C. cross-sectional study
• D. evaluative study

Correct answer: A

Rationale: The correct answer is 'A: case study.' A case study involves an in-depth examination of a single individual, group, or event. In this scenario, focusing on one boy aligns with the definition of a case study. The other options are not applicable: B) A longitudinal study involves following subjects over a period of time, C) A cross-sectional study examines a population at a single point in time, and D) An evaluative study assesses the effectiveness of a program or intervention, which is not the focus of the given scenario.

3. During nutritional counseling, what is the most important step to take?

• A. Consult the patient's family
• B. Formulate a sample diet plan before presenting it to the patient
• C. Include members of the dental team in the dietary formulation
• D. Include the patient in the formulation of the dietary plan

Correct answer: D

Rationale: During nutritional counseling, the most important step is to include the patient in the formulation of the dietary plan. This ensures their active involvement, understanding, and commitment to the plan, leading to better compliance and success in achieving nutritional goals. Consulting the patient's family (Choice A) may be helpful but should not replace involving the patient directly. Formulating a sample diet plan before presenting it to the patient (Choice B) may not align with the patient's preferences or needs. Including members of the dental team in the dietary formulation (Choice C) may not be necessary unless specific dental concerns need to be addressed.

4. Cyanocobalamin is a form of which vitamin?

• A. Vitamin B1
• B. Vitamin B2
• C. Vitamin B3
• D. Vitamin B12

Correct answer: D

Rationale: Cyanocobalamin is a synthetic form of Vitamin B12. Vitamin B12 is essential for various bodily functions, including red blood cell formation, neurological function, and DNA synthesis. It is not to be confused with Vitamin B1, B2, or B3, which are separate vitamins with different roles in the body.

5. What is the term for the act of performing beneficial services rather than harmful ones?

• A. Beneficence
• B. Disclosure
• C. Maleficence
• D. Justice

Correct answer: A

Rationale: The term for the act of performing beneficial services rather than harmful ones is 'Beneficence'. Beneficence refers to actions that enhance the well-being of others. In the healthcare context, beneficence ensures that health services are advantageous and beneficial to patients. 'Disclosure' (choice B) is the act of revealing information, not directly related to whether actions are beneficial or harmful. 'Maleficence' (choice C) is the opposite of beneficence, involving actions that can cause damage or harm. 'Justice' (choice D) denotes fairness and equality, important in various contexts but not specifically related to performing beneficial services.

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