Nursing Elites

1. Richard is a subject of a research lead by his doctor. The nurse knows that all of the following is a correct understanding as his right as a research subject except:

• A. I can withdraw with this research even after the research has been started
• B. My confidentiality will not be compromised in this research
• C. I must choose another doctor if I withdrew from this research
• D. I can withdraw with this research before the research has been started

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.

2. A healthcare professional is reviewing the laboratory findings of a client who has heart failure. Which of the following findings indicates that the client is experiencing fluid volume excess?

• A. BUN 8 mg/dL
• B. Hgb 15 g/dL
• C. Creatinine 0.8 mg/dL
• D. Sodium 140 mEq/L

Correct answer: A

Rationale: A BUN level of 8 mg/dL indicates fluid volume excess in a client with heart failure. BUN (Blood Urea Nitrogen) levels can be low in fluid overload due to hemodilution, a common occurrence in heart failure. High levels of BUN usually indicate dehydration or impaired renal function, which are not the case in fluid volume excess. Choices B, C, and D are within normal ranges and do not specifically indicate fluid volume excess.

3. Generally, lifestyle-related diseases share common risk factors. Which of the following is NOT one of them?

• A. Physical activity
• B. Smoking
• C. Genetics
• D. Nutrition

Correct answer: C

Rationale: Common risk factors for lifestyle-related diseases typically include aspects of one's lifestyle that can be modified or controlled, such as physical activity, smoking habits, and nutrition. These factors can be changed to prevent or manage lifestyle-related diseases. Genetics, on the other hand, is not a modifiable risk factor, meaning it cannot be changed or controlled. Therefore, it is not considered a common risk factor for lifestyle-related diseases. Understanding the modifiable risk factors for these diseases allows for better prevention and management strategies, and helps reduce the risk of complications.

4. 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.

5. What is the conversion of genetic information in RNA into a sequence of amino acids?

• A. translation
• B. transcription
• C.
• D.

Correct answer: A

Rationale: The correct answer is 'translation.' Translation is the process where the genetic information in messenger RNA (mRNA) is decoded to produce a specific sequence of amino acids, forming a protein. This process occurs at ribosomes within the cell. Option B, 'transcription,' is incorrect as transcription is the process of synthesizing mRNA from a DNA template. Options C and D are irrelevant as they are not related to the conversion of genetic information into amino acids.

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