Nursing Elites

1. What side effect is commonly associated with ECT?

• A. Transient loss of memory, confusion, and disorientation
• B. Nausea and vomiting
• C. Fractures
• D. Hypertension and increased heart rate

Correct answer: A

Rationale: The correct answer is A, as Electroconvulsive Therapy (ECT) is commonly associated with side effects such as transient loss of memory, confusion, and disorientation. While nausea and vomiting (Choice B) can occur, they are not as common as the memory-related side effects. Fractures (Choice C) are unlikely unless a mishap occurs during the procedure. Hypertension and increased heart rate (Choice D) might occur during the procedure due to the physiological stress of the treatment, but these are not the most commonly associated side effects. The rationale provided did not effectively explain this, so it's important to note that ECT is a procedure often used for severe depression and other mental illnesses, and understanding its side effects is crucial for patient safety and effective care.

2. What happens when Mrs. Guevarra, a nurse, delegates aspects of the client's care to the nurse-aide, an unlicensed staff member?

• A. Mrs. Guevarra makes the assignment to instruct the staff member
• B. Mrs. Guevarra is assigning the responsibility to the aide but not the accountability for those tasks
• C. Mrs. Guevarra does not need to directly supervise or evaluate the aide
• D. Mrs. Guevarra must know how to perform the task being delegated

Correct answer: C

Rationale: The correct answer is C. While it is true that Mrs. Guevarra is delegating tasks to the nurse-aide, she does not necessarily have to directly supervise or evaluate the aide. She still retains the overall accountability for the care of the client, but direct supervision of the aide is not a requirement for delegation. Choice A is incorrect because the primary purpose of delegation is not instruction. Choice B is also incorrect because although Mrs. Guevarra is delegating tasks, she still retains accountability for those tasks. Finally, choice D is incorrect because the ability to perform the task being delegated is not a requirement for the delegator; the delegatee should have the necessary skills and knowledge to perform the delegated tasks.

3. A client with type 1 diabetes mellitus asks a nurse for a sweetener recommendation. Which of the following recommendations should the nurse make?

• A. Corn syrup
• B. Natural honey
• C. Nonnutritive sugar substitute
• D. Guava nectar

Correct answer: C

Rationale: The correct recommendation for a client with type 1 diabetes mellitus looking for a sweetener is a nonnutritive sugar substitute. Nonnutritive sugar substitutes do not significantly affect blood glucose levels, making them a suitable option for individuals with diabetes. Corn syrup and natural honey are high in sugar and can lead to spikes in blood glucose levels, which is not ideal for someone with diabetes. Guava nectar, while natural, is also high in sugar content and not recommended for individuals with diabetes.

4. The law which regulated the practice of nursing profession in the Philippines is:

• A. R.A 9173
• B. LOI 949
• C. Patient’s Bill of Rights
• D. Code of Ethics for Nurses

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. Where does most nutrient digestion and absorption occur?

• A. Large intestine
• B. Small intestine
• C. Stomach
• D. Mouth

Correct answer: B

Rationale: The small intestine is the correct answer. It is the primary site for nutrient digestion and absorption in the digestive system. The small intestine plays a crucial role in breaking down carbohydrates, proteins, and fats into forms that can be absorbed by the body. While the large intestine absorbs water and electrolytes, the majority of nutrient absorption occurs in the small intestine. The stomach primarily functions in the initial digestion of proteins, and the mouth begins the mechanical breakdown of food through chewing.

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