Nursing Elites

1. What is the first step in decontamination?

• A. Immediately applying a chemical decontamination foam to the area of contamination
• B. Thoroughly washing and rinsing the patient with soap and water
• C. Immediately applying personal protective equipment
• D. Removing the patient's clothing and jewelry, then rinsing the patient with water

Correct answer: D

Rationale: The correct first step in decontamination is to remove the patient's clothing and jewelry to prevent further exposure and then rinse the patient with water. This helps to eliminate any contaminants on the patient's body. Choice A is incorrect because applying a chemical decontamination foam should come after removing clothing. Choice B is incorrect as washing and rinsing the patient should follow the removal of clothing. Choice C is incorrect as personal protective equipment should be worn by the individual performing the decontamination, not applied to the patient.

2. The RDA for iron is higher in premenopausal women than for men or postmenopausal women because of the blood loss during menstruation.

• A. Both the statement and the reason are correct and related.
• B. Both the statement and the reason are correct but are not related.
• C. The statement is correct, but the reason is not correct.
• D. The statement is not correct, but the reason is correct.

Correct answer: A

Rationale: Both the statement and the reason are correct and related. The Institute of Medicine (IOM) recommends 18 mg of iron per day for women 19 to 50 years old, 8 mg/day for women 51 years old and older, and men 19 years old and older. During menstruation, women lose blood containing iron, leading to a higher iron requirement in premenopausal women compared to men or postmenopausal women. This increased demand aims to replenish the iron lost during this physiological process. Therefore, the statement and reason are directly linked, explaining why the RDA for iron is higher in premenopausal women than in men or postmenopausal women. Choices B, C, and D are incorrect as they do not accurately assess the relationship between the statement and the reason provided in the question.

3. Being in contact with reality and the environment is a function of the:

• A. conscience
• B. ego
• C. id
• D. super ego

Correct answer: B

Rationale: Being in contact with reality and the environment is a function of the ego. The ego is responsible for mediating between the id's basic desires, the superego's idealistic standards, and the real world. The conscience (not listed as a choice) is related to feelings of guilt or moral responsibility. The id represents primal instincts, and the superego represents the internalized ideals and moral standards.

4. Furosemide (Lasix) is a drug used to _____.

• A. activate vitamin D
• B. stimulate appetite
• C. lower cholesterol
• D. mobilize fluids

Correct answer: D

Rationale: Furosemide is a diuretic that helps mobilize fluids by increasing urine output, often used to treat conditions like edema and heart failure.

5. Which of the following statements is false?

• A. People with a vitamin K deficiency experience increased clotting time
• B. The major function of vitamin E is promoting vision
• C. Vitamin D functions as a hormone
• D. Rich sources of beta-carotene include carrots, sweet potatoes, and butternut squash

Correct answer: B

Rationale: The statement that the major function of vitamin E is promoting vision is incorrect. Vitamin E primarily acts as an antioxidant, protecting cells from oxidative damage. Its role is not primarily related to vision, which is a major function of vitamin A. On the other hand, the other options are true. Vitamin K deficiency does indeed lead to increased clotting time, vitamin D functions as a hormone, and carrots, sweet potatoes, and butternut squash are rich sources of beta-carotene.

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