Nursing Elites

1. The following are all classes of nutrients except:

• A. protein
• B. fat
• C. carbs
• D. phytochemicals

Correct answer: D

Rationale: Phytochemicals are not considered a class of nutrients. While proteins, fats, and carbohydrates are essential macronutrients providing energy and structural support, phytochemicals are non-nutrient compounds found in plants that offer various health benefits but are not essential for sustaining life like the other three choices. Therefore, the correct answer is D.

2. A healthcare professional is reviewing the lab results of a client who has bulimia nervosa. The professional should notify the provider of which of the following results?

• A. White Blood Cells 5,200/mm³
• B. Hemoglobin 14 g/dL
• C. Magnesium 1.6 mg/dL
• D. Potassium 3.2 mEq/L

Correct answer: D

Rationale: A potassium level of 3.2 mEq/L is below normal and requires provider notification, especially in clients with bulimia nervosa who are at risk of electrolyte imbalances. Low potassium levels can lead to serious complications like cardiac arrhythmias. The other options are within or close to the normal range and would not be a priority for notification.

3. What nursing diagnosis would be most appropriate for a patient with heart failure?

• A. risk for infection
• B. fluid volume excess
• C. impaired body temperature
• D. ineffective airway clearance

Correct answer: B

Rationale: The most appropriate nursing diagnosis for a patient with heart failure is 'fluid volume excess.' In heart failure, the heart's reduced pumping ability leads to fluid retention, causing an excess of fluid in the body. This can result in symptoms such as edema, shortness of breath, and weight gain. 'Risk for infection,' 'impaired body temperature,' and 'ineffective airway clearance' are not the most appropriate nursing diagnoses for a patient with heart failure as they do not directly relate to the pathophysiology and common issues seen in heart failure patients.

4. A nurse is teaching a client about preparing low-fat meals. The nurse should include that which of the following oils contains saturated fat?

• A. Corn
• B. Olive
• C. Canola
• D. Coconut

Correct answer: D

Rationale: Coconut oil contains a high amount of saturated fat, which can increase LDL cholesterol levels and the risk of heart disease. Olive, corn, and canola oils are primarily unsaturated fats, which are considered heart-healthy fats. Olive oil, in particular, is rich in monounsaturated fats, while corn and canola oils are good sources of polyunsaturated fats. Therefore, the correct answer is Coconut because it contains saturated fat, unlike the other options.

5. You are attending a certification on cardiopulmonary resuscitation (CPR) offered and required by the hospital employing you. This is

• A. professional course towards credits
• B. inservice education
• C. advance training
• D. continuing education

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.

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