Nursing Elites

1. What is the initial major sign of acute renal failure?

• A. Oliguria
• B. Hematuria
• C. Proteinuria
• D. Glycosuria

Correct answer: A

Rationale: Oliguria, or reduced urine output, is often the initial major sign of acute renal failure. This reduction in urine output indicates that the kidneys are not functioning properly. Hematuria (blood in urine), proteinuria (presence of protein in urine), and glycosuria (presence of glucose in urine) are not typically the initial major signs of acute renal failure. While they may be present in certain conditions, oliguria is the most common and critical indicator of acute renal failure.

2. Each of the following is a function of the liver except one. Which one is the exception?

• A. Regulatory control of nutrients in the bloodstream
• B. Conversion of monosaccharides to triglycerides
• C. Breakdown of polysaccharide glycogen into glucose
• D. Oxidation of digestive end products to provide energy

Correct answer: B

Rationale: The correct answer is B. The liver does not convert monosaccharides to triglycerides; instead, it converts monosaccharides to glucose or glycogen. Choice A is correct because the liver plays a role in regulating the levels of various nutrients in the bloodstream. Choice C is correct as the liver breaks down stored glycogen into glucose to maintain blood sugar levels. Choice D is correct as the liver oxidizes digestive end products to provide energy. Therefore, only choice B is incorrect as the liver does not convert monosaccharides to triglycerides.

3. A healthcare professional has just inserted an NG tube for a client who is to start enteral tube feedings. Which of the following actions should the healthcare professional take to verify tube placement?

• A. Measure the tube length.
• B. Obtain an abdominal x-ray.
• C. Flush the tube with 20 mL of water.
• D. Auscultate the client’s lungs.

Correct answer: B

Rationale: Obtaining an abdominal x-ray is the most accurate method to verify the correct placement of an NG tube. Measuring the tube length is not a reliable method to confirm placement as it may vary among individuals. Flushing the tube with water and auscultating the client's lungs are not definitive methods to ensure proper NG tube placement.

4. Which statement does not describe a potential role of minerals in the body?

• A. they provide calories and energy to the body
• B. they help maintain fluid balance in the body
• C. they give teeth and bone their strength
• D. they help muscles contract

Correct answer: A

Rationale: Minerals do not provide calories or energy; instead, they play various roles such as building strong bones and teeth, maintaining fluid balance, and supporting muscle contractions.

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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