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. In order to establish a therapeutic relationship with the client, the nurse must first have:

• A. Self awareness C. Self acceptance
• B. Self understanding D. Self motivation
• C.
• D.

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

3. Approximately 70 to 80 percent of acute pancreatitis cases are caused by gallstones or _____.

• A. infection
• B. alcohol abuse
• C. diabetes
• D. obesity

Correct answer: B

Rationale: Alcohol abuse is indeed a major cause of acute pancreatitis, along with gallstones, accounting for the majority of cases. While infections, diabetes, and obesity can also contribute to pancreatitis, they are not as prevalent as alcohol abuse and gallstones in causing acute pancreatitis.

4. Causes of acute renal failure include:

• A. chronic renal failure
• B. uncontrolled diabetes mellitus
• C. recurrent urinary tract infections
• D. severe injury such as extensive burns

Correct answer: D

Rationale: The correct answer is D. Severe injuries, like extensive burns, can cause acute renal failure due to shock, reduced blood flow to the kidneys, and tissue damage. Choices A, B, and C are incorrect because chronic renal failure, uncontrolled diabetes mellitus, and recurrent urinary tract infections are more likely to contribute to chronic kidney disease rather than acute renal failure.

5. Select all that apply. Which nutrients are needed by the body to make hemoglobin?

• A. Iron
• B. Vitamin B12
• C. Niacin
• D. Folate

Correct answer: A

Rationale: The correct answer is A: Iron. Iron is an essential nutrient needed by the body to make hemoglobin, the protein in red blood cells that carries oxygen. While other nutrients like vitamin B12, niacin, and folate are important for various bodily functions, they are not directly involved in the production of hemoglobin. Vitamin B12 is essential for nerve function and DNA synthesis, niacin is important for metabolism, and folate is crucial for cell division and DNA synthesis. Therefore, only iron is specifically required for hemoglobin production.

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