Nursing Elites

1. The client with hypothyroidism is being educated by the healthcare provider about taking levothyroxine. Which of the following instructions should be included?

• A. Take the medication with meals
• B. Take the medication at bedtime
• C. Take the medication on an empty stomach in the morning
• D. Take the medication with a glass of milk

Correct answer: C

Rationale: The correct answer is to take levothyroxine on an empty stomach in the morning. This instruction is essential to enhance absorption and efficacy of the medication. Taking levothyroxine with meals, at bedtime, or with a glass of milk can interfere with its absorption and effectiveness, leading to suboptimal treatment outcomes.

2. When teaching a male client diagnosed with type 1 diabetes mellitus how diet and exercise affect insulin requirements, Nurse Joy should include which guideline?

• A. You'll need more insulin when you exercise or increase your food intake.
• B. You'll need less insulin when you exercise or reduce your food intake.
• C. You'll need less insulin when you increase your food intake.
• D. You'll need more insulin when you exercise or decrease your food intake.

Correct answer: B

Rationale: When a person with type 1 diabetes exercises, it typically lowers blood glucose levels. As a result, insulin needs are reduced when exercise or food intake is decreased. Choice A is incorrect because more insulin is not typically needed when exercise or food intake is increased. Choice C is incorrect because increasing food intake would generally require more insulin to cover the additional glucose from the food. Choice D is incorrect as decreasing food intake usually leads to a lower need for insulin.

3. When should a new nurse graduate consider applying for a position as a nurse manager?

• A. When she is comfortable in her current position
• B. When she begins mentoring other new nurses
• C. As soon as a position opens
• D. When she has developed leadership and clinical expertise

Correct answer: D

Rationale: A new nurse graduate should consider applying for a position as a nurse manager when she has developed leadership and clinical expertise. Option A, 'When she is comfortable in her current position,' is incorrect as comfort in the current position may not necessarily align with the skills required for a managerial role. Option B, 'When she begins mentoring other new nurses,' is not a definitive indicator of readiness for a managerial position. Option C, 'As soon as a position opens,' does not take into account the necessary skills and experience required for a nurse manager role. Therefore, the best time to consider applying for a nurse manager position is after developing the required leadership and clinical expertise.

4. A client with type 2 DM is being treated with metformin (Glucophage). The nurse should include which instruction when teaching the client about this medication?

• A. Take the medication with meals.
• B. Take the medication on an empty stomach.
• C. Take the medication before bedtime.
• D. Avoid taking the medication if you miss a meal.

Correct answer: A

Rationale: The correct instruction for a client taking metformin (Glucophage) is to take the medication with meals. This helps reduce gastrointestinal side effects and improves absorption. Choice B is incorrect because taking metformin on an empty stomach can increase the risk of side effects. Choice C is incorrect as there is no specific recommendation to take metformin before bedtime. Choice D is incorrect as missing a meal should not lead to avoiding the medication, but the client should take it with the next meal as prescribed.

5. Why have recent polls placed nursing as one of the most trusted professions?

• A. Nurses engage in lifelong learning.
• B. Nurses abide by a dress code.
• C. Nurses have the skills needed to care for diverse populations.
• D. Nurses must pass the NCLEX in order to obtain a license to practice.

Correct answer: C

Rationale: Recent polls have identified nursing as one of the most trusted professions primarily because nurses possess the essential skills required to provide care to diverse populations. This includes cultural competence, empathy, effective communication, and clinical expertise. Choice A, engaging in lifelong learning, is indeed an important aspect of nursing practice; however, it is not the primary reason for the high level of trust placed in nurses. Choice B, abiding by a dress code, is a professional conduct issue and not directly linked to the trustworthiness of nurses. Choice D, passing the NCLEX exam for licensure, is a regulatory requirement and does not directly contribute to the trust placed in nurses by the public.

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