Nursing Elites

1. The nurse knows that after receiving the blood from the blood bank, it should be administered within:

• A. 1 hour
• B. 2 hours
• C. 4 hours
• D. 6 hours

Correct answer: D

Rationale: Blood transfusions need to be administered promptly after receiving the blood from the blood bank to ensure patient safety and effectiveness. Waiting too long can lead to complications such as bacterial growth in the blood product, which can be harmful when infused. Administering the blood within 6 hours is crucial to prevent such risks. Choices A, B, and C are incorrect because waiting for 1, 2, or 4 hours respectively can increase the likelihood of complications associated with delayed transfusion.

2. Before Dianne performs the formal research study, what do you call the pre-testing, small-scale trial run to determine the effectiveness of data collection and methodological problems that might be encountered?

• A. Sampling
• B. Pre-testing
• C. Pre-Study
• D. Pilot Study

Correct answer: D

Rationale: The correct answer is 'Pilot Study.' A pilot study is a small-scale trial run conducted before the formal research study to identify and address any issues related to data collection and methodology. This helps in determining the effectiveness of the research process and identifying potential problems that may arise. Choice A, 'Sampling,' refers to the process of selecting a subset of individuals from a larger population for research. Choice B, 'Pre-testing,' simply involves testing something before the main testing phase. Choice C, 'Pre-Study,' is not a commonly used term in research methodology and does not specifically refer to the small-scale trial run described in the question.

3. Which of the following categories identifies the focus of community/public health nursing practice?

• A. Promoting and maintaining the health of populations and preventing and minimizing the progress of disease
• B. Rehabilitation and restorative services
• C. Adaptation of hospital care to the home environment
• D. Hospice care delivery

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.

4. A healthcare provider is on a med-surg unit caring for a client who follows the dietary laws of Orthodox Judaism. Which of the following menu selections should the healthcare provider recommend for this client?

• A. Fried catfish
• B. Broiled shrimp
• C. Pork sausage
• D. Grilled vegetables

Correct answer: D

Rationale: The correct answer is D: Grilled vegetables. Orthodox Judaism restricts the consumption of certain animals, including catfish, shrimp, and pork, making choices A, B, and C inappropriate for a client following these dietary laws. Grilled vegetables are a safe and suitable option that complies with Orthodox Jewish dietary guidelines.

5. A nurse is teaching an in-service about manifestations of hypoglycemia to a group of newly licensed nurses. Which of the following should the nurse include in the teaching?

• A. Blurred vision
• B. Vomiting
• C. Kussmaul respirations
• D. Bradycardia

Correct answer: A

Rationale: Corrected Rationale: Blurred vision is a common symptom of hypoglycemia and should be included in the teaching. Other manifestations like vomiting, Kussmaul respirations, and bradycardia are not typically associated with hypoglycemia. Vomiting is more commonly seen in conditions like food poisoning or gastrointestinal issues. Kussmaul respirations are deep and rapid respirations seen in metabolic acidosis, not hypoglycemia. Bradycardia is usually not a manifestation of hypoglycemia; tachycardia is more commonly associated with low blood sugar levels.

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