Nursing Elites

1. The preferred route of administration of medication in the most acute care situations is which of the following routes?

• A. Intravenous C. Subcutaneous
• B. Epidural D. Intramuscular
• C.
• D.

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

2. A client is being taught how to follow a low-purine diet for gout management. Which statement indicates the client understands the teaching?

• A. "I will need to limit the number of fruit servings each day."?
• B. "I should avoid eating liver and other organ meats."?
• C. "I can drink only white wine."?
• D. "I should choose red meat instead of poultry."?

Correct answer: B

Rationale: The correct answer is B. Organ meats like liver are high in purines, which can exacerbate gout symptoms. Choosing to avoid such foods is essential in following a low-purine diet. Option A is incorrect because fruits are generally low in purines and are not usually restricted in a low-purine diet. Option C is incorrect as white wine, just like other types of alcohol, should be consumed in moderation or avoided due to its purine content. Option D is incorrect because red meat, including beef and lamb, is high in purines and should be limited in a low-purine diet.

3. Which food items should be avoided by a child with lactose intolerance?

• A. Popcorn, seeds, and any foods containing nuts.
• B. Milk, cheese, ice cream, and puddings.
• C. Wheat, rye, barley, and commercially baked goods.
• D. Eggs, ham, bacon, and canned meats.

Correct answer: B

Rationale: The correct answer is B: Milk, cheese, ice cream, and puddings should be avoided by a child with lactose intolerance because they contain lactose, which the child's body may have difficulty digesting. Option A is incorrect as popcorn, seeds, and foods containing nuts do not typically contain lactose. Option C lists wheat, rye, barley, and commercially baked goods, which are sources of gluten, not lactose. Option D includes eggs, ham, bacon, and canned meats, which are also not sources of lactose. Therefore, B is the most appropriate choice for a child with lactose intolerance.

4. The goal of remotivation therapy is to facilitate:

• A. Insight C. Socialization
• B. Productivity D. Intimacy
• C.
• D.

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

5. Which type of lipid is solid at room temperature?

• A. Cholesterol
• B. Phospholipid
• C. Saturated fat
• D. Trans fat

Correct answer: C

Rationale: Saturated fats, such as those found in butter and lard, are typically solid at room temperature due to the lack of double bonds, which allows the fat molecules to pack closely together. Cholesterol (Choice A) is a steroid, not a fat, and while it's solid at room temperature, it doesn't fit the general category of 'lipid' in the context of this question. Phospholipids (Choice B) are a major component of all cell membranes and can be both solid and liquid at room temperature depending on their composition. Trans fats (Choice D) can also be solid or liquid at room temperature, but they are not typically referred to as 'lipids' in a general sense.

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