Nursing Elites

1. Which of the following is a tricyclic antidepressant drug?

• A. Venlafaxine (Effexor)
• B. Fluoxetine (Prozac)
• C. Sertraline (Zoloft)
• D. Imipramine (Tofranil)

Correct answer: D

Rationale: Imipramine (Tofranil) is a tricyclic antidepressant drug. This class of medications is used to treat depression, and they work by increasing the levels of certain chemicals in the brain that help lift mood. On the other hand, Venlafaxine (Effexor) is a serotonin and norepinephrine reuptake inhibitor (SNRI), Fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI), and Sertraline (Zoloft) is also an SSRI. Therefore, they are not classified as tricyclic antidepressants.

2. A nurse is teaching a client about complete and incomplete proteins. Which of the following foods should the nurse include in the teaching as an incomplete protein?

• A. 4 oz chickpeas
• B. 2 poached eggs
• C. 2 oz cheddar cheese
• D. 4 oz salmon fillet

Correct answer: A

Rationale: The correct answer is A: 4 oz chickpeas. Chickpeas are considered an incomplete protein because they lack one or more essential amino acids required by the body. Incomplete proteins do not provide all essential amino acids in sufficient quantities. Choice B, 2 poached eggs, is a complete protein source because eggs contain all essential amino acids. Choice C, 2 oz cheddar cheese, is also a complete protein as it contains all essential amino acids. Choice D, 4 oz salmon fillet, is another complete protein source as fish typically provide all essential amino acids needed by the body.

3. Which is NOT a classification of carbohydrate?

• A. Monosaccharides
• B. Disaccharides
• C. Polysaccharides
• D. Triglycerides

Correct answer: D

Rationale: The correct answer is D, Triglycerides. Triglycerides are a type of fat, not a carbohydrate. Monosaccharides, disaccharides, and polysaccharides are all classifications of carbohydrates based on the number of sugar units they contain. Monosaccharides are the simplest form with one sugar unit, disaccharides contain two sugar units, and polysaccharides have multiple sugar units linked together.

4. In kidney disease, which mineral should a patient limit intake of?

• A. Calcium
• B. Magnesium
• C. Phosphorus
• D. Potassium

Correct answer: C

Rationale: In kidney disease, patients are advised to limit the intake of phosphorus. High levels of phosphorus can be problematic as the kidneys may not be able to effectively filter it out, leading to bone health issues. Calcium (Choice A) is important for bone health, but its restriction is not typically necessary in kidney disease. Magnesium (Choice B) and potassium (Choice D) restrictions may be required in certain cases of kidney disease, but phosphorus is the mineral most commonly limited due to its impact on bone health.

5. Select all that apply. You are interested in learning about the effect of eating diet soft drinks on your health. Your internet search leads you to a website with the ending .com, which tells you that diet soft drinks contain sugar alcohols that can cause harm. Which of the following actions are logical?

• A. notice if there are any ads on the page that suggest conflicts of interest
• B. read about consuming diet soft drinks in the dietary guidelines for Americans
• C. visit a more credible website and compare information
• D. all of the above

Correct answer: D

Rationale: Logical steps include evaluating the credibility of the website, reading official guidelines, comparing information from credible sources, and verifying the author's qualifications.

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