Nursing Elites

1. To raise HDL levels, what is Mrs. Smith advised to do?

• A. quit smoking
• B. increase dietary sodium
• C. take iron supplements
• D. avoid dairy products

Correct answer: A

Rationale: The correct answer is A: quit smoking. Smoking lowers HDL levels, so quitting smoking is crucial to raising HDL levels. Increasing dietary sodium (choice B) is not linked to raising HDL levels and can have negative effects on cardiovascular health. Taking iron supplements (choice C) is not directly related to increasing HDL levels. Avoiding dairy products (choice D) is not necessary to raise HDL levels; in fact, some dairy products like low-fat options can be part of a heart-healthy diet.

2. How many calories are contained in a food that has 15 grams of carbohydrates, 4 grams of protein, and 10 grams of fat?

• A. 106
• B. 124
• C. 166
• D. 202

Correct answer: C

Rationale: To calculate the total calories in a food item, you can use the following conversions: every 1 gram of carbohydrate provides 4 calories, 1 gram of protein provides 4 calories, and 1 gram of fat provides 9 calories. Therefore, for this food item, multiply 15 grams of carbohydrates by 4 calories/gram, 4 grams of protein by 4 calories/gram, and 10 grams of fat by 9 calories/gram. The calculation would be (15 * 4) + (4 * 4) + (10 * 9) = 60 + 16 + 90 = 166 calories. Choice A (106) is incorrect because it does not consider the calories from fat. Choice B (124) is incorrect as it underestimates the calories by not including all macronutrients. Choice D (202) is incorrect as it overestimates the calories by adding up the values incorrectly.

3. Which of the following is not true about Pure Experimental research?

• A. There is a control group
• B. There is an experimental group
• C. Selection of subjects in the control group is randomized
• D. There is a careful selection of subjects in the experimental group

Correct answer: D

Rationale: In Pure Experimental research, subjects in the experimental group are typically selected randomly to minimize bias and ensure that the results are attributable to the intervention being studied. Therefore, the statement 'There is a careful selection of subjects in the experimental group' is not true. This careful selection would introduce bias and compromise the validity of the experimental results. Choices A, B, and C are true for Pure Experimental research as it involves both a control group, an experimental group, and randomization of subject selection in the control group to ensure comparability.

4. Onset frequently occurs after the age of 40.

• A. Type 1 Diabetes
• B. Type 2 Diabetes
• C.
• D.

Correct answer: B

Rationale: The correct answer is B, Type 2 Diabetes. Type 2 Diabetes commonly presents with an onset after the age of 40, although it is now also seen in younger individuals due to lifestyle factors such as poor diet and lack of exercise. Type 1 Diabetes, on the other hand, typically develops in childhood or adolescence and is not associated with age over 40. Choices C and D are left blank as they are not relevant to the question.

5. You are to apply a transdermal patch of nitoglycerin to your client. The following are important guidelines to observe EXCEPT:

• A. Apply to hairless clean area of the skin not subject to much wrinkling
• B. Patches may be applied to distal part of the extremities like forearm
• C. Change application and site regularly to prevent irritation of the skin
• D. Wear gloves to avoid any medication on your hand

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.

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