Nursing Elites

1. Which list contains fatty acids that reduce cardiovascular disease risk?

• A. omega 3, trans fatty acids, saturated fatty acids
• B. EPA and DHA
• C. omega 6, omega 3, partially hydrogenated oil
• D. omega 3, EPA, saturated fatty acids

Correct answer: B

Rationale: EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), both omega-3 fatty acids, are known to reduce the risk of cardiovascular disease.

2. Uric acid kidney stones are most commonly associated with what condition?

• A. diabetes
• B. hypercalcemia
• C. gout
• D. diarrhea

Correct answer: C

Rationale: Gout is a condition characterized by high levels of uric acid, which can lead to the formation of uric acid kidney stones due to the crystallization of uric acid in the kidneys.

3. A client with celiac disease should avoid which of the following?

• A. Quinoa
• B. Barley
• C. Rice
• D. Oats

Correct answer: B

Rationale: The correct answer is B: Barley. Barley contains gluten, which is harmful to individuals with celiac disease. Gluten triggers an immune response in people with celiac disease, damaging the lining of the small intestine. Choices A, C, and D (Quinoa, Rice, and Oats) are gluten-free and safe for individuals with celiac disease to consume.

4. A nurse is caring for a client following a CVA and observes the client experiencing severe dysphagia. The nurse notifies the provider. Which of the following nutritional therapies will likely be prescribed?

• A. NPO until dysphagia subsides
• B. Supplements via nasogastric tube
• C. Initiation of total parenteral nutrition
• D. Soft residue diet

Correct answer: B

Rationale: In the scenario of severe dysphagia following a CVA, the client may have difficulty swallowing and require alternative nutritional support. Providing supplements via a nasogastric tube allows for the delivery of essential nutrients directly into the stomach, bypassing the swallowing difficulties. NPO (nothing by mouth) until dysphagia subsides may be too restrictive for the client's nutritional needs. Initiation of total parenteral nutrition is usually reserved for cases where enteral feeding is not possible or contraindicated. A soft residue diet may not be suitable for a client experiencing severe dysphagia.

5. Hypertrophic burn scars are caused by:

• A. exaggerated contraction
• B. random layering of collagen
• C. wound ischemia
• D. delayed epithelialization

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.

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