Nursing Elites

1. Which mental health disorder can lead to the erosion of lingual enamel, enlarged parotid glands, palatal bruising, and dentinal hypersensitivity?

• A. Bulimia
• B. Anorexia nervosa
• C. Depression
• D. Schizophrenia

Correct answer: A

Rationale: The correct answer is A: Bulimia. Bulimia involves repeated episodes of binge eating followed by purging, which can lead to the erosion of lingual enamel, enlarged parotid glands, palatal bruising, and dentinal hypersensitivity. This behavior exposes the teeth to stomach acid during purging, causing damage to the enamel. Choices B, C, and D are incorrect because these conditions are not typically associated with the specific oral health issues mentioned in the question.

2. A pregnant woman has applied to use WIC services to supplement her food intake. The WIC program would provide vouchers for _____ in this situation.

• A. lean beef
• B. fruit-flavored yogurt
• C. whole grain bread
• D. refried beans

Correct answer: C

Rationale: The correct answer is C: whole grain bread. The WIC program aims to provide nutritious foods to support a healthy diet during pregnancy. Whole grain bread is a good source of fiber and essential nutrients. Choice A, lean beef, is a protein source but may not be as versatile as whole grain bread in providing a variety of nutrients essential during pregnancy. Choice B, fruit-flavored yogurt, may contain added sugars and may not offer the same level of essential nutrients as whole grain bread. Choice D, refried beans, is a good source of protein and fiber, but whole grain bread is often a staple recommended in pregnancy for its nutritional benefits.

3. Of the following neurotransmitters, which demonstrates inhibitory action, helps control mood and sleep, and inhibits pain pathways?

• A. Serotonin
• B. Enkephalin
• C. Norepinephrine
• D. Acetylcholine

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. Why is a pulse oximeter attached to Mr. Dizon's finger?

• A. To determine if the patient's hemoglobin level is low and if he requires a blood transfusion
• B. To check the level of the patient's tissue perfusion
• C. To measure the effectiveness of the patient's anti-hypertensive medications
• D. To detect oxygen saturation of arterial blood before symptoms of hypoxemia develop

Correct answer: D

Rationale: A pulse oximeter is used to detect the oxygen saturation levels in arterial blood before the onset of hypoxemia symptoms. This device provides essential information about the effectiveness of oxygen transportation to the body's tissues. Choice A is incorrect because a pulse oximeter does not directly measure hemoglobin levels nor determine the need for a blood transfusion. Choice B is incorrect because a pulse oximeter is designed specifically to assess oxygen saturation, not tissue perfusion. Choice C is incorrect because a pulse oximeter is not used to measure the efficacy of anti-hypertensive medications, but rather to monitor oxygen levels in the blood.

5. Which vitamin is essential for proper blood clotting?

• A. Vitamin A
• B. Vitamin E
• C. Vitamin K
• D. Vitamin C

Correct answer: C

Rationale: Vitamin K is vital for the synthesis of clotting factors, which are necessary for proper blood clotting. Vitamin A (Choice A) is important for vision and skin health, not blood clotting. Vitamin E (Choice B) is an antioxidant that helps protect cells from damage but is not directly involved in blood clotting. Vitamin C (Choice D) is essential for collagen synthesis and a healthy immune system, but it does not play a direct role in blood clotting.

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