Nursing Elites

1. Which metabolic disease is characterized by poor healing, severe forms of periodontal disease, necrosis, xerostomia, and candidiasis?

• A. Hypopituitarism
• B. Diabetes mellitus
• C. Hyperthyroidism
• D. Renal disease

Correct answer: B

Rationale: Diabetes mellitus is the correct answer. It is associated with poor wound healing, severe periodontal disease, tissue necrosis, dry mouth (xerostomia), and an increased susceptibility to oral infections like candidiasis. Hypopituitarism, hyperthyroidism, and renal disease are not typically linked to the specific oral manifestations described in the question.

2. Which nutrient deficiency produces microcytic anemia, fatigue, faulty digestion, blue sclerae, pale conjunctivae, and tachycardia?

• A. Zinc
• B. Iron
• C. Sodium
• D. Potassium

Correct answer: B

Rationale: A deficiency in iron can lead to various symptoms, such as microcytic anemia, fatigue, faulty digestion, blue sclerae, pale conjunctivae, and tachycardia. Iron-deficiency anemia may be caused by inadequate dietary intake; accelerated demand or losses; and inadequate absorption secondary to diarrhea, decreased acid secretions, or antacid therapy. Iron deficiency is frequently the result of postnatal feeding practices and has a serious impact on growth and mental and psychomotor development in infants and children. Choices A, C, and D are incorrect as zinc deficiency typically presents with symptoms like impaired wound healing, taste abnormalities, and hair loss; sodium deficiency can lead to symptoms such as muscle cramps, dizziness, and confusion; and potassium deficiency may cause muscle weakness, fatigue, and abnormal heart rhythms.

3. A group of clients is being instructed by a nurse regarding nutrition. The teaching should state that which of the following groups of foods contains the highest level of carbohydrates?

• A. Milk, eggs, and cheese
• B. Butter, oils, and avocados
• C. Rice, potatoes, and oranges
• D. Chicken, green beans, and apples

Correct answer: C

Rationale: The correct answer is C: Rice, potatoes, and oranges. These foods are rich in carbohydrates. Choice A (Milk, eggs, and cheese) contains minimal carbohydrates as they are primarily sources of protein and fat. Choice B (Butter, oils, and avocados) contains very little to no carbohydrates as they are high in fats. Choice D (Chicken, green beans, and apples) also contains minimal carbohydrates, with protein and fiber being more prominent in these foods.

4. 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.

5. What goal should an overweight woman include in her lifestyle for a healthy pregnancy?

• A. Aim to lose 11 to 20 pounds during pregnancy
• B. Increase protein intake to 35% of total calories
• C. Delay weight loss until after pregnancy
• D. Increase daily energy intake by 550 calories

Correct answer: C

Rationale: The healthiest approach for an overweight pregnant woman is to delay weight loss until after pregnancy. During pregnancy, the body needs sufficient nutrition and energy to support the growth and development of the baby. Attempting to lose weight during pregnancy, especially significant amounts, may compromise the health of both the mother and the baby. Increasing protein intake to 35% of total calories or energy intake by 550 calories per day without professional guidance may lead to an unbalanced diet, which is not optimal for pregnancy. The focus should be on maintaining a balanced, nutrient-rich diet and appropriate weight gain during pregnancy.

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