Nursing Elites

1. Which of the following statements are correct?

• A. Lipids are transported in the blood as lipoproteins, which are clusters of lipids associated with proteins.
• B. In type II diabetes, the pancreas produces insulin, but cells are resistant to this signal.
• C. The glycemic index classifies foods based on their potential to raise blood glucose levels.
• D. All of the above

Correct answer: D

Rationale: Option A is correct because lipoproteins indeed transport lipids in the blood. They are complexes of lipids and proteins that transport water-insoluble lipids through the blood. Option B is correct as it accurately describes the condition of type II diabetes where the pancreas can produce insulin, but the cells are resistant to its signal, causing an ineffective regulation of blood sugar. Option C is also correct because the glycemic index is indeed a classification system for foods based on their potential to raise blood glucose levels. High glycemic index foods raise blood glucose levels faster than low glycemic index foods. Hence, all the statements are correct, making option D the correct answer.

2. Approximately 75% of reputable producers of bottled water use groundwater as their water source. Plain tap water is the most natural source of fluids.

• A. Both statements are true.
• B. Both statements are false.
• C. The first statement is true; the second is false.
• D. The first statement is false; the second is true.

Correct answer: A

Rationale: Both statements are true. Approximately 75% of reputable producers of bottled water use groundwater as their water source, which is the same source as the public water supply. Plain tap water, coming from underground sources or reservoirs, is indeed a natural source of fluids. The first statement is supported by the fact that groundwater is a common source for bottled water due to its purity and taste. The second statement is true as tap water is sourced from natural reservoirs or underground aquifers in most cases, making it a natural fluid source for consumption. Other choices are incorrect because both statements are factually accurate based on common practices in the production and sourcing of bottled water and tap water.

3. What is the primary goal of a dental hygienist when making dietary recommendations for a patient with a new dental prosthesis?

• A. To promote healing and repair by ensuring an adequate and nutrient-dense diet
• B. To promote healing and repair by recommending consumption of only liquids for the first week
• C. To promote a balanced diet by recommending a variety of fibrous foods
• D. To encourage the patient to become accustomed to the prosthesis by eating as usual

Correct answer: A

Rationale: The primary goal of a dental hygienist when making dietary recommendations for a patient with a new dental prosthesis is to promote healing and repair. This can be achieved by ensuring the patient maintains an adequate and nutrient-dense diet. This is why option 'A' is the correct answer. Option 'B' is incorrect because while liquids are easier to consume with a new dental prosthesis, a diet consisting only of liquids for a week may not provide all necessary nutrients. Option 'C' is incorrect because while a variety of fibrous foods can contribute to a healthy diet, it's not specifically relevant to the healing and adjustment to a new dental prosthesis. Option 'D' is incorrect because eating as usual may not be feasible or comfortable for a patient with a new prosthesis, and it doesn't specifically focus on promoting healing and repair.

4. The priority nursing diagnosis for a client with major depression is:

• A. Altered nutrition
• B. Altered thought process
• C. Self care deficit
• D. Risk for injury

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

5. In taking the client’s blood pressure, the nurse should position the client’s arm:

• A. At the level of the heart
• B. Slightly above the level of the heart
• C. At the 5th intercostals space midclavicular line
• D. Below the level of the heart

Correct answer: A

Rationale: Proper patient positioning is essential for maximizing lung expansion and promoting the drainage of secretions. Postural drainage techniques rely on gravity to help clear different lung segments, which is critical in preventing complications such as atelectasis or pneumonia in immobilized patients.

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