Nursing Elites

1. Which of the following best describes Primary Nursing?

• A. Assigning a nurse to lead a team of registered nurses in the care of a patient from admission to discharge
• B. Assigning a nurse to perform administrative tasks in a healthcare setting
• C. Assigning a nurse to provide medical treatment without supervision
• D. Assigning a nurse to be the main caregiver responsible for coordinating all aspects of care for a group of patients

Correct answer: A

Rationale: Primary Nursing involves assigning a dedicated nurse to lead a team of registered nurses in the care of a patient from admission to discharge. This approach ensures continuity and personalized care. Choices B and C are incorrect as they do not accurately describe Primary Nursing. Choice D is incorrect as it refers to a different care delivery model.

2. Which of the following foods or beverages would offer the most nutrients per calorie?

• A. chicken
• B. wine
• C. white bread
• D. broccoli

Correct answer: D

Rationale: Broccoli is indeed the correct answer. Broccoli is considered nutrient-dense, meaning it provides a significant amount of essential nutrients like vitamins, minerals, and fiber while being relatively low in calories. On the other hand, choices A, B, and C are not as nutrient-dense as broccoli. Chicken can be nutritious but may vary in nutrient content depending on the cut and preparation method. Wine, although containing antioxidants like resveratrol, is not a significant source of essential nutrients. White bread is often low in nutrients and fiber compared to whole grain options, making it less nutrient-dense than broccoli.

3. Which nursing diagnosis has nutritional implications?

• A. impaired dentition
• B. disruption of gas exchange
• C. self-esteem disturbance
• D. sleep pattern disturbance

Correct answer: A

Rationale: Impaired dentition affects a patient's ability to chew and consume a variety of foods, leading to potential nutritional deficiencies and malnutrition.

4. A nurse is instructing a group of clients about nutrition and eating foods high in iron. The nurse should include that which of the following aids in the absorption of iron?

• A. Fiber
• B. Vitamin A
• C. Vitamin C
• D. Oxalates

Correct answer: C

Rationale: Vitamin C aids in the absorption of iron by enhancing the body's ability to absorb non-heme iron, which is found in plant-based foods. This vitamin helps convert iron into a form that is more easily absorbed in the intestines. Choices A, B, and D are incorrect because fiber, Vitamin A, and oxalates can actually inhibit the absorption of iron. Fiber can bind to iron and reduce its absorption, Vitamin A does not directly enhance iron absorption, and oxalates found in some foods like spinach and rhubarb can also hinder iron absorption.

5. To prevent injury and strain on the muscles, the nurse should observe proper body mechanics. Among the following, which is a principle of proper body mechanics?

• A. Broaden the space between the feet
• B. Push instead of pull
• C. Move the object away from the body when lifting
• D. Bend at the waist, not on the knees

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

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