Nursing Elites

1. A nurse is providing teaching to a group of adult athletes about preventing the effects of dehydration on the body. Which of the following manifestations should the nurse include in the teaching?

• A. Impaired motor control
• B. Drop in body temperature during exercise
• C. Increase in appetite
• D. Decreased resting heart rate

Correct answer: A

Rationale: Dehydration can lead to impaired motor control due to electrolyte imbalances affecting muscle function. Choices B, C, and D are incorrect. Dehydration typically causes an increase in body temperature during exercise, not a drop. Dehydration is more likely to suppress appetite, leading to a decrease rather than an increase in appetite. Also, dehydration often results in an increased heart rate rather than a decreased resting heart rate.

2. As a nurse, you can help improve the effectiveness of communication among healthcare givers by:

• A. Use of reminders of ‘what to do’
• B. Using standardized list of abbreviations, acronyms, and symbols
• C. One-on-one oral endorsement
• D. Text messaging and e-mail

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

3. What is the process of formal negotiations of working conditions between a group of registered nurses and employer?

• A. grievance
• B. arbitration
• C. collective bargaining
• D. strike

Correct answer: C

Rationale: The correct answer is 'collective bargaining.' Collective bargaining involves negotiations between a group of employees, in this case, registered nurses, and their employer to determine working conditions, wages, benefits, and other aspects of employment. Grievance refers to a formal complaint about a workplace issue, arbitration involves a neutral third party making a decision in a dispute, and a strike is a work stoppage by employees to protest against their employer.

4. Monosaccharides are converted into glucose in the liver to provide an energy supply to the cells.

• 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. Monosaccharides are indeed converted into glucose in the liver. Glucose, in turn, serves as a primary energy source for cells in the body, providing the necessary fuel for various cellular functions. The liver plays a crucial role in regulating blood glucose levels by converting monosaccharides into glucose and releasing it into the bloodstream when needed. Therefore, option A is the correct choice. Options B, C, and D are incorrect because both statements are accurate in this context.

5. A client with hypertension is being educated by a nurse about a heart-healthy diet. Which of the following statements indicates that the client understands the teaching?

• A. I will get 15% of my total daily calories from saturated fats.
• B. I will decrease the potassium in my diet.
• C. I will limit my daily sodium intake to 3 grams.
• D. I will eat five 8-ounce servings of fruit daily.

Correct answer: C

Rationale: The correct answer is C. Limiting daily sodium intake to 3 grams is crucial in managing blood pressure and is a fundamental aspect of a heart-healthy diet. High sodium intake can contribute to hypertension and cardiovascular issues. Choices A, B, and D are incorrect because getting 15% of daily calories from saturated fats, decreasing potassium intake, and eating five servings of fruit do not directly address the management of hypertension through sodium restriction.

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