Nursing Elites

1. During operation, who manages the lighting, noise, temperature and other factors in the operating room suite?

• A. Nurse Supervisor
• B. Surgeon
• C. Circulating Nurse
• D. Scrub Nurse

Correct answer: C

Rationale: In an operating room, the circulating nurse is responsible for managing environmental factors such as lighting, noise, and temperature. This role includes ensuring the comfort and safety of the patient, as well as the efficiency of the team. While the Nurse Supervisor, Surgeon, and Scrub Nurse also have crucial roles during an operation, they do not directly manage the environmental conditions of the operating room. The rationale provided does not directly address the question asked, and appears to relate more to the broader role of nursing in patient care.

2. What is the most common nutritional disorder for the older adult?

• A. Obesity
• B. Underweight
• C. Vitamin deficiency
• D. Dehydration

Correct answer: A

Rationale: The correct answer is A: Obesity. Among older adults, obesity is the most common nutritional disorder. This is often attributed to reduced physical activity levels and changes in metabolism that occur with aging. Choice B (Underweight) is less common among older adults as compared to obesity. While choices C (Vitamin deficiency) and D (Dehydration) are important nutritional issues, they are generally not as prevalent as obesity in the older adult population.

3. Each statement is true of rickets, except one. Which is the exception?

• A. Rickets is being diagnosed more frequently in the United States.
• B. Rickets is caused by vitamin C deficiency.
• C. Tachetic deformities such as bow legs or knock-knees develop.
• D. A narrow and distorted chest occurs.

Correct answer: B

Rationale: Rickets is caused by vitamin D deficiency, not vitamin C deficiency. It usually occurs in children who are 1 to 3 years old. The name rickets came from the word 'wrikken,' meaning 'to bend or twist.' Common manifestations of rickets include tachetic deformities like bow legs or knock-knees, a narrow and distorted chest, and failure of the epiphyses of bones to develop normally, resulting in twisted and warped bones. While the diagnosis of rickets may be increasing in the United States, it is not caused by a lack of vitamin C.

4. The counting of sponges is done by the Surgeon together with the:

• A. Circulating nurse
• B. Scrub nurse
• C. Assistant surgeon
• D. Nurse supervisor

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.

5. Cancers that arise from epithelial tissues are known as:

• A. Leukemias
• B. Myelomas
• C. Carcinomas
• D. Sarcomas

Correct answer: C

Rationale: The correct answer is C: Carcinomas. Carcinomas are cancers that originate from epithelial tissues, which are the tissues lining the surfaces of organs and structures in the body. Leukemias (choice A) are cancers of the blood-forming cells, not epithelial tissues. Myelomas (choice B) are cancers that develop in plasma cells in the bone marrow, not epithelial tissues. Sarcomas (choice D) are cancers that arise from connective tissues like bone, cartilage, or muscle, not epithelial tissues. Therefore, choices A, B, and D are incorrect in the context of cancers originating from epithelial tissues.

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