Nursing Elites

1. The Army Medical Department has four major functions. Three are prevention, treatment, and evacuation. What is the fourth?

• A. Preparation
• B. Training
• C. Mobilization
• D. Selection

Correct answer: C

Rationale: The correct answer is C, 'Mobilization.' Mobilization is the fourth major function of the Army Medical Department. This involves preparing and organizing medical resources and personnel for deployment during military operations. Choices A, B, and D are incorrect because while they are important aspects in military healthcare, they do not represent the fourth major function of the Army Medical Department as specifically requested in the question.

2. People who use monoamine oxidase inhibitors for the treatment of depression need to avoid foods high in:

• A. Folate
• B. Tyramine
• C. Potassium
• D. Vitamin K

Correct answer: B

Rationale: The correct answer is B: Tyramine. When individuals taking monoamine oxidase inhibitors (MAOIs) consume foods high in tyramine, it can lead to a potentially dangerous increase in blood pressure known as a hypertensive crisis. Foods high in tyramine include aged cheeses, cured meats, and certain fermented foods. Choices A, C, and D are incorrect. Folate, potassium, and vitamin K are not typically contraindicated with the use of MAOIs.

3. During the admission interview, which question should the nurse ask the male client diagnosed with aorto-iliac disease?

• A. “Do you have trouble sitting for long periods of time?”
• B. “How often do you have a bowel movement and urinate?”
• C. “When you lie down do you feel throbbing in your abdomen?”
• D. “Have you experienced any problems having sexual intercourse?”

Correct answer: D

Rationale: The correct question for the nurse to ask the male client diagnosed with aorto-iliac disease during the admission interview is about any problems experienced during sexual intercourse. Aorto-iliac disease can lead to impaired blood flow to the pelvis and lower extremities, affecting sexual function. Therefore, it is essential to assess the client's sexual health in such cases. The other options, such as sitting for long periods of time, bowel movements and urination frequency, and throbbing sensation when lying down, are not directly related to the potential impact of aorto-iliac disease on sexual function. Hence, they are not the most pertinent questions to ask during the admission interview.

4. Which drugs may cause weight gain?

• A. Amphetamines
• B. Steroids
• C. Antibiotics
• D. Nonsteroidal anti-inflammatory drugs

Correct answer: B

Rationale: Steroids are known to cause weight gain as a side effect. Amphetamines, antibiotics, and nonsteroidal anti-inflammatory drugs are not typically associated with weight gain. Amphetamines are more likely to cause weight loss due to their stimulant effects, antibiotics are not commonly linked to weight gain, and nonsteroidal anti-inflammatory drugs usually do not lead to significant weight changes.

5. The nurse is caring for a client in a sickle cell crisis. Which is the pain regimen of choice to relieve the pain?

• A. Frequent aspirin (acetylsalicylic acid) and a non-narcotic analgesic
• B. Motrin (ibuprofen), an NSAID, PRN
• C. Demerol (meperidine), a narcotic analgesic, every four (4) hours
• D. Morphine, a narcotic analgesic, every two (2) to three (3) hours PRN

Correct answer: D

Rationale: Morphine is the preferred analgesic in sickle cell crisis due to its potency and effectiveness in managing severe pain.

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