Nursing Elites

1. The nurse has been assigned to train the unlicensed nursing assistant about prioritizing care. Which client should the nurse instruct the unlicensed nursing assistant to see first?

• A. The client who needs both sequential compression devices removed
• B. The elderly woman who needs assistance ambulating to the bathroom
• C. The surgical client who needs help changing the gown after bathing
• D. The male client who needs the intravenous fluid discontinued

Correct answer: A

Rationale: The correct answer is A. Removing sequential compression devices could increase the risk of thromboembolism, which is a serious complication. Therefore, this client should be seen first to prevent any potential harm. Choice B may be important, but it does not pose an immediate risk compared to thromboembolism. Choice C is a routine care task that can be delayed, and Choice D, discontinuing intravenous fluid, is important but not as urgent as preventing thromboembolism.

2. The nurse is planning to provide education about foods containing thiamine to a group of clients. Which food high in thiamine should the nurse include?

• A. Fish
• B. Pork
• C. Beef
• D. Eggs

Correct answer: B

Rationale: The correct answer is B: Pork. Pork is high in thiamine, which is important for preventing thiamine deficiency. Thiamine, also known as Vitamin B1, is essential for the body's metabolism and proper functioning of the nervous system. While fish, beef, and eggs are nutritious foods, they do not contain as high levels of thiamine as pork does. Therefore, when educating clients about thiamine-rich foods, pork would be the most appropriate choice.

3. How long is the Practical Nurse Course training program conducted in phases for?

• A. 46 weeks
• B. 18 months
• C. 6 weeks
• D. 52 weeks

Correct answer: D

Rationale: The correct answer is D: 52 weeks. The Practical Nurse Course is conducted over a period of 52 weeks. This duration allows for a comprehensive training program that covers all necessary aspects of practical nursing. Choices A, B, and C are incorrect because they do not reflect the specific length of time associated with the Practical Nurse Course.

4. Under what circumstances can personal health information be disclosed?

• A. Compliance with legal proceedings
• B. For research purposes in limited circumstances
• C. To a family member or significant other in an emergency
• D. All of the above

Correct answer: D

Rationale: Personal health information can be disclosed under specific circumstances such as compliance with legal proceedings, for research purposes in limited situations, and to a family member or significant other in emergencies. Choice D, 'All of the above,' is the correct answer because it encompasses all the situations where disclosure of personal health information is permissible. Choices A, B, and C are incorrect because they represent individual scenarios where disclosure can occur, but the comprehensive answer is that personal health information can be disclosed in all these situations, not just one or two.

5. The nurse instructs a client 5 days after a lumbar laminectomy with spinal fusion about how to move from a supine position to standing at the left side of the bed with a walker. Which of the following directions by the nurse is BEST?

• A. Raise the head of the bed so you are sitting straight up, bend your knees, and swing your legs to the side and then to the floor
• B. Rock your body from side to side, going further each time until you build up enough momentum to be lying on your right side, and then raise your trunk toward your toes
• C. Reach over to the left side rail with your right hand, pull your body onto its side, bend your upper leg so the foot is on the bed, and push down to elevate your trunk
• D. Focus on using your arms, the left elbow as a pivot with the left hand grasping the mattress edge and the right hand pushing on the mattress above the elbow, then slide your legs over the side of the mattress

Correct answer: C

Rationale: The correct method described in option C helps maintain spinal alignment while moving from a lying to a standing position, which is crucial after a lumbar laminectomy with spinal fusion. This technique minimizes strain on the back and promotes safe movement. Choices A, B, and D involve movements that could potentially strain the back, increase the risk of injury, or compromise the spinal alignment, making them less optimal for the client recovering from such surgery.

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