Nursing Elites

1. A client has been admitted for meningitis. In reviewing the laboratory analysis of cerebrospinal fluid (CSF), the nurse would expect to note

• A. High protein
• B. Clear color
• C. Elevated sed rate
• D. Increased glucose

Correct answer: A

Rationale: High protein levels in the cerebrospinal fluid are indicative of bacterial meningitis, as the presence of bacteria in the CSF leads to increased protein production. Elevated protein levels can be seen in inflammatory conditions like meningitis. Choice B, clear color, is not expected in meningitis as it is typically associated with cloudy or turbid CSF. Elevated sed rate (choice C) and increased glucose (choice D) are not typically associated with the laboratory findings seen in meningitis.

2. Which statement specifically describes occupational health nursing?

• A. Involves prevention, recognition, and treatment of injury and illness
• B. All of these
• C. The application of nursing principles in conserving the health of workers in all occupations
• D. Requires special skills in the field of health, education, and counseling

Correct answer: B

Rationale: The correct answer is B. Occupational health nursing involves all aspects mentioned in the statements: prevention, recognition, treatment of injury and illness, application of nursing principles in conserving workers' health, and the requirement of special skills in health, education, and counseling. Choice A focuses on prevention, recognition, and treatment but does not encompass all aspects of occupational health nursing. Choice C only mentions the application of nursing principles without including prevention and treatment. Choice D specifically highlights the need for special skills but does not cover all the aspects of occupational health nursing.

3. In the immediate postoperative period for a cleft lip repair in a 2-month-old infant, which nursing approach should be the priority?

• A. Remove protective arm devices one at a time for short periods with supervision
• B. Initiate oral feedings when alert
• C. Introduce the parents to the suture line cleansing protocol
• D. Position the infant on the back after feedings throughout the day

Correct answer: A

Rationale: The correct nursing approach in the immediate postoperative period for a cleft lip repair in an infant is to remove protective arm devices one at a time for short periods with supervision. This approach helps prevent injury to the surgical site while ensuring the infant's comfort and safety. Choice B is incorrect as initiating oral feedings immediately after surgery may not be appropriate and could compromise the surgical site. Choice C is incorrect as introducing parents to the suture line cleansing protocol is important but not the immediate priority. Choice D is incorrect as positioning the infant on the back after feedings is not specific to the immediate postoperative period for a cleft lip repair.

4. What is the focus of health promotion activities?

• A. Treating existing health conditions
• B. Preventing the onset of disease
• C. Providing palliative care
• D. Conducting clinical trials

Correct answer: B

Rationale: The correct answer is B: Preventing the onset of disease. Health promotion activities aim to prevent illnesses and promote overall well-being through education, lifestyle changes, and preventive measures. Choice A is incorrect as health promotion is not primarily about treating existing health conditions but rather preventing them. Choice C is incorrect because palliative care focuses on providing relief and comfort to patients with serious illnesses, not on preventing diseases. Choice D is also incorrect as conducting clinical trials is a research activity to test new treatments or interventions, not a focus of health promotion.

5. What does the term 'vital statistics' refer to?

• A. The systematic study of vital events such as births, illnesses, marriages, divorce, separation, and deaths
• B. Morbidity
• C. Statistics
• D. Mortality

Correct answer: A

Rationale: The term 'vital statistics' specifically refers to the systematic study of vital events, including births, illnesses, marriages, divorces, separations, and deaths. This field focuses on quantifying and analyzing these essential life events within a population. Choices B, C, and D are incorrect because while they may be related to data collection and analysis, they do not encompass the broad spectrum of vital events covered under the term 'vital statistics.' Morbidity refers to the prevalence of a specific illness or disease within a population, statistics is a more general term for numerical data analysis, and mortality specifically pertains to deaths within a population.

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