Nursing Elites

1. A condition that is conducive to the development of dental caries is said to be _____.

• A. periodontal
• B. cariogenic
• C. gingival
• D. bacteriophilic

Correct answer: B

Rationale: A condition that is conducive to the development of dental caries is described as cariogenic. Cariogenic refers to foods or conditions that promote the development of dental caries by providing an environment for bacteria to thrive and produce acids that erode tooth enamel. Choice A, periodontal, is incorrect as it relates to the supporting structures of the teeth rather than the development of dental caries. Choice C, gingival, is also incorrect as it pertains to the gums rather than the causation of dental caries. Choice D, bacteriophilic, is not the term commonly used to describe conditions that lead to dental caries, making it an incorrect choice.

2. As a nurse assigned for care for geriatric patients, you need to frequently assess your patient using the nursing process. Which of the following needs be considered with the highest priority?

• A. Patients own feeling about his illness
• B. Safety of the client especially those elderly clients who frequently falls
• C. Nutritional status of the elderly client
• D. Physiologic needs that are life threatening

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

3. All of the following are instructions for proper foot care to be given to a client with peripheral vascular disease caused by diabetes. Which one is not?

• A. Trim nails using a nail clipper
• B. Apply cornstarch to the foot
• C. Always check the temperature of the water before bathing
• D. Use canvas shoes

Correct answer: A

Rationale: The correct answer is 'A', which says trim nails using a nail clipper. This is incorrect because patients with peripheral vascular disease, particularly those caused by diabetes, should not trim their nails themselves due to the risk of injury, infection, and poor wound healing. The other options, 'B', 'C', and 'D', are correct advice for diabetic foot care. Applying cornstarch can help keep the feet dry and prevent fungal infections. Checking the water temperature before bathing can prevent burns, as patients with peripheral vascular disease often have decreased sensation in their feet. Wearing canvas shoes can improve foot ventilation and reduce the risk of foot ulcers and infections.

4. Which vitamin deficiency is most likely to cause bleeding disorders?

• A. Vitamin A
• B. Vitamin E
• C. Vitamin K
• D. Vitamin D

Correct answer: C

Rationale: Vitamin K is essential for blood clotting as it plays a crucial role in the activation of clotting factors. Deficiency of Vitamin K can lead to impaired blood clotting, resulting in bleeding disorders. Vitamin A is more associated with vision and skin health, not blood clotting. Vitamin E is known for its antioxidant properties and role in immune function, not specifically related to bleeding disorders. Vitamin D plays a key role in calcium absorption and bone health, but it is not directly linked to blood clotting or bleeding disorders.

5. Which of the following is not true about Pure Experimental research?

• A. There is a control group
• B. There is an experimental group
• C. Selection of subjects in the control group is randomized
• D. There is a careful selection of subjects in the experimental group

Correct answer: D

Rationale: In Pure Experimental research, subjects in the experimental group are typically selected randomly to minimize bias and ensure that the results are attributable to the intervention being studied. Therefore, the statement 'There is a careful selection of subjects in the experimental group' is not true. This careful selection would introduce bias and compromise the validity of the experimental results. Choices A, B, and C are true for Pure Experimental research as it involves both a control group, an experimental group, and randomization of subject selection in the control group to ensure comparability.

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