Nursing Elites

1. A nurse is caring for a client who has cancer. The client’s adult child asks the nurse for information about the client’s treatment plan. Which of the following responses should the nurse make?

• A. I will ask your mother's primary care provider to speak with you
• B. What would you like to know about your mother's treatment?
• C. I cannot provide this information to you without your mother's consent
• D. You will have to speak directly to your mother about her treatment

Correct answer: C

Rationale: The nurse should not provide treatment information without the client's consent.

2. You are caring for a patient with multiple trauma. Of all of these injuries and conditions, which is the most serious?

• A. A deviated trachea
• B. Gross deformity of a lower extremity
• C. Hematuria
• D. Decreased bowel sounds

Correct answer: A

Rationale: A deviated trachea is the most serious condition among the choices provided. It can indicate a tension pneumothorax, which is a life-threatening emergency requiring immediate intervention to prevent respiratory compromise. Choice B, a gross deformity of a lower extremity, while significant, is not as immediately life-threatening as a deviated trachea. Choice C, hematuria, may indicate kidney injury but is not as acutely life-threatening as a deviated trachea. Choice D, decreased bowel sounds, could indicate abdominal issues, but it is not as urgent or immediately life-threatening as a deviated trachea.

3. How many calories per kilogram does an average full-term infant require when the infant is around 1-2 months old?

• A. 140 calories per kilogram per day
• B. 120 calories per kilogram per day
• C. 100 calories per kilogram per day
• D. 160 calories per kilogram per day

Correct answer: B

Rationale: An average full-term infant requires about 120 calories per kilogram per day at 1-2 months old. This amount is essential for their growth and development during this critical stage. Choices A, C, and D are incorrect as they provide calorie amounts that are either too high or too low for an average full-term infant at 1-2 months old, which could potentially lead to health issues or inadequate nutrition.

4. A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?

• A. No transport assistance is available to take the client to PT.
• B. A client is refusing care from an AP of the opposite gender.
• C. Three staff members have called to say they will be absent.
• D. Two nurses had a heated disagreement about a scheduling issue.

Correct answer: C

Rationale: The correct answer is C. Addressing the absence of three staff members should be the nurse manager's priority as it directly impacts staffing levels and patient care. This situation can lead to staffing shortages, affecting patient safety and workload distribution. Option A, lack of transport assistance, although important, can be addressed after ensuring adequate staffing. Option B involves a client's preference and can be addressed by assigning care appropriately. Option D, a disagreement between two nurses, is important but can be addressed after ensuring adequate staffing and patient care.

5. Steven John has type 1 diabetes mellitus and receives insulin. Which laboratory test will the nurse assess?

• A. Potassium
• B. AST (aspartate aminotransferase)
• C. Serum amylase
• D. Sodium

Correct answer: A

Rationale: The correct answer is A: Potassium. Patients with type 1 diabetes receiving insulin are at risk of developing hypokalemia due to insulin's effects on potassium levels. Monitoring potassium levels is crucial to prevent complications such as cardiac arrhythmias. Choices B, C, and D are incorrect because AST, serum amylase, and sodium levels are not directly impacted by insulin therapy in type 1 diabetes and are not the primary concern that needs monitoring in this scenario.

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