Nursing Elites

1. A client with chronic pancreatitis is receiving discharge teaching from a nurse. Which of the following statements should the nurse make?

• A. "You should decrease your caloric intake when experiencing abdominal pain."?
• B. "You should increase your daily intake of protein."?
• C. "You should increase fat intake when experiencing loose stools."?
• D. "You should limit alcohol intake to 2-3 drinks per week."?

Correct answer: B

Rationale: In chronic pancreatitis, it is important to increase protein intake to support healing and prevent malnutrition. Choice A is incorrect because decreasing caloric intake during abdominal pain may lead to further nutritional deficiencies. Choice C is incorrect as increasing fat intake can exacerbate symptoms due to the impaired fat digestion in chronic pancreatitis. Choice D is incorrect as alcohol should be completely avoided in chronic pancreatitis to prevent further damage to the pancreas.

2. A fire has broken in the unit of DMLM R.N. The best leadership style suited in cases of emergencies like this is:

• A. Autocratic
• B. Participative
• C. Democratic
• D. Laissez Faire

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

3. What is the first step in the scientific method?

• A. Conduct an experiment
• B. Make an observation and ask a question
• C. Formulate a hypothesis
• D. Reach a consensus

Correct answer: B

Rationale: The first step in the scientific method is to make an observation and ask a question. This is because the scientific method is a systematic process of investigation that begins with observing a phenomenon or asking a question about it. This is followed by formulating a hypothesis (Choice C), designing and conducting an experiment to test the hypothesis (Choice A), and analyzing the results to reach a consensus or conclusion (Choice D). Therefore, choices A, C, and D are incorrect as they represent steps that occur after the initial observation and question.

4. A client who has dumping syndrome following a hemi-colectomy should avoid which of the following foods when receiving nutritional teaching from a nurse?

• A. Rice
• B. Poached eggs
• C. Fresh apples
• D. White bread

Correct answer: C

Rationale: Fresh apples should be avoided by a client with dumping syndrome following a hemi-colectomy because they are high in fiber and can exacerbate gastrointestinal symptoms such as diarrhea and bloating. Rice and poached eggs are good options as they are easily digestible and less likely to trigger dumping syndrome symptoms. White bread is also preferable over whole grain bread due to its lower fiber content, making it a better choice for individuals with dumping syndrome.

5. What is the major diet-derived antioxidant found in cell membranes?

• A. B12
• B. beta-carotene
• C. vitamin E
• D. vitamin A

Correct answer: C

Rationale: The correct answer is vitamin E. Vitamin E is the major antioxidant found in cell membranes, where it plays a crucial role in protecting them from oxidative damage. Although B12, beta-carotene, and vitamin A are important nutrients with specific functions in the body, they are not the primary antioxidants found in cell membranes. Vitamin E specifically localizes in cell membranes to neutralize free radicals and prevent lipid peroxidation, making it an essential antioxidant for cellular health.

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