Nursing Elites

1. What type of diet would most likely benefit a patient with cystic fibrosis?

• A. Low sodium
• B. Low fat
• C. Clear liquid
• D. High calorie, high protein

Correct answer: D

Rationale: Patients with cystic fibrosis often have malabsorption issues, leading to increased energy needs. A high-calorie, high-protein diet is recommended to help meet these needs, support growth, and maintain overall health. Choices A, B, and C do not address the specific dietary requirements associated with cystic fibrosis, making them less beneficial for these patients.

2. Which physiologic role does vitamin C play in the body?

• A. Transcribing DNA to RNA
• B. Absorption and regulation of calcium
• C. Protects integrity of cellular membranes
• D. Catalyst for synthesis of blood-clotting factors

Correct answer: C

Rationale: Vitamin C plays a crucial role in protecting the integrity of cellular membranes. It is essential for collagen synthesis, which is important for wound healing and maintaining skin, blood vessels, and other tissues. Choice A is incorrect as the transcription of DNA to RNA is facilitated by vitamin A. Choice B is incorrect as calcium absorption and regulation are functions of vitamin D. Choice D is incorrect as vitamin K serves as a catalyst for the synthesis of blood-clotting factors, not vitamin C.

3. Keeping Conrad’s head and neck alignment results in:

• A. increased intrathoracic pressure
• B. increased venous outflow
• C. decreased venous outflow
• D. increased intraabdominal pressure

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.

4. Which food is a reliable source of B12 for a pregnant vegan client?

• A. Soybeans
• B. Algae
• C. Fortified soy milk
• D. Sea vegetables

Correct answer: C

Rationale: Fortified soy milk is a reliable source of vitamin B12 for pregnant vegan clients as it is usually enriched with this vitamin. The other options, while nutritious, are not reliable sources of B12 for vegans. Soybeans may not provide enough B12, algae contains B12 analogs that the human body cannot utilize, and the B12 content in sea vegetables can fluctuate, potentially not providing the necessary daily intake.

5. Each of the following is a form of vitamin K, except one. Which is the exception?

• A. Phylloquinone
• B. Tocopherol
• C. Menaquinone
• D. Menadione

Correct answer: B

Rationale: Tocopherol, Choice B, is not a form of vitamin K; it is another name for vitamin E. Phylloquinone (Choice A), menaquinone (Choice C), and menadione (Choice D) are all forms of vitamin K. Phylloquinone is vitamin K1 found in green plants, menaquinone is vitamin K2 produced in the large intestine and found in animal tissues, and menadione is a synthetic form of vitamin K. Therefore, Choice B is the correct answer because it does not belong to the vitamin K group, unlike the other options.

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