Nursing Elites

1. Which organ absorbs water and vitamin K and may be affected by ulcerative colitis?

• A. Stomach
• B. Pancreas
• C. Large intestine
• D. Small intestine

Correct answer: C

Rationale: The large intestine is the organ that is primarily responsible for the absorption of water and vitamin K in the human body. A disease like ulcerative colitis can disrupt these functions by causing inflammation and ulcers in the lining of the large intestine, leading to digestive issues. The stomach (Choice A) primarily functions to break down and digest food, not to absorb water and vitamins. The pancreas (Choice B) secretes enzymes to aid in digestion and hormones to regulate blood sugar, but does not absorb water and vitamins. The small intestine (Choice D) is primarily responsible for absorbing nutrients from digested food, but not specifically water and vitamin K. Therefore, these other choices are incorrect.

2. A nurse is teaching a nutrition class for clients who have type 2 diabetes mellitus. Which of the following statements should the nurse include about management of acute illness?

• A. Consume carbs every 3-4 hrs
• B. Decrease fluid intake to 1000 mL per day
• C. Monitor blood glucose twice per day
• D. Check urine for ketones every 24 hrs

Correct answer: A

Rationale: The correct statement is to 'Consume carbs every 3-4 hours.' During acute illness, it is important to maintain a consistent carbohydrate intake to help manage blood glucose levels for clients with type 2 diabetes. This frequent consumption can prevent hypoglycemia and provide energy needed during illness. Decreasing fluid intake (choice B) is not recommended during acute illness, as hydration is crucial to prevent complications. Monitoring blood glucose (choice C) more frequently than twice a day is necessary during acute illness. Checking urine for ketones (choice D) should be done more frequently than once every 24 hours during illness to monitor for diabetic ketoacidosis.

3. In obtaining a urine specimen for culture and sensitivity on a catheterized patient, the nurse is correct if:

• A. Clamp the catheter for 30 minutes, Alcoholize the tube above the clamp site, Obtain a sterile syringe and draw the
• B. Alcoholize the self sealing port, obtain a sterile syringe and draw the specimen on the self sealing port
• C. Disconnect the drainage bag, obtain a sterile syringe and draw the specimen from the drainage bag
• D. Disconnect the tube, obtain a sterile syringe and draw the specimen from the tube

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.

4. A person who consumes mostly pre-packaged meals is likely consuming too much ____.

• A. iron
• B. zinc
• C. sodium
• D. riboflavin

Correct answer: C

Rationale: Pre-packaged meals often contain high levels of sodium, which can contribute to hypertension and other health issues when consumed in excess.

5. All of the following are seen in a child with measles. Which one is not?

• A. Reddened eyes
• B. Coryza
• C. Pustule
• D. Cough

Correct answer: C

Rationale: Measles typically presents with symptoms like reddened eyes, coryza (inflammation of the mucous membrane in the nose), and cough. However, pustules are not a common symptom of measles. Pustules are more characteristic of conditions like chickenpox rather than measles. Understanding these distinctions is crucial for accurate diagnosis and appropriate treatment.

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