Nursing Elites

1. In which of the following conditions does a person need to sit, stand, or use multiple pillows when lying down?

• A. Orthopnea
• B. Dyspnea
• C. Eupnea
• D. Apnea

Correct answer: A

Rationale: The correct answer is Orthopnea. Orthopnea is a medical condition in which a person has difficulty breathing while lying down. To alleviate this difficulty, the person may need to sit, stand, or use multiple pillows. On the other hand, Dyspnea refers to general shortness of breath which is not specifically related to the position of the body. Eupnea is the term for normal, unlabored breathing, and Apnea is a condition characterized by the cessation of breathing. Thus, none of these other choices directly relate to the need to adjust body position or use aids like multiple pillows to breathe comfortably when lying down.

2. Surgery schedules are communicated to the OR usually a day prior to the procedure by the nurse of the floor or ward where the patient is confined. For orthopedic cases, what department is usually informed to be present in the OR?

• A. Rehabilitation department
• B. Laboratory department
• C. Maintenance department
• D. Radiology department

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. The most significant factor that might affect the nurse’s care for the psychiatric patient is:

• A. Nurse’s own beliefs and attitude about the mentally ill
• B. Amount of experience he has with psychiatric clients
• C. Her abilities and skill to care for the psychiatric clients
• D. Her knowledge in dealing with the psychiatric clients

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. Which of the following treatments is not recommended for a child classified with no dehydration?

• A. Administering 1,000 ml to 1,400 ml within 4 hours
• B. Continuing feeding
• C. Allowing the child to take as much fluid as he wants
• D. Returning the child to the doctor if the condition worsens

Correct answer: B

Rationale: The correct answer is B. Continuing feeding is a recommended treatment for a child classified with no dehydration. This helps maintain the child's nutritional status and supports recovery. Options A, C, and D are appropriate interventions for a child with no dehydration. Option A ensures adequate fluid intake, option C promotes hydration, and option D ensures appropriate follow-up if the condition worsens.

5. If a person could not make bile, what would happen?

• A. experience fatigue, as the body would not be able to make lipid carriers to deliver fat to body cells for energy
• B. have less cholesterol being made by the liver
• C. need to consume higher levels of fat
• D. be unable to absorb most lipids, and fat would be excreted in the feces

Correct answer: D

Rationale: The correct answer is D. Bile is essential for emulsifying fats in the small intestine, allowing them to be absorbed. Without bile, most fats would not be absorbed and would be excreted in the feces. Choices A, B, and C are incorrect because the primary role of bile is in the digestion and absorption of fats, rather than affecting lipid carriers, cholesterol production, or dietary fat consumption.

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