Nursing Elites

1. Cocaine is derived from the leaves of coca plant; the nurse knows that cocaine is classified as:

• A. Narcotic
• B. Stimulant
• C. Barbiturate
• D. Hallucinogen

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

2. The mechanism behind most CKD in patients without diabetes is mediated by:

• A. enzyme systems
• B. immune systems
• C. catabolic systems
• D. hormonal systems

Correct answer: B

Rationale: In non-diabetic patients, CKD is often mediated by immune system responses. Chronic inflammation triggered by immune system dysfunction can contribute to progressive kidney damage. Therefore, the correct answer is 'immune systems.' Choices A, C, and D are incorrect because CKD in non-diabetic patients is primarily associated with immune system abnormalities rather than enzyme, catabolic, or hormonal systems.

3. Which outcome has been shown to be most closely associated with breastfeeding infants of mothers who smoke?

• A. poor temperature regulation
• B. vision impairment
• C. vomiting
• D. elevated blood pressure

Correct answer: C

Rationale: The correct answer is C: vomiting. Infants breastfed by mothers who smoke are more likely to experience vomiting and gastrointestinal issues due to the transfer of nicotine and other harmful substances through breast milk. Choices A, B, and D are incorrect. Poor temperature regulation, vision impairment, and elevated blood pressure are not the primary outcomes closely associated with breastfeeding infants of mothers who smoke.

4. Which adolescent student lunch, evaluated by the school nurse, is the least nutritious?

• A. Ham sandwich, apple, and milk
• B. Hamburger, fries, and soft drink
• C. Macaroni and cheese, green beans, and peaches
• D. Meatloaf, broccoli, and pear slices

Correct answer: B

Rationale: The correct answer is B: Hamburger, fries, and soft drink. This meal is considered the least nutritious among the options provided due to its high content of unhealthy fats, processed carbohydrates, and added sugars, which lack essential nutrients. On the other hand, choice A: Ham sandwich, apple, and milk, offers a balanced meal with protein, fiber, vitamins, and calcium. Choice C: Macaroni and cheese, green beans, and peaches, provides a mixture of carbohydrates, vegetables, and fruits. Choice D: Meatloaf, broccoli, and pear slices, includes protein, fiber, and vitamins. Thus, all choices except B provide a more balanced and nutritious meal.

5. A nurse is caring for an older adult client who reports difficulty chewing due to ill-fitting dentures. Which of the following foods should the nurse recommend for the client?

• A. Dried fruit
• B. Roast beef
• C. Tuna fish
• D. Apple slices

Correct answer: C

Rationale: The correct answer is C: Tuna fish. Tuna fish is a soft and easy-to-chew option, suitable for clients with ill-fitting dentures. Dried fruit (choice A) can be tough to chew and may stick to the dentures, causing discomfort. Roast beef (choice B) requires significant chewing effort and may not be suitable for someone with difficulty chewing. Apple slices (choice D) are crunchy and hard, which can be challenging for individuals with ill-fitting dentures.

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