Nursing Elites

1. During the first six months of lactation, a breastfeeding mother is advised to consume how many extra kcalories per day to meet energy needs?

• A. 250
• B. 330
• C. 400
• D. 470

Correct answer: B

Rationale: A breastfeeding mother is advised to consume an additional 330 kcalories per day during the first six months to support milk production and meet increased energy needs.

2. Any disease that produces ____ malabsorption can bring about deficiencies of vitamins A, D, E, and K.

• A. water
• B. protein
• C. fat
• D. carbs

Correct answer: C

Rationale: Vitamins A, D, E, and K are fat-soluble, meaning they require fat for absorption. Diseases that cause fat malabsorption can lead to deficiencies in these vitamins.

3. The purpose of ECT in clients with depression is to:

• A. Stimulation in the brain to increase brain conduction and counteract depression
• B. Mainly Biologic, increasing the norepinephrine and serotonin level
• C. Creates a temporary brain damage that will increase blood flow to the brain
• D. Involves the conduction of electrical current to the brain to charge the neurons and combat depression

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.

4. The following mechanisms can be utilized as part of the quality assurance program of your hospital EXCEPT:

• A. Patient satisfaction surveys
• B. Peer review to assess care provided
• C. Review of clinical records of care of client
• D. Use of Nursing Interventions Classification

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.

5. How do foods or supplements containing significant amounts of plant sterols help lower LDL cholesterol levels?

• A. reducing cholesterol synthesis
• B. suppressing inflammation
• C. reducing blood clotting
• D. interfering with cholesterol and bile absorption

Correct answer: D

Rationale: Plant sterols interfere with cholesterol and bile absorption in the intestines. This interference helps lower LDL cholesterol levels by reducing the amount of cholesterol that enters the bloodstream. Choices A, B, and C are incorrect because plant sterols primarily work by interfering with cholesterol and bile absorption, not by reducing cholesterol synthesis, suppressing inflammation, or reducing blood clotting.

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