Nursing Elites

1. 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.

2. The component that should receive the highest priority before physical examination is the:

• A. Psychological preparation of the client
• B. Physical Preparation of the client
• C. Preparation of the Environment
• D. Preparation of the Equipments

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.

3. Which type of fatty acid has carbon atoms connected by two or more double bonds?

• A. Saturated fatty acids
• B. Monounsaturated fatty acids
• C. Trans fatty acids
• D. Polyunsaturated fatty acids

Correct answer: D

Rationale: The correct answer is D. Polyunsaturated fatty acids. Polyunsaturated fatty acids have two or more double bonds in their carbon chains, making them less stable and more prone to oxidation. This characteristic distinguishes them from saturated fatty acids (Choice A), which have single bonds between carbon atoms providing stability. Monounsaturated fatty acids (Choice B) contain only one double bond, and trans fatty acids (Choice C) can have varying numbers of double bonds but are not specifically defined by having two or more double bonds.

4. A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?

• A. Increase phosphorus intake
• B. Limit calcium intake
• C. Limit protein intake
• D. Increase potassium intake

Correct answer: C

Rationale: The correct recommendation for a client with chronic kidney disease is to limit protein intake. Excessive protein consumption can strain the kidneys as they work to eliminate waste products from protein metabolism. This can worsen kidney function in individuals with chronic kidney disease. Therefore, limiting protein intake is crucial in managing this condition. Choices A, B, and D are incorrect. Increasing phosphorus intake can be harmful in kidney disease as it can lead to mineral imbalances. Limiting calcium intake is not typically necessary unless the client has specific complications. Increasing potassium intake may also be inappropriate as potassium levels can be affected in kidney disease.

5. What instruction should a nurse include when teaching a client who has recently been prescribed a low-sodium diet?

• A. Avoid foods such as smoked meats and frozen dinners.
• B. Select foods with less than 4g of sodium as indicated on food labels.
• C. Use soy sauce for flavoring foods instead of table salt.
• D. Processed and prepared foods are typically low in sodium.

Correct answer: A

Rationale: The correct answer is A, which directs the client to avoid foods such as smoked meats and frozen dinners. These types of foods are typically high in sodium, making them unsuitable for a low-sodium diet. Option B is incorrect because foods with less than 4g of sodium might still be high in sodium for individuals on low-sodium diets. The daily recommended intake of sodium for a low-sodium diet is usually around 1.5g to 2g. Hence, 4g of sodium in a single food product can be excessive. Option C is incorrect as soy sauce, although a different source of flavor, is also high in sodium and should be used sparingly, if at all, in a low-sodium diet. Option D is incorrect because processed and prepared foods are usually not low in sodium. In fact, these foods often have high sodium content due to added salts and preservatives.

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