Nursing Elites

1. What is the form in which energy from excess intake of proteins, fats, alcohol, and carbohydrates is stored?

• A. Protein
• B. Fat
• C. Carbohydrates
• D. Alcohol

Correct answer: B

Rationale: When the body consumes more energy than it needs, the surplus is stored as fat, regardless of whether the energy source was proteins, fats, alcohol, or carbohydrates. This is why the correct answer is 'Fat'. Other choices are incorrect because, in excess intake situations, the body does not store surplus energy as proteins, carbohydrates, or alcohol.

2. What does a sample group represent?

• A. Control group C. General population
• B. Study subjects D. Universe
• C.
• D.

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.

3. A client with pre-dialysis end-stage kidney disease is being taught about diet. Which of the following instructions should the nurse include?

• A. Increase intake of dietary phosphorus.
• B. Eliminate foods high in protein from your diet.
• C. Reduce intake of foods high in potassium.
• D. Increase intake of sodium-containing foods.

Correct answer: C

Rationale: In pre-dialysis end-stage kidney disease, reducing intake of foods high in potassium is crucial as impaired kidney function can lead to potassium buildup in the blood, which can be dangerous. High potassium levels can cause irregular heartbeats and even cardiac arrest. Therefore, advising the client to reduce potassium-rich foods is essential to prevent complications. Choices A, B, and D are incorrect. Increasing dietary phosphorus, eliminating foods high in protein, or increasing sodium-containing foods are not appropriate recommendations for a client with pre-dialysis end-stage kidney disease as they can exacerbate the condition.

4. The most common causative agent of Pyelonephritis in hospitalized patient attributed to prolonged catheterization is said to be:

• A. E. Coli C. Pseudomonas
• B. Klebsiella D. Staphylococcus
• C.
• D.

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. The healthcare professional in the dialysis unit understands that patients may experience various complications during hemodialysis. What describes a common complication during hemodialysis?

• A. confusion
• B. profuse sweating
• C. hypertension
• D. leg cramps

Correct answer: D

Rationale: Leg cramps are a common complication during hemodialysis due to shifts in fluid and electrolyte levels that occur during the treatment. Confusion (choice A) is not a common complication specifically related to hemodialysis. Profuse sweating (choice B) is not typically associated with hemodialysis complications. Hypertension (choice C) might be a pre-existing condition in some patients but is not a direct common complication of hemodialysis.

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