Nursing Elites

1. If the child does not have ear problem, using IMCI, what should you as the nurse do?

• A. Check for ear discharge
• B. Check for tender swellings behind the ear
• C. Check for ear pain
• D. Go to the next question, check for malnutrition

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. Match protease with its digestive action:

• A. breaks down carbs
• B. breaks down proteins
• C. breaks down lipids
• D. helps fat digestion

Correct answer: B

Rationale: Proteases are enzymes that break down proteins into smaller peptides and amino acids.

3. Intrinsic factor from the stomach is needed for the absorption of which vitamin?

• A. vitamin B12
• B. folate
• C. niacin
• D. vitamin B6

Correct answer: A

Rationale: The correct answer is A: vitamin B12. Intrinsic factor is a glycoprotein produced by the stomach that is necessary for the absorption of vitamin B12 in the small intestine. Vitamin B12 binds to intrinsic factor in the stomach, forming a complex that is then absorbed in the ileum. This absorption process is crucial for preventing vitamin B12 deficiency. Choices B, C, and D are incorrect because they do not require intrinsic factor for absorption. Folate is absorbed in the small intestine through a different mechanism, niacin can be absorbed in the small intestine without the need for intrinsic factor, and vitamin B6 does not rely on intrinsic factor for absorption.

4. In obtaining a urine specimen for culture and sensitivity on a catheterized patient, the nurse is correct if:

• A. Clamp the catheter for 30 minutes, Alcoholize the tube above the clamp site, Obtain a sterile syringe and draw the
• B. Alcoholize the self sealing port, obtain a sterile syringe and draw the specimen on the self sealing port
• C. Disconnect the drainage bag, obtain a sterile syringe and draw the specimen from the drainage bag
• D. Disconnect the tube, obtain a sterile syringe and draw the specimen from the tube

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.

5. What is the function of villi and microvilli in the GI tract?

• A. produce bile
• B. kill bacteria
• C. produce vitamin K
• D. increase the surface area for absorption

Correct answer: D

Rationale: Villi and microvilli in the GI tract serve to increase the surface area of the small intestine, aiding in the absorption of nutrients into the bloodstream. Choices A, B, and C are incorrect as villi and microvilli are primarily involved in enhancing absorption, not in producing bile, killing bacteria, or producing vitamin K.

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