Nursing Elites

1. In comparison to infants born to women of normal weight, infants born to obese women are _____.

• A. less likely to have heart defects
• B. more likely to be of very low birthweight
• C. less likely to experience a complicated birth
• D. more likely to have neural tube defects

Correct answer: D

Rationale: Infants born to obese women are more likely to have neural tube defects compared to infants born to women of normal weight. This increased risk is attributed to factors such as poor maternal nutrition and increased inflammation during pregnancy. Choice A is incorrect because infants born to obese women have a higher risk of heart defects. Choice B is incorrect as infants born to obese women are more likely to have higher birthweights. Choice C is incorrect as obese women are more likely to experience complications during birth.

2. People with only one arm or hand may benefit from using a ____ when eating?

• A. dish with suction cups
• B. rocker knife
• C. utensil holder
• D. flexible straw

Correct answer: B

Rationale: A rocker knife is specifically designed for individuals with limited use of one hand or arm, allowing them to cut food easily. This makes it a suitable option for people with only one arm or hand. Choice A, a dish with suction cups, may not directly aid in cutting food with one hand. Choice C, an utensil holder, is not typically used for cutting food. Choice D, a flexible straw, is more related to drinking liquids and not specifically designed to assist in cutting food one-handed.

3. Before administration of blood and blood products, the nurse should first:

• A. Check with another R.N the client’s name, Identification number, ABO and RH type.
• B. Explain the procedure to the client
• C. Assess baseline vital signs of the client
• D. Check for the BT order

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.

4. What type of drug would most likely be given to a patient following a myocardial infarction?

• A. antiemetic
• B. anticoagulant
• C. anticonvulsant
• D. antibiotic

Correct answer: B

Rationale: Anticoagulants are the most suitable choice for a patient following a myocardial infarction. These medications are essential in preventing further blood clots from forming in the arteries, reducing the risk of complications such as strokes or recurrent heart attacks. Antiemetics are used to control nausea and vomiting, not directly related to myocardial infarction. Anticonvulsants are used to manage seizures, not typically indicated after a heart attack. Antibiotics are prescribed to treat bacterial infections, not routinely given after a myocardial infarction.

5. You notice that Miss Kate, a bread vendor, receives and changes money, then holds the bread without washing her hands. As a nurse, what should you say to Miss Kate?

• A. Miss, don't touch the bread, I'll be the one to pick it up.
• B. Miss, please wash your hands before you pick up the bread.
• C. Miss, use a pick-up forceps when picking up the bread.
• D. Miss, your hands are dirty, I guess I'll try another bread shop.

Correct answer: B

Rationale: The correct answer is B, as it emphasizes the importance of hygiene in food handling, which is crucial to prevent the spread of germs and diseases. The other options do not address the root of the issue, which is the unhygienic handling of food. Option A avoids direct confrontation but does not educate the vendor on proper hygiene. Option C, although it suggests a hygienic method, may not be practical or available in all situations. Option D is an avoidance strategy rather than a way to address the problem.

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