Nursing Elites

1. In managing Type 2 diabetes, what is the most important dietary change?

• A. Increase carbohydrate intake
• B. Increase fiber intake
• C. Increase protein intake
• D. Reduce fat intake

Correct answer: B

Rationale: Increasing fiber intake can help regulate blood sugar levels in patients with Type 2 diabetes.

2. Why do older adult female clients need less iron than younger adult female clients?

• A. The need for iron decreases because older female clients produce more red blood cells.
• B. The need for iron decreases with age because older female clients carry oxygen more efficiently.
• C. The need for iron decreases with age because older female clients experience menopause.
• D. The need for iron decreases with age because older female clients exercise more.

Correct answer: C

Rationale: The correct answer is C. Older adult female clients need less iron than younger adult female clients because as women go through menopause, they no longer lose blood through menstruation, leading to a reduced need for iron. Choice A is incorrect because producing more red blood cells does not directly correlate with needing less iron. Choice B is incorrect as carrying oxygen more efficiently does not necessarily decrease the need for iron. Choice D is incorrect as exercising more does not explain the decreased need for iron in older adult female clients.

3. When counseling a teenager about fast food, a dental hygienist could correctly cite which of the following facts, with one exception. Which is the exception?

• A. Most fast food menus lack a rich source of vitamin A
• B. Consumer demands have driven the establishment of salads and other healthy menu items
• C. Shortages of biotin, folate, pantothenic acid, and copper are reported in fast foods
• D. Studies reveal that protein is lacking in most menu items

Correct answer: D

Rationale: The correct answer is 'D'. Fast food is generally not deficient in protein since it often contains meat, a significant source of protein. On the other hand, fast food is known to lack essential nutrients like Vitamin A and certain minerals, as mentioned in choices 'A' and 'C'. Choice 'B' is also accurate as many fast food establishments have started offering healthier options such as salads due to customer demands. Therefore, all options are true except 'D', which makes it the exception.

4. A group of clients is being instructed by a nurse regarding nutrition. The teaching should state that which of the following groups of foods contains the highest level of carbohydrates?

• A. Milk, eggs, and cheese
• B. Butter, oils, and avocados
• C. Rice, potatoes, and oranges
• D. Chicken, green beans, and apples

Correct answer: C

Rationale: The correct answer is C: Rice, potatoes, and oranges. These foods are rich in carbohydrates. Choice A (Milk, eggs, and cheese) contains minimal carbohydrates as they are primarily sources of protein and fat. Choice B (Butter, oils, and avocados) contains very little to no carbohydrates as they are high in fats. Choice D (Chicken, green beans, and apples) also contains minimal carbohydrates, with protein and fiber being more prominent in these foods.

5. Angie is a disoriented client who frequently falls from the bed. As her nurse, which of the following is the best nursing intervention to prevent future falls?

• A. Tell Angie not to get up from bed unassisted
• B. Put the call bell within her reach
• C. Put bedside commode at the bedside to prevent Angie from getting up
• D. Put the bed in the lowest position ever

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

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