Nursing Elites

1. In which order will the nurse take these steps to prepare NPH 20 units and regular insulin 2 units using the same syringe? (Put a comma and a space between each answer choice [A, B, C, D, E]).

• A. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw regular insulin, Inject 2 units of air into regular insulin vial, Withdraw 20 units of NPH.
• B. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw regular insulin, Inject 2 units of air into regular insulin vial, Withdraw 20 units of NPH.
• C. Rotate NPH vial, Inject 20 units of air into NPH vial, Inject 2 units of air into regular insulin vial, Withdraw regular insulin, Withdraw 20 units of NPH.
• D. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw 20 units of NPH, Inject 2 units of air into regular insulin vial, Withdraw regular insulin.

Correct answer: C

Rationale: The correct order to prepare NPH 20 units and regular insulin 2 units using the same syringe is to start by rotating the NPH vial, then injecting 20 units of air into the NPH vial. Next, inject 2 units of air into the regular insulin vial, followed by withdrawing the regular insulin. Finally, withdraw 20 units of NPH. This sequence ensures proper mixing and preparation of the insulin doses. Choices A, B, and D have incorrect sequences that may lead to incorrect dosages or inadequate mixing of the insulins.

2. A nurse has just inserted a nasogastric (NG) tube for a client. Which of the following findings should the nurse expect to confirm correct tube placement?

• A. The client reports relief of nausea.
• B. The tube aspirate has a pH less than 5.
• C. Bowel sounds are present on auscultation.
• D. An x-ray shows the end of the tube above the pylorus.

Correct answer: A

Rationale: The correct answer is A: The client reports relief of nausea. When the NG tube is correctly placed in the stomach, it can help alleviate feelings of nausea and discomfort. Choice B, a tube aspirate pH less than 5, is incorrect as it indicates gastric placement, not necessarily correct placement. Choice C, bowel sounds on auscultation, and Choice D, visualization of the tube on an x-ray above the pylorus, do not confirm correct NG tube placement; therefore, they are incorrect.

3. When is the first opportunity for a manager to reduce turnover?

• A. When the decision to hire a new employee is made
• B. After one month of employment
• C. After three months of employment
• D. After a certain tenure period

Correct answer: C

Rationale: The manager's first opportunity to reduce turnover occurs after three months of employment. During this period, the manager can assess the employee's performance, engagement, and fit within the organization. It allows the manager to address any concerns, provide support, and intervene early to prevent turnover. Waiting until after a certain tenure period might be too late to effectively mitigate turnover risk, as issues could have already escalated. Therefore, the three-month mark is a critical point for managers to proactively manage turnover. Choices A and B are incorrect because they do not allow sufficient time for the manager to evaluate the employee and take proactive measures to reduce turnover. Choice D is incorrect as it is too vague and does not provide a specific actionable timeframe for addressing turnover concerns.

4. A new nurse is thinking about the ways she can demonstrate leadership in her position. Which of the following is true about leadership?

• A. Leadership is a component of nursing practice.
• B. Leadership requires a position of oversight.
• C. Leadership depends on the actions of others.
• D. Only experienced nurses can demonstrate leadership.

Correct answer: A

Rationale: The correct answer is A: 'Leadership is a component of nursing practice.' Leadership is an essential aspect of nursing practice that involves inspiring, guiding, and influencing others to achieve common goals. Choice B is incorrect because leadership can be demonstrated at various levels within an organization, not just positions of oversight. Choice C is incorrect as leadership involves taking initiative and guiding others, rather than depending solely on the actions of others. Choice D is incorrect as leadership qualities can be demonstrated by individuals at all levels of experience, not exclusively by experienced nurses.

5. When seeking their first nursing job, what is the most important factor that nursing graduates look for?

• A. Location
• B. Money
• C. Orientation
• D. Vacation

Correct answer: C

Rationale: The correct answer is C: Orientation. Nursing graduates prioritize the orientation program when seeking their first job as it helps them transition smoothly into their new role. Choices A, B, and D are incorrect. While location, salary, and vacation time are important considerations, nursing graduates specifically value a comprehensive orientation program to support their initial professional development.

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