Nursing Elites

1. Knowing that for a comatose patient hearing is the last sense to be lost, as Judy’s nurse, what should you do?

• A. Tell her family that probably she can’t hear them
• B. Talk loudly so that Wendy can hear you
• C. Tell her family who are in the room not to talk
• D. Speak softly then hold her hands gently

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.

2. The major determinant of a person's total cholesterol levels is the amount of cholesterol in their diet.

• A. True
• B. False
• C.
• D.

Correct answer: B

Rationale: It is false that the major determinant of a person's total cholesterol levels is the amount of cholesterol in their diet. While dietary cholesterol can have some impact on total cholesterol levels, it is not the major determinant. The amount and types of fats consumed, particularly saturated and trans fats, have a more significant impact on blood cholesterol levels. Therefore, a diet high in these types of fats can lead to high cholesterol, irrespective of the amount of dietary cholesterol consumed. This is why it is essential to maintain a balanced diet with a limited intake of saturated and trans fats.

3. A client is following Seventh-Day Adventist dietary laws. Which of the following dietary guidelines should the nurse include in the plan of care?

• A. Replace salt with pepper when seasoning food.
• B. Request that coffee is removed from meal trays.
• C. Offer pork with two meals per week.
• D. Provide a high-protein snack between meals.

Correct answer: B

Rationale: Seventh-Day Adventists typically avoid stimulants like caffeine, so requesting that coffee be removed from meal trays is appropriate. Choice A is incorrect because it does not specifically relate to Seventh-Day Adventist dietary guidelines. Choice C is incorrect as pork is generally avoided in Seventh-Day Adventist dietary laws. Choice D is incorrect as it does not address the specific dietary preferences of Seventh-Day Adventist clients.

4. Because of increasing cases of fluorosis, low levels of fluoride are added to commercial infant formula. Breast milk provides low levels of fluoride.

• A. Both statements are true
• B. Both statements are false
• C. The first statement is true; the second is false
• D. The first statement is false; the second is true

Correct answer: D

Rationale: The first statement is false; fluoride is not added to infant formulas due to the risk of fluorosis. The second statement is true; breast milk contains low levels of fluoride.

5. What are the contraindications for using MI Paste?

• A. Children under six
• B. Individuals with a milk casein allergy
• C. Pregnant women
• D. Both A and B

Correct answer: D

Rationale: MI Paste is contraindicated in children under six and in individuals with a milk casein allergy. The reason is that MI Paste contains casein phosphopeptide, which is derived from milk. Therefore, it may cause allergic reactions in those who are sensitive to milk proteins. Pregnant women (Choice C) are not contraindicated for using MI Paste unless they have a known allergy to milk casein. Hence, the correct answer is 'D: Both A and B'.

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