Nursing Elites

1. Milk and other dairy products are preferred sources of calcium because lactose enhances calcium absorption.

• A. Both the statement and the reason are correct and related.
• B. Both the statement and the reason are correct but are not related.
• C. The statement is correct, but the reason is not correct.
• D. The statement is not correct, but the reason is correct.

Correct answer: A

Rationale: Both the statement and the reason are correct and related. Milk and other dairy products are indeed preferred sources of calcium because they supply most of the available calcium. Additionally, lactose present in dairy products enhances calcium absorption, making them even more efficient sources of this essential mineral. The statement correctly identifies dairy products as preferred sources of calcium, and the reason explains how lactose contributes to better calcium absorption. The other choices are incorrect as they do not accurately assess the relationship between lactose, calcium absorption, and the preference for dairy products as sources of calcium.

2. Starting material for sex hormones:

• A. cholesterol
• B. phospholipid
• C. saturated
• D. triglyceride

Correct answer: A

Rationale: Cholesterol is a precursor for the synthesis of sex hormones like estrogen and testosterone.

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 nutrition-related side effect is most likely to occur after head and neck surgery for cancer treatment?

• A. Aspiration
• B. Acid reflux
• C. Dumping syndrome
• D. Diarrhea

Correct answer: A

Rationale: The most likely nutrition-related side effect after head and neck surgery for cancer treatment is aspiration. This is due to changes in swallowing mechanics, which can cause food or liquids to be inhaled into the lungs. While acid reflux, dumping syndrome, and diarrhea are potential side effects related to nutrition, they are not as directly connected to head and neck surgery. Acid reflux is more often related to issues with the lower esophageal sphincter, dumping syndrome is typically a complication of gastric surgery, and diarrhea can have various causes, including certain medications or gastrointestinal illnesses.

5. Which of the following methods is the best method for determining nasogastric tube placement in the stomach?

• A. X-ray
• B. Observation of gastric aspirate
• C. Testing of pH of gastric aspirate
• D. Placement of external end of tube under water

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.

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