Nursing Elites

1. Most nurses regard this conventional recording of the date, time, and mode by which the patient leaves a healthcare unit but this record includes importantly, directs of planning for discharge that starts soon after the person is admitted to a healthcare institution. It is accepted that collaboration or multidisciplinary involvement (of all members of the health team) in discharge results in comprehensive care. What do you call this?

• A. Discharge Summary
• B. Nursing Kardex
• C. Medicine and Treatment Record
• D. Nursing Health History and Assessment Worksheet

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.

2. Which type of medication is most likely to induce xerostomia?

• A. Antibiotics
• B. Diuretics
• C. Local anesthetics
• D. Anticholinergics

Correct answer: D

Rationale: The correct answer is D, Anticholinergics. Anticholinergic medications commonly cause xerostomia by inhibiting saliva production, leading to dry mouth. Antibiotics (choice A) are not typically associated with xerostomia. Diuretics (choice B) increase urine production but do not directly affect saliva production. Local anesthetics (choice C) are used to numb specific areas during dental procedures and do not induce xerostomia.

3. Each statement is true of swallowing and processing food, except one. Which is the exception?

• A. The swallowing reflex moves a bolus into the esophagus
• B. A bolus is a mass of food
• C. The bolus is transported to the stomach by osmosis and gravity
• D. The bolus penetrates the diaphragm through the esophageal hiatus

Correct answer: C

Rationale: The correct answer is C. The bolus is not transported to the stomach by osmosis and gravity, but by peristalsis. Peristalsis is the involuntary constriction and relaxation of muscles to push the bolus through the digestive system. Choices A, B, and D are correct statements. A bolus is indeed a mass of food, the swallowing reflex does move the bolus into the esophagus, and the bolus does not penetrate the diaphragm through the esophageal hiatus; instead, it enters the stomach through the lower esophageal sphincter.

4. A healthcare professional is preparing an education program for a group of parents of adolescents. Which of the following should be included as indicators of nutritional risk among adolescents? (Select one that does not apply.)

• A. Skipping more than three meals per week
• B. Eating fast food once weekly
• C. Eating without family supervision frequently
• D. Frequently skipping breakfast

Correct answer: B

Rationale: Among the indicators of nutritional risk among adolescents, skipping meals, eating without family supervision, and frequently skipping breakfast are commonly associated with poor nutrition. However, eating fast food once weekly may not necessarily indicate a significant nutritional risk, as occasional consumption of fast food in moderation is not uncommon among adolescents. This choice is the correct answer because it does not strongly correlate with nutritional risk compared to the other options provided.

5. Digestible carbs are absorbed as ___ through the small intestinal wall and are delivered to the liver, which releases ___ into the bloodstream.

• A. glucose
• B. monosaccharides
• C. galactose
• D. disaccharides

Correct answer: B

Rationale: Digestible carbohydrates are absorbed as monosaccharides (simple sugars) like glucose, which the liver can release into the bloodstream for energy.

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