Nursing Elites

1. Ms. Maria Salvacion says that she is the incarnation of the holy Virgin Mary. She said that she is the child of the covenant that would save this world from the evil forces of Satan. One morning, while caring for her, she stood in front of you and said “Bow down before me! I am the holy mother of Christ! I am the blessed Virgin Mary!” The best response by the Nurse is:

• A. Tell me more about being the Virgin Mary
• B. So, You are the Virgin Mary?
• C. Excuse me but, you are not anymore a Virgin so you cannot be the Blessed Virgin Mary.
• D. You are Maria Salvacion

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. Patients with kidney stones should increase their intake of:

• A. fluids
• B. vitamin C
• C. oxalates
• D. protein

Correct answer: A

Rationale: Patients with kidney stones should increase their intake of fluids. Increasing fluid intake helps to dilute the urine and reduce the risk of kidney stones forming by flushing out minerals that can crystallize. This promotes the passage of small stones and helps prevent the formation of new ones. Vitamin C and protein intake should be moderated as excessive consumption may lead to the formation of certain types of kidney stones. Oxalates should be limited in the diet as they can contribute to the formation of calcium oxalate stones, a common type of kidney stone.

3. For individuals with lactose intolerance, which of the following foods should be avoided?

• A. Eggs
• B. Milk
• C. Almonds
• D. Beef

Correct answer: B

Rationale: Individuals with lactose intolerance lack the enzyme lactase needed to break down lactose. Milk contains lactose, a sugar found in dairy products, and should be avoided by individuals with lactose intolerance. Choices A, C, and D are not sources of lactose and are generally well-tolerated by individuals with lactose intolerance.

4. Which of the following body processes is not dependent upon the presence of calcium in the body fluids?

• A. blood clotting
• B. transport of oxygen in the blood
• C. muscle contractions
• D. transmission of nerve impulses

Correct answer: B

Rationale: The transport of oxygen in the blood is carried out by hemoglobin, which does not require calcium; instead, calcium is essential for blood clotting, muscle contraction, and nerve transmission.

5. Which mineral-containing amino acids help to form the shape of proteins?

• A. phosphorus
• B. sulfur
• C. selenium
• D. iron

Correct answer: B

Rationale: The correct answer is B: sulfur. Sulfur-containing amino acids like cysteine and methionine play a crucial role in forming disulfide bonds within proteins. These bonds are essential for the proper folding and structural stability of proteins. Phosphorus (choice A), selenium (choice C), and iron (choice D) do not directly contribute to shaping proteins through bond formation.

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