Nursing Elites

1. Which vitamin is also known as Niacin?

• A. Vitamin B1
• B. Vitamin B2
• C. Vitamin B3
• D. Vitamin B12

Correct answer: C

Rationale: The correct answer is Vitamin B3, also known as Niacin. Niacin is essential for energy metabolism and can help improve cholesterol levels. Vitamin B1 is Thiamine, Vitamin B2 is Riboflavin, and Vitamin B12 is Cobalamin. These vitamins have different functions in the body and are not synonymous with Niacin.

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. Which of the following foods or beverages would offer the most nutrients per calorie?

• A. chicken
• B. wine
• C. white bread
• D. broccoli

Correct answer: D

Rationale: Broccoli is indeed the correct answer. Broccoli is considered nutrient-dense, meaning it provides a significant amount of essential nutrients like vitamins, minerals, and fiber while being relatively low in calories. On the other hand, choices A, B, and C are not as nutrient-dense as broccoli. Chicken can be nutritious but may vary in nutrient content depending on the cut and preparation method. Wine, although containing antioxidants like resveratrol, is not a significant source of essential nutrients. White bread is often low in nutrients and fiber compared to whole grain options, making it less nutrient-dense than broccoli.

4. A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels. Which of the following statements by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet?

• A. "I flavor my meat with lemon juice."?
• B. "I eat two eggs for breakfast each morning."?
• C. "I cook my food with canola oil."?
• D. "I take an omega-3 supplement daily."?

Correct answer: B

Rationale: The correct answer is B. Eggs are high in cholesterol, so someone with elevated cholesterol levels, especially with a history of atherosclerosis, should be cautious about egg consumption. Choices A, C, and D are not as concerning for cholesterol levels. Lemon juice, canola oil, and omega-3 supplements do not significantly impact cholesterol levels compared to consuming eggs regularly.

5. You are to measure the client's initial blood pressure reading by doing all of the following EXCEPT:

• A. Take the blood pressure reading on both arms for comparison
• B. Listen to and identify the phases of Korotkoff sounds
• C. Pump the cuff to around 50 mmHg above the point where the pulse is obliterated
• D. Observe procedures for infection control

Correct answer: B

Rationale: When measuring blood pressure, it is crucial to follow specific steps to obtain accurate readings. Taking the blood pressure on both arms for comparison helps assess any variations. Pumping the cuff to around 50 mmHg above the point of pulse obliteration ensures accurate measurements. Observing procedures for infection control is vital to prevent the spread of infections. Listening to and identifying the phases of Korotkoff sounds are associated with auscultatory blood pressure measurements, not the initial blood pressure reading process.

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