Nursing Elites

1. On a day when the temperature is expected to drop below freezing during the night, the nurse is asked to determine which homeless adults are most in need of the limited spaces available in a shelter. It is most important for which person to be admitted at night?

• A. an adult who was hit by a car 3 weeks ago
• B. a young person with diabetes mellitus
• C. a middle-aged person who has hypertension
• D. an older person who is malnourished

Correct answer: D

Rationale: Malnourished individuals are at higher risk of severe complications from cold exposure due to their weakened immune system and decreased ability to regulate body temperature. This places them at a greater risk of hypothermia and other cold-related conditions, making them the most vulnerable group in need of shelter. Choice A is not the most critical as the injury is from 3 weeks ago and should have received appropriate medical care by now. Choice B, a young person with diabetes mellitus, while vulnerable, can manage their condition with proper medication and care. Choice C, a middle-aged person with hypertension, may need monitoring but is less susceptible to immediate harm from cold exposure compared to a malnourished individual.

2. The healthcare professional is planning a health education workshop for a group of adolescents on the dangers of substance abuse. Which strategy is most likely to be effective?

• A. showing videos of the effects of substance abuse
• B. inviting individuals in recovery to share their stories
• C. providing statistical data on substance abuse
• D. distributing brochures on substance abuse prevention

Correct answer: B

Rationale: Inviting individuals in recovery to share their stories is the most effective strategy for educating adolescents about the dangers of substance abuse. Personal stories have a significant impact as they provide real-life examples of the consequences of substance abuse, making the information more relatable and emotionally engaging. This approach can evoke empathy, create a deeper understanding of the risks involved, and potentially deter adolescents from experimenting with substances. Showing videos of the effects of substance abuse (choice A) may be impactful, but personal narratives often have a stronger emotional connection. Providing statistical data (choice C) may not resonate as strongly with adolescents as personal stories. Distributing brochures (choice D) is informative but may not have the same emotional impact and engagement as hearing firsthand experiences.

3. The healthcare provider is inspecting the external eye structures of a client. Which finding is a normal racial variation?

• A. Blue sclerae.
• B. Brown macules on the sclerae.
• C. Slightly yellow sclerae in an African-American client.
• D. Conjunctival pallor.

Correct answer: C

Rationale: The slightly yellow color of the sclera is a normal racial variation found in the African-American population. Blue sclerae (Choice A) are associated with osteogenesis imperfecta, not a normal racial variation. Brown macules on the sclerae (Choice B) may indicate issues like melanoma or melanosis but are not a normal racial variation. Conjunctival pallor (Choice D) suggests anemia or decreased blood flow but is not a normal racial variation.

4. The healthcare professional is developing a program to educate parents on childhood nutrition. Which topic should be prioritized?

• A. the benefits of organic foods
• B. how to read nutrition labels
• C. the importance of a balanced diet
• D. ways to incorporate more vegetables into meals

Correct answer: C

Rationale: Prioritizing the topic of the importance of a balanced diet is crucial as it provides a fundamental understanding for parents to establish healthy eating habits for their children. Understanding the importance of a balanced diet helps parents make informed decisions about food choices, portion sizes, and meal planning. Option A, focusing on the benefits of organic foods, while valuable, may not be feasible or affordable for all families. Option B, teaching parents how to read nutrition labels, is important but secondary to understanding the overall concept of a balanced diet. Option D, discussing ways to incorporate more vegetables into meals, is beneficial but should come after establishing the foundation of a balanced diet.

5. The nurse is developing a community health program to address the high rates of hypertension in a neighborhood. Which intervention should the nurse prioritize?

• A. conducting free blood pressure screenings
• B. distributing educational materials on hypertension
• C. holding workshops on stress management
• D. partnering with local gyms to offer discounted memberships

Correct answer: A

Rationale: Conducting free blood pressure screenings should be prioritized as it helps identify individuals with hypertension who may not be aware of their condition. Early detection allows for timely medical intervention and management. While distributing educational materials, holding stress management workshops, and partnering with local gyms are valuable interventions, they may not directly address the immediate need for identifying undiagnosed cases of hypertension in the community.

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