Nursing Elites

1. On a voting ballot, the individuals who are to be elected during a vote are called:

• A. Representatives.
• B. Candidates.
• C. Bargaining agents.
• D. Electorate.

Correct answer: B

Rationale: The correct term for individuals who are to be elected during a vote is 'Candidates.' On a voting ballot, voters choose among the candidates running for a particular position or office. 'Representatives' (Choice A) are individuals who have already been elected to represent a group of people. 'Bargaining agents' (Choice C) typically refer to individuals negotiating on behalf of others, not those being elected. 'Electorate' (Choice D) refers to all the people in a country or area who are entitled to vote in an election, not specifically the candidates themselves.

2. Which of the following laws govern nursing practice?

• A. Statutory laws
• B. Common laws
• C. Administrative laws
• D. Constitutional laws

Correct answer: A

Rationale: Statutory laws govern nursing practice. These laws are enacted by legislative bodies and regulate various aspects of nursing practice, including licensure requirements, scope of practice, and patient care standards. Common laws, administrative laws, and constitutional laws may also impact nursing practice, but statutory laws specifically outline the legal framework for nursing professionals to follow. Common laws are based on court decisions and precedents, not specific to nursing practice. Administrative laws deal with regulations set by administrative agencies. Constitutional laws relate to the fundamental rights and principles outlined in the constitution, not specifically governing nursing practice.

3. While caring for a client with tuberculosis, which of the following actions should the nurse take?

• A. Use antimicrobial sanitizer for hand hygiene.
• B. Wear a surgical mask when providing client care.
• C. Limit each visitor to 2-hour increments.
• D. Wear gloves when assisting the client with oral care.

Correct answer: A

Rationale: The correct action for the nurse to take when caring for a client with tuberculosis is to use antimicrobial sanitizer for hand hygiene. Tuberculosis is primarily spread through the air, so wearing a surgical mask when providing care (choice B) would be more appropriate for diseases transmitted via droplets. Limiting visitors (choice C) and wearing gloves for oral care (choice D) are important infection control measures but are not specifically tailored to tuberculosis transmission.

4. Which of the following best describes the role of a nurse leader?

• A. Managing patient care directly
• B. Enforcing healthcare policies
• C. Inspiring and motivating the healthcare team
• D. Ensuring regulatory compliance

Correct answer: C

Rationale: The correct answer is C: 'Inspiring and motivating the healthcare team.' Nurse leaders play a crucial role in fostering a positive and collaborative work environment by motivating and inspiring their team members. Choice A is incorrect because managing patient care directly is typically the responsibility of staff nurses, while nurse leaders focus on leadership and coordination. Choice B is incorrect as enforcing healthcare policies is usually a function of compliance officers or administrators. Choice D is also incorrect as ensuring regulatory compliance is important but is usually overseen by compliance officers or regulatory affairs specialists, not specifically the role of a nurse leader.

5. The nurse is taking a health history from a 29-year-old pregnant patient at the first prenatal visit. The patient reports no personal history of diabetes but has a parent who is diabetic. Which action will the nurse plan to take first?

• A. Teach the patient about administering regular insulin.
• B. Schedule the patient for a fasting blood glucose level.
• C. Discuss an oral glucose tolerance test for the twenty-fourth week of pregnancy.
• D. Provide teaching about an increased risk for fetal problems with gestational diabetes.

Correct answer: B

Rationale: The correct answer is B. Given the family history of diabetes, the initial action the nurse should take is to schedule the patient for a fasting blood glucose level. This will help in assessing if the patient has developed gestational diabetes. Choice A is incorrect because teaching about administering regular insulin is premature without confirming the diagnosis. Choice C is incorrect as an oral glucose tolerance test is typically done earlier in pregnancy. Choice D is incorrect as discussing fetal problems related to gestational diabetes should come after a confirmed diagnosis.

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