Nursing Elites

1. Sucrose is a:

• A. monosaccharide
• B. disaccharide
• C. polysaccharide
• D. starch

Correct answer: B

Rationale: Sucrose is a disaccharide composed of one glucose and one fructose molecule.

2. A nurse is caring for four clients. The nurse should plan to administer total parenteral nutrition for which of the following clients?

• A. A client who is postoperative following a laminectomy and is receiving IV PCA
• B. A client who has dysphagia and does not recognize his family
• C. A client who has COPD and is going home with oxygen
• D. A client who has colon cancer and will undergo a hemicolectomy

Correct answer: D

Rationale: Total parenteral nutrition (TPN) is essential for clients undergoing significant surgical procedures like a hemicolectomy to ensure they receive adequate nutrition when oral intake is not possible. Choices A, B, and C do not typically require TPN. Choice A is managing postoperative pain with IV PCA, choice B is likely to need alternative feeding methods due to dysphagia, and choice C is going home with oxygen for COPD management, which does not directly relate to the need for TPN.

3. Of the following neurotransmitters, which demonstrates inhibitory action, helps control mood and sleep, and inhibits pain pathways?

• A. Serotonin
• B. Enkephalin
• C. Norepinephrine
• D. Acetylcholine

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.

4. What goal should an overweight woman include in her lifestyle for a healthy pregnancy?

• A. Aim to lose 11 to 20 pounds during pregnancy
• B. Increase protein intake to 35% of total calories
• C. Delay weight loss until after pregnancy
• D. Increase daily energy intake by 550 calories

Correct answer: C

Rationale: The healthiest approach for an overweight pregnant woman is to delay weight loss until after pregnancy. During pregnancy, the body needs sufficient nutrition and energy to support the growth and development of the baby. Attempting to lose weight during pregnancy, especially significant amounts, may compromise the health of both the mother and the baby. Increasing protein intake to 35% of total calories or energy intake by 550 calories per day without professional guidance may lead to an unbalanced diet, which is not optimal for pregnancy. The focus should be on maintaining a balanced, nutrient-rich diet and appropriate weight gain during pregnancy.

5. The provision of health information in the rural areas nationwide through television and radio programs and video conferencing is referred to as:

• A. Community health program
• B. Telehealth program
• C. Wellness program
• D. Red Cross program

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

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