Nursing Elites

1. When is infertility said to exist?

• A. When a woman has no uterus
• B. When a woman has no children
• C. When a couple has been trying to conceive for 1 year without success
• D. When a couple has desired a child for 6 months

Correct answer: C

Rationale: Infertility is defined as not being able to get pregnant despite having frequent, unprotected sex for at least a year for most couples. Therefore, the correct answer is C. A, B, and D are incorrect. While having no uterus (choice A) may result in infertility, it is not the sole determining factor. Similarly, not having children (choice B) does not automatically indicate infertility. Lastly, the time frame of 6 months (choice D) is not sufficient to determine infertility; typically, a year of trying without success is required for such a diagnosis.

2. As a nurse, you can help improve the effectiveness of communication among healthcare givers by:

• A. Use of reminders of ‘what to do’
• B. Using standardized list of abbreviations, acronyms, and symbols
• C. One-on-one oral endorsement
• D. Text messaging and e-mail

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

3. Which vitamin deficiency is most likely to cause bleeding disorders?

• A. Vitamin A
• B. Vitamin E
• C. Vitamin K
• D. Vitamin D

Correct answer: C

Rationale: Vitamin K is essential for blood clotting as it plays a crucial role in the activation of clotting factors. Deficiency of Vitamin K can lead to impaired blood clotting, resulting in bleeding disorders. Vitamin A is more associated with vision and skin health, not blood clotting. Vitamin E is known for its antioxidant properties and role in immune function, not specifically related to bleeding disorders. Vitamin D plays a key role in calcium absorption and bone health, but it is not directly linked to blood clotting or bleeding disorders.

4. After a few hours in the Emergency Room, Mr. Dizon is admitted to the ward with an order of hourly monitoring of blood pressure. The nurse finds that the cuff is too narrow and this will cause the blood pressure reading to be:

• A. inconsistent
• B. low systolic and high diastolic
• C. higher than what the reading should be
• D. lower than what the reading should be

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.

5. You are on morning duty in the medical ward. You have 10 patients assigned to you. During your endorsement rounds, you found out that one of your patients was not in bed. The patient next to him informed you that he went home without notifying the nurses. Which among the following will you do first?

• A. Make an incident report
• B. Call security to report the incident
• C. Wait for 2 hours before reporting
• D. Report the incident to your supervisor

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.

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