Nursing Elites

1. What side effect is commonly associated with ECT?

• A. Transient loss of memory, confusion, and disorientation
• B. Nausea and vomiting
• C. Fractures
• D. Hypertension and increased heart rate

Correct answer: A

Rationale: The correct answer is A, as Electroconvulsive Therapy (ECT) is commonly associated with side effects such as transient loss of memory, confusion, and disorientation. While nausea and vomiting (Choice B) can occur, they are not as common as the memory-related side effects. Fractures (Choice C) are unlikely unless a mishap occurs during the procedure. Hypertension and increased heart rate (Choice D) might occur during the procedure due to the physiological stress of the treatment, but these are not the most commonly associated side effects. The rationale provided did not effectively explain this, so it's important to note that ECT is a procedure often used for severe depression and other mental illnesses, and understanding its side effects is crucial for patient safety and effective care.

2. A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?

• A. Increase phosphorus intake
• B. Limit calcium intake
• C. Limit protein intake
• D. Increase potassium intake

Correct answer: C

Rationale: The correct recommendation for a client with chronic kidney disease is to limit protein intake. Excessive protein consumption can strain the kidneys as they work to eliminate waste products from protein metabolism. This can worsen kidney function in individuals with chronic kidney disease. Therefore, limiting protein intake is crucial in managing this condition. Choices A, B, and D are incorrect. Increasing phosphorus intake can be harmful in kidney disease as it can lead to mineral imbalances. Limiting calcium intake is not typically necessary unless the client has specific complications. Increasing potassium intake may also be inappropriate as potassium levels can be affected in kidney disease.

3. Which systolic blood pressure measurement is classified as prehypertension?

• A. 106 mmHg
• B. 119 mmHg
• C. 130 mmHg
• D. 141 mmHg

Correct answer: B

Rationale: According to the blood pressure classification, a systolic blood pressure between 120-139 mmHg is considered prehypertension. This range indicates an increased risk for developing hypertension if not managed appropriately. Therefore, a systolic blood pressure of 119 mmHg falls into the prehypertension category. A systolic pressure of 106 mmHg is within the normal range, while 130 mmHg and above would be classified as stage 1 and stage 2 hypertension respectively, not prehypertension.

4. Surgery schedules are communicated to the OR usually a day prior to the procedure by the nurse of the floor or ward where the patient is confined. For orthopedic cases, what department is usually informed to be present in the OR?

• A. Rehabilitation department
• B. Laboratory department
• C. Maintenance department
• D. Radiology department

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.

5. Which type of diabetes is often associated with a BMI greater than 25 and an increased percentage of body fat, particularly in the abdominal region, contributing to insulin resistance?

• A. Type 1 Diabetes
• B. Type 2 Diabetes
• C. Gestational Diabetes
• D. Prediabetes

Correct answer: B

Rationale: The correct answer is B. Type 2 Diabetes is often associated with a BMI greater than 25 and an increased percentage of body fat, particularly in the abdominal region, contributing to insulin resistance. Type 1 Diabetes is an autoimmune condition not primarily linked to BMI or body fat percentage. Gestational Diabetes occurs during pregnancy and is not directly related to BMI. Prediabetes is a condition where blood sugar levels are higher than normal but not high enough to be diagnosed as Type 2 Diabetes; although it can be associated with higher BMI, it is not as definitive as in Type 2 Diabetes.

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