Nursing Elites

1. The IVP reveals that Fe has small renal calculus that can be passed out spontaneously. To increase the chance of passing the stones, you instructed her to force fluids and do which of the following?

• A. Balanced diet C. Strain all urine
• B. Ambulate more D. Bed rest
• C.
• D.

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.

2. A nurse is caring for a client with a thiamine deficiency. Which assessment findings will the nurse expect?

• A. Tachycardia, muscle weakness, and lack of coordination
• B. Swollen lips, cracks in the corners of the mouth, and glossitis
• C. Neuropsychiatric symptoms of delusions and hallucinations
• D. Scaly rash on arms, dementia, and diarrhea

Correct answer: A

Rationale: Thiamine deficiency, also known as Vitamin B1 deficiency, can present with various symptoms. Tachycardia, muscle weakness, and lack of coordination are classic signs of thiamine deficiency due to its role in energy metabolism. Swollen lips, cracks in the corners of the mouth, and glossitis are more indicative of a deficiency in riboflavin (Vitamin B2). Neuropsychiatric symptoms of delusions and hallucinations are characteristic of niacin (Vitamin B3) deficiency. A scaly rash on the arms, dementia, and diarrhea are not typically associated with thiamine deficiency. Therefore, the correct assessment findings for a client with thiamine deficiency are tachycardia, muscle weakness, and lack of coordination.

3. A paranoid client refuses to eat telling you that you poisoned his food. The best intervention to this client is:

• A. Taste the food in front of him and tell him that the food is not poisoned
• B. Offer other types of food until the client eats
• C. Simply state that the food is not poisoned
• D. Offer sealed foods

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. Which of the following ethical principles refers to the duty to do good?

• A. Beneficence
• B. Fidelity
• C. Veracity
• D. Nonmaleficence

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.

5. What kinds of foods do people who live in food deserts typically lack?

• A. fresh fruits and vegetables
• B. energy-dense foods
• C. beef or pork products
• D. grains and cereals

Correct answer: A

Rationale: Correct Answer: Fresh fruits and vegetables are often unavailable in food deserts, where access to nutritious, perishable foods is limited. Choice B, energy-dense foods, is incorrect because these are more likely to be available in food deserts, contributing to health issues. Choice C, beef or pork products, is incorrect as the focus is on the lack of fresh produce. Choice D, grains and cereals, is incorrect as these are staple foods that are more commonly found even in areas classified as food deserts.

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