Nursing Elites

1. The most energy-rich nutrient is:

• A. carb
• B. fat
• C. protein
• D. water

Correct answer: B

Rationale: Fat provides 9 kcal per gram, making it the most energy-rich nutrient compared to carbohydrates and proteins, which provide 4 kcal per gram.

2. The use of the Standards of Nursing Practice is important in the hospital. Which of the following statements best describes what it is?

• A. These are statements that describe the maximum or highest level of acceptable performance in nursing practice
• B. It refers to the scope of nursing practice as defined in Republic Act 9173
• C. It is a license issued by the Professional Regulation Commission to protect the public from substandard nursing
• D. The Standards of Care includes the various steps of the nursing process and the standards of professional

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.

3. A pregnant woman has applied to use WIC services to supplement her food intake. The WIC program would provide vouchers for _____ in this situation.

• A. lean beef
• B. fruit-flavored yogurt
• C. whole grain bread
• D. refried beans

Correct answer: C

Rationale: The correct answer is C: whole grain bread. The WIC program aims to provide nutritious foods to support a healthy diet during pregnancy. Whole grain bread is a good source of fiber and essential nutrients. Choice A, lean beef, is a protein source but may not be as versatile as whole grain bread in providing a variety of nutrients essential during pregnancy. Choice B, fruit-flavored yogurt, may contain added sugars and may not offer the same level of essential nutrients as whole grain bread. Choice D, refried beans, is a good source of protein and fiber, but whole grain bread is often a staple recommended in pregnancy for its nutritional benefits.

4. In the hospital, when you need the medical record of a discharged patient for research you will request permission through:

• A. Doctor in charge
• B. The hospital director
• C. The nursing service
• D. Medical records section

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. Intrinsic factor from the stomach is needed for the absorption of which vitamin?

• A. vitamin B12
• B. folate
• C. niacin
• D. vitamin B6

Correct answer: A

Rationale: The correct answer is A: vitamin B12. Intrinsic factor is a glycoprotein produced by the stomach that is necessary for the absorption of vitamin B12 in the small intestine. Vitamin B12 binds to intrinsic factor in the stomach, forming a complex that is then absorbed in the ileum. This absorption process is crucial for preventing vitamin B12 deficiency. Choices B, C, and D are incorrect because they do not require intrinsic factor for absorption. Folate is absorbed in the small intestine through a different mechanism, niacin can be absorbed in the small intestine without the need for intrinsic factor, and vitamin B6 does not rely on intrinsic factor for absorption.

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