Nursing Elites

1. What is the most significant dietary influence on the development of dental caries?

• A. Carbohydrates
• B. Vitamins
• C. Minerals
• D. Fats

Correct answer: A

Rationale: The correct answer is A: Carbohydrates. Carbohydrates, especially fermentable sugars, are the most significant dietary factor in the development of dental caries. When these sugars are consumed, they can be fermented by bacteria in the mouth, leading to the production of acids. These acids lower the pH in the mouth, creating an acidic environment that promotes demineralization of the tooth enamel, ultimately causing dental caries. Choices B, C, and D are incorrect because while vitamins and minerals are important for overall health, they do not have the same direct impact on the development of dental caries as fermentable carbohydrates do. Fats, on the other hand, do not play a significant role in the development of dental caries.

2. Mrs. Pichay who is for thoracentesis is assigned by the nurse to any of the following positions, EXCEPT:

• A. straddling a chair with arms and head resting on the back of the chair
• B. lying on the unaffected side with the bed elevated 30-40 degrees
• C. lying prone with the head of the bed lowered 15-30 degrees
• D. sitting on the edge of the bed with her feet supported and arms and head on a padded overhead table

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. A client with chronic kidney disease is being taught about dietary needs by a nurse. Which of the following foods should the nurse identify as being the lowest in phosphorus?

• A. Medium apple
• B. Bran cereal
• C. Scrambled eggs
• D. Ground turkey

Correct answer: A

Rationale: The correct answer is A, a medium apple. Apples are a suitable option for clients with chronic kidney disease as they are low in phosphorus. Bran cereal (choice B), scrambled eggs (choice C), and ground turkey (choice D) are all higher in phosphorus content compared to apples, making them less ideal choices for individuals with chronic kidney disease.

4. Where should a nurse auscultate the apex beat?

• A. At the fifth intercostal space, along the midclavicular line
• B. At the mid-sternum
• C. 2 inches to the left of the lower end of the sternum
• D. 1 inch to the left of the xiphoid process

Correct answer: A

Rationale: The correct location to auscultate the apex beat is at the fifth intercostal space, along the midclavicular line. This is where the apical impulse, also known as the point of maximal impulse (PMI), can be best heard. Choices B, C, and D are incorrect anatomical locations for auscultating the apex beat, which makes them incorrect choices. Auscultating at the correct location allows healthcare providers to assess the heart's function and detect any abnormalities in heart sounds, which is crucial for comprehensive patient care.

5. The correct temperature to store vaccines in a refrigerator is:

• A. between -4 deg C and +8 deg C
• B. between 2 deg C and +8 deg C
• C. between -8 deg C and 0 deg C
• D. between -8 deg C and +4 deg C

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.

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