Nursing Elites

1. What instruction should the nurse include on weight gain during pregnancy?

• A. Failure to obtain the required weight gain during pregnancy will increase the risk of preterm birth.
• B. An obese client needs to gain as much weight as a client with a normal body mass index.
• C. A client with a normal body mass index should plan on gaining 50 pounds.
• D. Clients will need to eat for two when they are pregnant.

Correct answer: A

Rationale: Appropriate weight gain is crucial for reducing the risk of preterm birth.

2. Nancy blames God for her situation. She is easily provoked to tears and wants to be left alone, refusing to eat or talk to her family. A religious person before, she now refuses to pray or go to church stating that God has abandoned her. The nurse understands that Nancy is grieving for her self and is in the stage of:

• A. bargaining
• B. denial
• C. anger
• D. acceptance

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 physiologic effect should the nurse expect in a client addicted to hallucinogens?

• A. Dilated pupils
• B. Constricted pupils
• C. Bradycardia
• D. Bradypnea

Correct answer: B

Rationale: Clients addicted to hallucinogens often exhibit constricted pupils due to the effects of the drug on the sympathetic nervous system. This sympathetic stimulation causes the pupils to constrict rather than dilate. Choices A, C, and D are incorrect. Dilated pupils are more commonly associated with stimulant use, while bradycardia (slow heart rate) and bradypnea (slow breathing) are not typical effects of hallucinogens.

4. Which food items should be consumed with nonheme iron to increase its absorption, according to a nurse's education plan for clients?

• A. Kiwi
• B. Strawberries
• C. Coffee
• D. Kiwi and Strawberries

Correct answer: D

Rationale: The correct answer is D: Kiwi and Strawberries. Both of these fruits are high in vitamin C, a nutrient known to enhance the absorption of nonheme iron. Vitamin C facilitates the conversion of nonheme iron into a form that is more readily absorbed by the body, thereby enhancing iron intake. In contrast, coffee (Choice C) contains certain compounds that can actually inhibit the absorption of iron, making it a less desirable choice when the goal is to increase iron absorption. Consequently, Choices A (Kiwi), B (Strawberries), and C (Coffee) were specifically picked to highlight the varying effects of different food items on nonheme iron absorption.

5. What are the contraindications for using MI Paste?

• A. Children under six
• B. Individuals with a milk casein allergy
• C. Pregnant women
• D. Both A and B

Correct answer: D

Rationale: MI Paste is contraindicated in children under six and in individuals with a milk casein allergy. The reason is that MI Paste contains casein phosphopeptide, which is derived from milk. Therefore, it may cause allergic reactions in those who are sensitive to milk proteins. Pregnant women (Choice C) are not contraindicated for using MI Paste unless they have a known allergy to milk casein. Hence, the correct answer is 'D: Both A and B'.

Similar Questions