Nursing Elites

1. What is the mission of the Army Medical Department?

• A. Ensure that each soldier receives a physical examination each year
• B. Provide health care to areas of the U.S. declared disaster zones by the President
• C. Maintain the health of the Army and conserve its fighting strength
• D. Offer medical, dental, and veterinary education and training

Correct answer: C

Rationale: The correct answer is C: 'Maintain the health of the Army and conserve its fighting strength.' This mission statement reflects the primary goal of the Army Medical Department, which is to ensure the overall health and readiness of military personnel. Choices A, B, and D are incorrect because they do not fully capture the core purpose of the Army Medical Department. While providing physical examinations, healthcare in disaster areas, and education/training are important aspects, the central mission is to uphold the health and combat readiness of the Army.

2. Clinitest is used in testing the urine of a client for glucose. Which of the following, if committed by a nurse, indicates an error?

• A. Specimen is collected after meals
• B. The nurse puts the Clinitest tablet into a test tube
• C. She added 5 drops of urine and 10 drops of water
• D. If the color becomes orange or red, it is considered

Correct answer: C

Rationale: When conducting a Clinitest for testing urinary glucose levels, it is essential to add the correct amounts of urine and Clinitest reagent as instructed. Adding more water than urine could dilute the sample, leading to inaccurate test results. It's important to follow the correct ratio of drops specified in the instructions for an accurate reading. Choice A is incorrect as the specimen should be collected before meals for accurate results. Choice B is incorrect as it should be the Clinitest tablet, not the clingiest tablet. Choice D is incorrect as the statement is incomplete and lacks clarity.

3. When palpating the client's neck for lymphadenopathy, where should the nurse position himself?

• A. At the client's back
• B. At the client's right side
• C. At the client's left side
• D. In front of a sitting client

Correct answer: D

Rationale: When palpating the client's neck for lymphadenopathy, the nurse should position himself in front of a sitting client. This positioning allows for easier access to the neck area and better visualization of any swelling or abnormalities in the lymph nodes. Being in front of the client ensures proper alignment and comfort for both the nurse and the client during the assessment. Choices A, B, and C are incorrect because positioning at the client's back or sides would make it challenging to adequately palpate the neck area and assess for lymphadenopathy.

4. Which of the following is NOT one of the major duties of the M6 practical nurse?

• A. Performing preventive, therapeutic, and emergency nursing care procedures
• B. Managing other paraprofessional personnel
• C. Managing ward or unit operations
• D. Implementing Level II through Level IV CSH operations

Correct answer: D

Rationale: The correct answer is D. Implementing Level II through Level IV CSH operations is not a major duty of the M6 practical nurse. The M6 practical nurse is primarily responsible for performing preventive, therapeutic, and emergency nursing care procedures (A), managing other paraprofessional personnel (B), and managing ward or unit operations (C). The duties mentioned in choices A, B, and C align with the roles typically assigned to a practical nurse, making them incorrect answers for this question.

5. When measuring the leg circumference of a client with bipedal edema, what position is best to ensure accurate measurements?

• A. Dorsal recumbent
• B. Sitting
• C. Standing
• D. Supine

Correct answer: A

Rationale: When measuring the leg circumference of a client with bipedal edema, the best position to ensure accurate and consistent measurements is the dorsal recumbent position. This position allows the legs to be positioned comfortably, and the individual is lying on their back with legs extended, facilitating accurate measurement of the circumference without the influence of gravity. Sitting, standing, and supine positions may not provide optimal conditions for accurate leg circumference measurements, particularly in clients with bipedal edema where positioning and consistency are crucial. Sitting and standing positions may not allow for consistent leg positioning and could introduce errors due to the effects of gravity on the fluid distribution. The supine position, while similar to dorsal recumbent, may not be as comfortable for the client and could still be influenced by gravity when measuring leg circumference.

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