Nursing Elites

1. What is the primary purpose of the Health Insurance Portability and Accountability Act (HIPAA)?

• A. To provide health insurance coverage for all Americans.
• B. To ensure the confidentiality of health information.
• C. To reduce the cost of healthcare.
• D. To increase access to healthcare services.

Correct answer: B

Rationale: The primary purpose of the Health Insurance Portability and Accountability Act (HIPAA) is to ensure the confidentiality and security of health information. HIPAA establishes national standards to protect individuals' medical records and other personal health information. By safeguarding the privacy of health data, HIPAA aims to maintain the integrity and confidentiality of sensitive patient information, preventing unauthorized access and disclosure. This focus on privacy and security helps build trust between patients and healthcare providers, ensuring that personal health information is handled responsibly and ethically.

2. A client is receiving continuous enteral feedings. Which of the following interventions should the nurse implement?

• A. Monitor intake and output every 8 hours.
• B. Flush the feeding tube every 4 hours.
• C. Measure the client's temperature every 24 hours.
• D. Change the feeding bag and tubing every 72 hours.

Correct answer: B

Rationale: The correct answer is B: Flush the feeding tube every 4 hours. Flushing the feeding tube every 4 hours is essential to maintain patency and prevent clogging, ensuring the client receives the prescribed enteral nutrition without interruption. This intervention helps prevent complications such as tube occlusion. Monitoring intake and output is important for assessing the client's hydration status but does not directly address tube patency. Measuring the client's temperature is essential for monitoring for signs of infection but is not directly related to tube maintenance. Changing the feeding bag and tubing every 72 hours is important for infection control but does not address tube patency.

3. A healthcare professional is preparing to administer an intradermal injection. Which of the following actions should the professional take?

• A. Use a tuberculin syringe.
• B. Insert the needle at a 45-degree angle.
• C. Use a 1-inch needle.
• D. Aspirate before injecting.

Correct answer: A

Rationale: When administering an intradermal injection, a tuberculin syringe is the appropriate choice due to its small size and precise measurement markings, which are essential for accurately delivering the medication into the dermis layer of the skin. Using a 1-inch needle (choice C) is more common for subcutaneous injections, while inserting the needle at a 45-degree angle (choice B) is typical for intramuscular injections. Aspirating before injecting (choice D) is not necessary for intradermal injections, as the goal is to deliver the medication into the dermis rather than a blood vessel.

4. A healthcare professional is preparing to administer a subcutaneous injection. Which of the following actions should the healthcare professional take?

• A. Use a 1-inch needle.
• B. Insert the needle at a 90-degree angle.
• C. Use a tuberculin syringe.
• D. Aspirate before injecting.

Correct answer: B

Rationale: When administering a subcutaneous injection, it is important to insert the needle at a 90-degree angle to ensure proper medication delivery into the subcutaneous tissue. This angle helps prevent the medication from being injected too deeply or too superficially, ensuring optimal absorption and therapeutic effect. Choice A is incorrect because the needle length for a subcutaneous injection is typically shorter, around ⅝ to 1 inch. Choice C is incorrect as a tuberculin syringe is not commonly used for subcutaneous injections. Choice D is also incorrect as aspiration is not necessary for subcutaneous injections since there are minimal blood vessels in the subcutaneous tissue.

5. A healthcare provider is planning care for a client who has a new prescription for a high-fiber diet. Which of the following foods should the healthcare provider recommend?

• A. White bread
• B. Canned fruit
• C. Cheese
• D. Brown rice

Correct answer: D

Rationale: Brown rice is a whole grain that is high in fiber, making it an excellent choice for a high-fiber diet. Foods like white bread, canned fruit, and cheese are typically low in fiber and would not be the best recommendation for a high-fiber diet. White bread is processed and lacks the fiber content found in whole grains like brown rice. Canned fruit, although containing some fiber, often has added sugars and lower fiber content compared to fresh fruits. Cheese is a dairy product that is generally low in fiber and not a significant source of dietary fiber compared to whole grains.

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