Nursing Elites

1. Which fluid is used in the management of gastrointestinal tract (GIT) loss and burns?

• A. Ringer's lactate
• B. Normal saline
• C. Dextrose
• D. Blood

Correct answer: A

Rationale: Ringer's lactate is the preferred fluid for managing gastrointestinal tract (GIT) losses and burns due to its balanced electrolyte composition. It helps replace lost fluids and electrolytes, making it an ideal choice for resuscitation in such scenarios. Normal saline is commonly used for volume resuscitation but may not be the best choice for these specific conditions. Dextrose is a source of glucose and is not typically used as the primary fluid for GIT losses and burns. Blood transfusion is indicated for specific situations like severe hemorrhage or anemia but is not the primary fluid for GIT losses and burns.

2. Which best describes a primary role of nurses in promoting community health?

• A. Conducting individual health assessments
• B. Advocating for health policy changes
• C. Providing health education to groups
• D. Developing health policies

Correct answer: B

Rationale: A primary role of nurses in promoting community health involves advocating for health policy changes. By advocating for policy changes, nurses can address systemic issues that impact the health of the community as a whole, rather than focusing solely on individual assessments or education. This proactive approach allows nurses to influence broader health determinants and create sustainable improvements in community health outcomes.

3. For a complete spinal injury, which statement is true?

• A. Some of the motor and sensory functions are lost
• B. Only the motor functions are lost
• C. Only the sensory functions are lost
• D. Both the motor and sensory functions are lost

Correct answer: D

Rationale: In a complete spinal injury, there is total loss of motor and sensory functions below the level of the injury. This means that both motor (ability to move) and sensory (ability to feel) functions are affected. It is important to distinguish between complete and incomplete spinal injuries, as complete injuries result in the loss of all functions below the level of injury, while incomplete injuries allow for some preservation of motor or sensory functions.

4. Which best describes a benefit of using electronic health records in community health?

• A. Improving coordination of care among providers
• B. Reducing the risk of medical errors
• C. Facilitating patient access to their health information
• D. Increasing patient satisfaction with care

Correct answer: A

Rationale: The correct answer is A: Improving coordination of care among providers. Electronic health records enhance coordination of care by providing accurate and up-to-date patient information to all involved healthcare providers, leading to better communication, collaboration, and ultimately improving the quality of care delivered to patients in a community health setting.

5. What is the drug of choice for progressive multiple sclerosis?

• A. Ocrelizumab
• B. Dimethyl fumarate
• C. Teriflunomide
• D. Fluoroquinolones

Correct answer: A

Rationale: Ocrelizumab is the drug of choice for progressive multiple sclerosis due to its efficacy in reducing disease activity and progression in patients with this form of the disease. Dimethyl fumarate, Teriflunomide, and Fluoroquinolones are not typically used as first-line treatments for progressive MS.

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