Nursing Elites

1. Which food provides a 1-ounce serving of grains for a preschool child?

• A. 1 cup of ready-to-eat cereal flakes
• B. 1⁄2 slice of whole wheat bread
• C. 1⁄2 of a 6-inch flour tortilla
• D. 1 cup of cooked rice

Correct answer: A

Rationale: The correct answer is A: 1 cup of ready-to-eat cereal flakes. For a preschool child, 1 cup of ready-to-eat cereal flakes provides a 1-ounce serving of grains, meeting the requirement. Choice B, 1⁄2 slice of whole wheat bread, is not the correct answer as it does not constitute a 1-ounce serving of grains. Similarly, choice C, 1⁄2 of a 6-inch flour tortilla, does not offer a 1-ounce serving of grains. Choice D, 1 cup of cooked rice, also does not provide a 1-ounce serving of grains for a preschool child, making it an incorrect choice.

2. A nurse is caring for a client who is to receive a mechanically altered diet. Which of the following client food choices necessitates intervention by the nurse?

• A. Scrambled eggs
• B. Cottage cheese
• C. Piece of wheat toast
• D. Sliced banana

Correct answer: D

Rationale: The correct answer is 'Sliced banana.' A mechanically altered diet is designed for clients who have difficulty chewing or swallowing. Sliced bananas, due to their texture and potential choking hazard for clients with swallowing difficulties, would necessitate intervention by the nurse. Scrambled eggs, cottage cheese, and a piece of wheat toast are softer and safer options for clients on a mechanically altered diet, making them appropriate choices.

3. By force of law, therefore, the PRC-Board of Nursing released Resolution No. 14 Series of 1999 entitled: "Adoption of a Nursing Specialty Certification Program and Creation of Nursing Specialty Certification Council." This rule-making power is called:

• A. Quasi-Judicial Power
• B. Regulatory Power
• C. Quasi-Legislative Power
• D. Executive/Promulgating Power

Correct answer: B

Rationale: The correct answer is B: Regulatory Power. Regulatory power involves the authority to create rules and regulations that govern a specific area. In this case, the PRC-Board of Nursing's release of Resolution No. 14 Series of 1999 for the Nursing Specialty Certification Program falls under regulatory power as it establishes guidelines and standards for nursing specialty certification. Choices A, C, and D are incorrect. Quasi-judicial power involves making decisions on rights and obligations, quasi-legislative power involves creating regulations with the force of law, and executive/promulgating power involves enforcing and implementing laws and regulations.

4. A healthcare professional has just inserted an NG tube for a client who is to start enteral tube feedings. Which of the following actions should the healthcare professional take to verify tube placement?

• A. Measure the tube length.
• B. Obtain an abdominal x-ray.
• C. Flush the tube with 20 mL of water.
• D. Auscultate the client’s lungs.

Correct answer: B

Rationale: Obtaining an abdominal x-ray is the most accurate method to verify the correct placement of an NG tube. Measuring the tube length is not a reliable method to confirm placement as it may vary among individuals. Flushing the tube with water and auscultating the client's lungs are not definitive methods to ensure proper NG tube placement.

5. Complex carbohydrates contain more than 10 monosaccharides. Complex carbohydrates are also called disaccharides.

• A. Both statements are true.
• B. Both statements are false.
• C. The first statement is true; the second is false.
• D. The first statement is false; the second is true.

Correct answer: C

Rationale: The first statement is true; the second is false. Complex carbohydrates are also called polysaccharides and contain more than 10 monosaccharides. Choice A is incorrect because the second statement is false. Choice B is incorrect because the first statement is true. Choice D is incorrect because the second statement is false.

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