Nursing Elites

1. Which medical problem is not generally associated with malnutrition?

• A. incontinence
• B. pressure sores
• C. celiac disease
• D. major surgery

Correct answer: A

Rationale: Incontinence is not typically associated with malnutrition, whereas conditions like pressure sores and celiac disease are directly linked to nutritional deficiencies and malabsorption.

2. The nurse interprets the statement “Bow down before me! I am the holy mother of Christ! I am the blessed Virgin Mary!” as important in documenting in which of the following areas of mental status examination?

• A. Thought content
• B. Mood
• C. Affect
• D. Attitude

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

3. Folate is crucial for DNA synthesis and cell division, making it particularly important during periods of rapid growth, such as pregnancy.

• A. TRUE
• B. FALSE
• C.
• D.

Correct answer: A

Rationale: The correct answer is A. Folate plays a crucial role in DNA synthesis and cell division, which are essential processes for cell multiplication. This makes folate particularly important during periods of rapid growth, such as pregnancy. Therefore, the statement is true. Choice B is incorrect because it fails to acknowledge the significance of folate in cell multiplication and rapid growth, especially during pregnancy.

4. Which of the following terms describes the amount of blood ejected per heartbeat?

• A. Stroke volume
• B. Cardiac output
• C. Ejection fraction
• D. Afterload

Correct answer: A

Rationale: The correct answer is A: Stroke volume. Stroke volume refers to the amount of blood ejected by the left ventricle in one contraction. Choice B, Cardiac output, is the total volume of blood pumped by the heart per minute and is calculated by multiplying stroke volume by heart rate. Choice C, Ejection fraction, is the percentage of blood pumped out of the left ventricle with each heartbeat. Choice D, Afterload, refers to the pressure or resistance that the ventricles must overcome to eject blood during systole. Therefore, in the context of the question, the term that specifically describes the amount of blood ejected per heartbeat is stroke volume.

5. A nurse is preparing to administer a gavage feeding via a nasogastric tube to a preterm newborn who is receiving supplemental oxygen. Which of the following actions should the nurse take?

• A. Stabilize the tube with tape to the newborn’s cheek.
• B. Remove supplemental oxygen during the feeding.
• C. Measure the stomach aspirate prior to the feeding.
• D. Place the newborn on their left side for 30 minutes after the feeding.

Correct answer: C

Rationale: Measuring the stomach aspirate prior to the feeding is crucial to ensure the correct placement and function of the nasogastric tube. This step helps prevent complications such as aspiration or improper feeding. Choice A is incorrect as stabilizing the tube with tape to the newborn’s cheek can cause discomfort and skin irritation. Choice B is incorrect because removing supplemental oxygen during the feeding may compromise the newborn's respiratory status. Choice D is incorrect because placing the newborn on their left side for 30 minutes after the feeding is not a standard practice and is unnecessary for administering gavage feeding.

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