Nursing Elites

1. Which mineral is important for the synthesis of thyroid hormones?

• A. Iron
• B. Zinc
• C. Iodine
• D. Magnesium

Correct answer: C

Rationale: Iodine is the correct answer. It is crucial for the synthesis of thyroid hormones by the thyroid gland. Without sufficient iodine, the thyroid cannot produce adequate amounts of hormones, leading to potential issues like hypothyroidism. Iron (Choice A), Zinc (Choice B), and Magnesium (Choice D) do not play a direct role in the synthesis of thyroid hormones, making them incorrect choices for this question.

2. Aling Maria is nearing menopause. She is habitually taking cola and coffee for the past 20 years. You should tell Aling Maria to avoid taking caffeinated beverages because:

• A. It is stimulating
• B. It will cause nervousness and insomnia
• C. It will contribute to additional bone demineralization
• D. It will cause tachycardia and arrhythmias

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

3. A Hazard Analysis and Critical Control Points (HACCP) program would address which element of food service?

• A. cleaning and disinfecting of utensils
• B. developing healthy menus
• C. controlling patient calorie intake
• D. prescribing diets for patients with swallowing problems

Correct answer: A

Rationale: The correct answer is A. Hazard Analysis and Critical Control Points (HACCP) programs are designed to ensure food safety by identifying and controlling potential hazards. This includes addressing the cleaning and disinfecting of utensils to prevent contamination and maintain safe food handling practices. Choices B, C, and D are incorrect because HACCP primarily focuses on preventing food safety hazards rather than developing menus, controlling calorie intake, or prescribing diets for specific medical conditions.

4. What is the first step in decontamination?

• A. Immediately applying a chemical decontamination foam to the area of contamination
• B. Thoroughly washing and rinsing the patient with soap and water
• C. Immediately applying personal protective equipment
• D. Removing the patient's clothing and jewelry, then rinsing the patient with water

Correct answer: D

Rationale: The correct first step in decontamination is to remove the patient's clothing and jewelry to prevent further exposure and then rinse the patient with water. This helps to eliminate any contaminants on the patient's body. Choice A is incorrect because applying a chemical decontamination foam should come after removing clothing. Choice B is incorrect as washing and rinsing the patient should follow the removal of clothing. Choice C is incorrect as personal protective equipment should be worn by the individual performing the decontamination, not applied to the patient.

5. A client who follows the dietary laws of Orthodox Judaism is being cared for by a nurse. Which of the following meal choices should the nurse request for the client?

• A. Turkey and cheese sandwich
• B. Spaghetti with tomato sauce
• C. Pork chop and applesauce
• D. Scrambled eggs and bacon

Correct answer: B

Rationale: The correct meal choice for a client following the dietary laws of Orthodox Judaism is 'Spaghetti with tomato sauce.' Orthodox Judaism prohibits mixing meat and dairy and consuming pork. The other choices - 'Turkey and cheese sandwich' (mixing meat and dairy), 'Pork chop and applesauce' (contains pork), and 'Scrambled eggs and bacon' (mixing meat and dairy) - do not adhere to the kosher dietary laws.

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