Nursing Elites

1. Which of the following terms refers to a process by which an individual receives education about the recognition of stress reactions and management strategies for handling stress, which may be instituted after a disaster?

• A. Critical incident stress management
• B. Follow-up
• C. Debriefing
• D. Defusion

Correct answer: A

Rationale: Critical incident stress management is a process that provides individuals with education about recognizing stress reactions and strategizing management techniques for handling stress after a disaster. Choice B, 'Follow-up', is incorrect because it generally refers to continuing care after initial treatment, not specifically to stress management education. Choice C, 'Debriefing', is a process where individuals involved in a critical event are brought together to discuss the event and their reactions to it. It can be part of the critical incident stress management process, but it doesn't cover the whole process. Choice D, 'Defusion', is a technique used in the immediate aftermath of a traumatic event to help individuals process their experiences, but it does not encompass the full range of education about stress recognition and management strategies.

2. 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.

3. A client scheduled for hysterosalpingography needs health teaching before the procedure. The nurse is correct in telling the patient that:

• A. She needs to void prior to the procedure
• B. A full bladder is needed prior to the procedure
• C. Painful sensation is felt as the needle is inserted
• D. Flushing sensation is felt as the dye in injected

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

4. What is considered an acceptable LDL cholesterol level for children and adolescents?

• A. Less than 70 mg/dL
• B. Less than 110 mg/dL
• C. Less than 129 mg/dL
• D. Less than 170 mg/dL

Correct answer: B

Rationale: An LDL cholesterol level of less than 110 mg/dL is considered acceptable and healthy for children and adolescents. This level helps reduce the risk of cardiovascular diseases. Choices A, C, and D are incorrect because an LDL cholesterol level below 110 mg/dL is the recommended target for children and adolescents to maintain good heart health.

5. Which food item interferes with the effectiveness of warfarin?

• A. Cauliflower
• B. Zucchini
• C. Green beans
• D. Broccoli

Correct answer: D

Rationale: Broccoli is high in vitamin K, which can affect the effectiveness of warfarin. Warfarin is an anticoagulant medication that functions by reducing the activity of vitamin K in the body. When one consumes broccoli, which is rich in vitamin K, it could counteract the anticoagulant effect of warfarin, thereby interfering with its effectiveness. On the other hand, cauliflower, zucchini, and green beans do not have significant levels of vitamin K and hence, are not known to impact the effectiveness of warfarin.

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