Nursing Elites

1. You are attending a certification on cardiopulmonary resuscitation (CPR) offered and required by the hospital employing you. This is

• A. professional course towards credits
• B. inservice education
• C. advance training
• D. continuing education

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.

2. For a patient on a ketogenic diet, which macronutrient is primarily increased?

• A. Carbohydrates
• B. Protein
• C. Fats
• D. Fiber

Correct answer: C

Rationale: The correct answer is C: Fats. A ketogenic diet is characterized by high fat intake, moderate protein intake, and very low carbohydrate intake. This diet aims to shift the body's metabolism to use fat as the primary source of energy instead of carbohydrates. Increasing fat intake while reducing carbohydrates is essential for achieving and maintaining a state of ketosis. Therefore, choices A, B, and D are incorrect as they do not align with the macronutrient adjustments required for a ketogenic diet.

3. Increasing the variety of foods often prevents nutrient excesses and toxicities. A dietary change to eliminate or increase intake of one specific food or nutrient usually alters the intake of other nutrients.

• 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: D

Rationale: The first statement is false because increasing the variety of foods actually helps prevent nutrient excesses and toxicities. The second statement is true because making a dietary change to eliminate or increase the intake of a specific food or nutrient often leads to alterations in the intake of other nutrients. Choice A is incorrect because the first statement is false. Choice B is incorrect because the second statement is true. Choice C is incorrect because the first statement is false, even though the second statement is true.

4. Bones continuously lose and gain minerals. This ongoing process is called?

• A. reorganization
• B. reorienting
• C. demineralizing
• D. remodeling

Correct answer: D

Rationale: The correct answer is D, 'remodeling.' Remodeling is the process by which bones continuously lose and gain minerals, maintaining bone strength and integrity over time. 'Reorganization' (choice A), 'reorienting' (choice B), and 'demineralizing' (choice C) do not accurately describe the process of bones continuously losing and gaining minerals.

5. A nurse is providing anticipatory guidance to a client who has Phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?

• A. Diet sodas should not be consumed more than two or three times a week.
• B. Serum bilirubin should be monitored once or twice a month during pregnancy.
• C. Breastfeeding will not prevent your baby from developing PKU.
• D. A low-protein diet should be followed for three months before conception.

Correct answer: D

Rationale: A low-protein diet should be followed for three months before conception in individuals with PKU who are planning a pregnancy. This diet helps manage PKU by reducing phenylalanine levels, which is crucial for maternal and fetal health. Choices A, B, and C are incorrect. Choice A is not directly related to managing PKU, choice B focuses on a different aspect of care during pregnancy, and choice C is inaccurate as breastfeeding will not prevent a baby from developing PKU.

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