Nokea
The system used at the division level and forward comprises six basic modules. Which module is staffed with two surgeons, two nurse anesthetists, a medical/surgical nurse, two operating room specialists, and two practical nurses?
- A. Treatment squad
- B. Area support squad
- C. Medical service squad
- D. Forward surgical team
Correct Answer: D
Rationale: The correct answer is D, Forward Surgical Team (FST). The FST is staffed with two surgeons, two nurse anesthetists, a medical/surgical nurse, two operating room specialists, and two practical nurses. This specialized team is designed to provide immediate surgical care close to the frontline. Choices A, B, and C are incorrect as they do not match the specific composition of personnel described in the question.
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Which nursing action(s) can result in disciplinary action by state boards of nursing?
- A. Release of client health information to a client's neighbor
- B. Delegation of a dressing change to unlicensed assistive personnel (UAP)
- C. Release of client health information to the client's durable power of attorney
- D. A, B
Correct Answer: D
Rationale: The correct answer is D. Disclosing client health information to unauthorized individuals, such as a client's neighbor (choice A) or improper delegation of nursing tasks to unlicensed personnel like UAPs (choice B), are violations of patient confidentiality and safety. Releasing client health information to the client's durable power of attorney (choice C) is a legal and appropriate action, not warranting disciplinary action. Therefore, choices A and B can result in disciplinary action by state boards of nursing, making option D the correct answer.
A patient taking anticoagulants should be cautious about consuming which type of food?
- A. High-protein foods
- B. High-fiber foods
- C. High-vitamin K foods
- D. High-calcium foods
Correct Answer: C
Rationale: The correct answer is C: High-vitamin K foods. Foods high in vitamin K can interfere with the effectiveness of anticoagulants. Vitamin K plays a crucial role in blood clotting, so consuming high amounts of it can counteract the anticoagulant effects. Choices A, B, and D are incorrect as they do not directly interfere with the action of anticoagulants.
The nurse is preparing the plan of care for a client with fluid volume deficit. Which interventions should the nurse include in the plan of care?
- A. Monitor vital signs every two (2) hours until stable
- B. Weigh the client in the same clothing at the same time daily
- C. Administer mouth care every eight (8) hours
- D. A, B, and C
Correct Answer: D
Rationale: The correct interventions for a client with fluid volume deficit include monitoring vital signs every two hours until stable, weighing the client in the same clothing at the same time daily, and assessing skin turgor. Monitoring vital signs helps in early detection of changes, daily weighing can indicate fluid retention or loss, and skin turgor assessment is a reliable indicator of hydration status. Administering mouth care every eight hours is not directly related to managing fluid volume deficit and should not be included in the plan of care for this specific condition.
What is the combat health support system in the field designed to do?
- A. Provide evacuation to the far rear for treatment and delay return to duty
- B. Project, sustain, and protect the health of the soldier in war and operations other than war
- C. Provide rearward evacuation and reassignment
- D. Provide far rear area care and delayed return to duty
Correct Answer: B
Rationale: The correct answer is B. The combat health support system in the field is designed to project, sustain, and protect the health of soldiers in both war and operations other than war. Choice A is incorrect because the system is not primarily focused on providing evacuation to the far rear for treatment, but rather on overall health support. Choice C is incorrect as it only mentions rearward evacuation and reassignment, which is a limited scope compared to the comprehensive support provided by the system. Choice D is incorrect as it narrowly focuses on far rear area care and delayed return to duty, missing the broader aspects of health support and protection.
What is the most crucial and most difficult management skill required of the M6 practical nurse?
- A. Preparing time schedules and task assignment rosters
- B. Inspecting equipment for damage and proper function
- C. Preparing reports and maintaining records
- D. Effectively managing personnel
Correct Answer: D
Rationale: The correct answer is D: Effectively managing personnel. In a healthcare setting, managing personnel is crucial as it involves leading, motivating, and coordinating the healthcare team to ensure quality patient care. While tasks like preparing schedules, inspecting equipment, and maintaining records are important, managing personnel involves dealing with human factors, conflicts, and emotions, making it the most challenging skill for a practical nurse.