Which of the following statements about financing health care in the US is accurate?
- A. Insurance premiums increased minimally
- B. State tax dollars fund 50% of Medicaid
- C. Largest spending is on hospital care
- D. Most workers enroll in PPOs
Correct Answer: C
Rationale: In 2010, a third of health care spending was on hospital care.
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Susceptibility to CA-MRSA
- A. 16-year-old student who plays football
- B. 48-year-old person who has taken antibiotics for sinus infections
- C. 36-year-old man serving 12 months in jail for robbery
- D. 22-year-old woman who shares a towel after a swimming meet
Correct Answer: A
Rationale: Sports and antibiotic use, especially in crowded living conditions, contribute to a higher risk for CA-MRSA
A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nägele’s rule, which of the following dates would be the most accurate estimated date of delivery?
- A. September 16
- B. September 22
- C. October 29
- D. October 17
Correct Answer: C
Rationale: Adding 7 days to January 22 (January 29) and subtracting 3 months gives the estimated delivery date of October 29.
A nurse is caring for a woman during the fourth stage of labor. Which of the following best describes an action the nurse would take during this stage?
- A. Providing constant reinforcement and education about the labor process and assisting the woman with pushing
- B. Explaining unusual interventions such as the use of a fetal heart monitor
- C. Assisting with labor discomfort by modeling breathing
- D. Teaching the new mother positioning of the infant to assist with breast-feeding
Correct Answer: D
Rationale: In the fourth stage of labor, the nurse supports breastfeeding and assists with positioning the infant.
Which scenario indicates a potentially dysfunctional pattern?
- A. Adult with frequent urination
- B. Woman who lost her job
- C. Elderly person with blurred vision
- D. Overweight adult with a sweet tooth
Correct Answer: B
Rationale: The stress of losing a job could lead to ineffective coping, representing a potentially dysfunctional pattern that needs intervention.
Which health care provider represents a primary care provider?
- A. Psychiatric advanced practice nurse
- B. Clinical nurse specialist
- C. Pediatric nurse practitioner
- D. Acute care nurse practitioner
Correct Answer: C
Rationale: A pediatric nurse practitioner provides primary care and serves as a gatekeeper for referrals and procedures.