Nokea
A 13-year-old boy is hospitalized for a femur fracture after being hit by a car while racing bikes. The parents are concerned about his judgment. The nurse should tell the parents that this behavior is:
- A. Typical of young teens.
- B. Related to hormonal surges during adolescence.
- C. An isolated incident that will not likely happen again.
- D. Related to underdeveloped judgment and impulse control in adolescence.
Correct Answer: D
Rationale: The adolescent brain is still developing, which can lead to poor judgment and impulsive behavior.
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Herpes zoster is caused by the varicella virus and has an affinity for:
- A. sympathetic nerve fibers.
- B. parasympathetic nerve fibers.
- C. posterior root ganglia and posterior horn of the spinal cord.
- D. lateral and dorsal columns of the spinal cord.
Correct Answer: C
Rationale: Herpes zoster, commonly known as shingles, is caused by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox. This virus has an affinity for sensory nerve fibers, particularly those located in the posterior root ganglia and the posterior horn of the spinal cord. When the virus becomes reactivated, it travels along these nerves to the skin, leading to the characteristic painful rash and blisters that are seen in herpes zoster. The involvement of these specific nerve fibers explains the typical dermatomal distribution of the rash in shingles.
Which is the most commonly used method in completed suicides?
- A. Firearms
- B. Drug overdose
- C. Self-inflected laceration
- D. Carbon monoxide poisoning
Correct Answer: A
Rationale: Firearms are the most commonly used method in completed suicides, accounting for nearly 50% of all suicide deaths in the United States. Firearms are particularly lethal and result in a higher success rate compared to other methods. The quick and irreversible nature of firearm suicides contributes to their high prevalence. Additionally, the easy access to firearms in many households increases the likelihood of their use in suicide attempts.
Place the following four nursing actions for the new laryngectomee in correct order of priority? i.Assist with ambulation ii.Set up a visit from a well-adjusted laryngectomee iii.Maintain a patent airway iv.Control postoperative pain
- A. 1, 2, 3, 4
- B. 3, 4, 1, 2
- C. 2, 3, 4, 1
- D. 4, 1, 2, 3
Correct Answer: C
Rationale: 1. Setting up a visit from a well-adjusted laryngectomee should be the first priority. This action will provide emotional support and guidance from someone who has gone through a similar experience, which can be extremely beneficial for the new laryngectomee in adjusting to their new situation and learning coping strategies.
The age at which the infant can achieve early head control with bobbing motion when pulled to sit is
- A. 2 months
- B. 3 months
- C. 4 months
- D. 6 months
Correct Answer: A
Rationale: Head control typically begins developing around 2 months.
Of the following, the genetic syndrome MOST likely associated with increased risk of optic glioma is
- A. Down syndrome
- B. neurofibromatosis
- C. monosomy
- D. Bloom's syndrome
Correct Answer: B
Rationale: Neurofibromatosis type 1 is strongly associated with an increased risk of developing optic gliomas.