Nokea
A nurse determined the interobserver reliability of a blood pressure reading. Which of the following describes the method that was used by the nurse?
- A. Blood pressure readings of 124/82 were obtained two days in a row by two different nurses.
- B. Three consecutive blood pressure readings of 124/82 were obtained by the same nurse.
- C. Blood pressure readings of 124/82 in the right arm and 124/82 in the left arm were obtained.
- D. A blood pressure reading of 124/82 was obtained immediately followed by another blood pressure reading of 147/92.
Correct Answer: A
Rationale: Interobserver reliability measures the consistency of test results when performed by different observers under similar conditions.
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Which statement about alcohol intake is correct?
- A. "Women have a higher death rate related to alcoholism than men."
- B. "A woman who drinks two glasses of wine per day with her evening meal is considered a moderate drinker."
- C. "More women than men are considered problem drinkers."
- D. "Women who experience fewer cognitive effects from drinking are less likely to drink heavily."
Correct Answer: A
Rationale: Women have a higher death rate from alcoholism, and moderate drinking is defined as one drink per day for women.
A nurse distributes a demographic questionnaire to attendees of a weight management program. Which step in the teaching-learning process is being implemented?
- A. Assessment
- B. Development
- C. Implementation
- D. Evaluation
Correct Answer: A
Rationale: The nurse is assessing the attendees’ characteristics and needs, which is part of the assessment phase of the teaching-learning process.
Adoption of a Canadian-style health care system in the United States has the potential to:
- A. Decrease waiting times for tests and procedures
- B. Create further health disparities
- C. Increase the number of HMOs
- D. Increase the amount of funding available for health care
Correct Answer: B
Rationale: A Canadian-style health care system may exacerbate disparities by creating a two-tier system where private insurance users receive quicker care.
During a prenatal visit, a nurse discovers that a Black woman has been occasionally craving and eating clay. Which of the following actions should be taken by the nurse?
- A. Tell the client that many pregnant women crave such nonfood substances, and it is not a problem.
- B. Ignore the comment because pica is acceptable in some rural Black cultures.
- C. Encourage the client to eat it with plenty of water because of the risk of constipation.
- D. Stress the importance of an appropriate diet and avoiding pica in a culturally sensitive way.
Correct Answer: D
Rationale: Pica can lead to health complications, and the nurse should stress the importance of a proper diet in a culturally sensitive way.
The nurse makes a home visit to a child who has recently been diagnosed with asthma. Which environmental finding has the potential to trigger an asthma exacerbation?
- A. Radiator heating system
- B. Air conditioner
- C. Hardwood flooring
- D. Leaky roof
Correct Answer: D
Rationale: A leaky roof can lead to mold growth, which is a known asthma trigger.