Nokea
A nurse is using the technique of mapping while implementing the nursing process in the community setting. The nurse is engaging in which aspect of the nursing process?
- A. Collection
- B. Planning
- C. Analysis
- D. Implementation
Correct Answer: C
Rationale: Mapping is an organizational technique used in data analysis to categorize and identify patterns.
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A nurse is counseling a 19-year-old person who has recently been diagnosed with Type 1 diabetes mellitus. The person asks if there is anything specific that should be done before going to play tennis with a friend. Which of the following instructions should the nurse give the person to avoid hypoglycemia?
- A. Inject the insulin into the abdomen.
- B. Inject the insulin into the arm.
- C. Inject the insulin into the thigh.
- D. Skip taking any insulin before exercising.
Correct Answer: A
Rationale: Insulin should be injected into the abdomen as it slows down absorption during activity, helping to maintain stable blood glucose levels during exercise.
What is the most effective policy a staff nurse can implement to help decrease medical errors on the unit?
- A. Forgo opportunities for continuing education so the unit is never understaffed.
- B. Foster a collaborative working environment on the unit.
- C. Check all medications a minimum of three times before administering them.
- D. Develop a policy that mandates the firing of any nurse who commits an error.
Correct Answer: B
Rationale: A collaborative working environment improves communication and reduces errors by addressing systemic issues.
The Denver Developmental Screening Test (DDST) has been said to have excellent test specificity. What does this statement mean?
- A. Rarely identifies children who have developmental delays
- B. Rarely identifies children who do not actually have developmental delays
- C. Has a large number of false positive results
- D. Has a large number of false negative results
Correct Answer: B
Rationale: Specificity measures a test’s ability to correctly identify those who do not have the condition, leading to fewer false positives.
A teenager has been using laxatives for constipation but shows signs of erosion of tooth enamel. Which disorder is the client most likely experiencing?
- A. Bulimia nervosa
- B. Binge eating disorder
- C. Idiopathic constipation
- D. Irritable bowel syndrome
Correct Answer: A
Rationale: Bulimia nervosa involves binge eating and purging, leading to tooth enamel erosion.
A pregnant woman is having a TORCH screening done at today’s prenatal visit. She states she is anxious to get the results back because she recently had unprotected sex with someone she just met and is afraid she might have HIV. Which of the following statements would be the best response by the nurse?
- A. “You will know your HIV status in about 1 week when the results come back.”
- B. “You will require additional testing for HIV as it is not tested for with the TORCH screen.”
- C. “You will need to be tested for HIV after you deliver because pregnancy can produce false HIV results.”
- D. “You need to be exposed for at least 6 months before being tested for HIV in order for the results to be accurate.”
Correct Answer: B
Rationale: TORCH screening does not test for HIV. The woman will need additional testing for HIV.