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A patient comes to the clinic with a complaint of a dull pain in the anterior and posterior neck. On examination, the nurse notes that the patient has full range of motion (ROM) of the neck and no throat redness or enlarged head or neck lymph nodes. What will be the nurse’s next appropriate assessment indicated by these findings?
- A. Palpation of the liver
- B. Auscultation of bowel sounds
- C. Inspection of the patient’s ears
- D. Palpation for the presence of left flank pain
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which biological agent has a vaccine readily available but is only used for military and at-risk civilians?
- A. Botulism
- B. Anthrax
- C. Smallpox
- D. Influenza
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which set of classification values indicates the most extensive and progressed cancer?
- A. T1,N1,M1.
- B. T3,N2,M0.
- C. T4,N3,M1.
- D. T2,N1,M0.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse collaborates with a respiratory therapist to complete pulmonary function tests (PFTs) for a client. Which statements should the nurse include in communications with the respiratory therapist prior to the tests? (Select all that apply)
- A. I held the client's morning bronchodilator medication.
- B. The client is ready to go down to radiology for this examination.
- C. Physical therapy states the client can run on a treadmill.
- D. I advised the client not to smoke for 6 hours prior to the test.
Correct Answer: B
Rationale: The correct answer is B because it communicates important information to the respiratory therapist regarding the client's readiness for the PFTs. Going down to radiology indicates the client is prepared for the examination, which ensures the test can be conducted smoothly.
Rationale:
A: Holding the client's morning bronchodilator medication may impact test results, but this information is more relevant for the healthcare provider interpreting the results, not the respiratory therapist conducting the test.
C: Physical therapy's statement about running on a treadmill is irrelevant to the PFTs and does not impact the collaboration between the nurse and respiratory therapist.
D: Advising the client not to smoke for 6 hours prior to the test is important for accurate results, but this information is more pertinent for the client and healthcare provider interpreting the results, not the respiratory therapist conducting the test.
Goals for patient safety in the OR include the Universal Protocol. What is included in this protocol?
- A. All surgical centers of any type must submit reports on patient safety infractions to the accreditation agencies.
- B. Members of the surgical team stop whatever they are doing to check that all sterile items have been prepared properly.
- C. Members of the surgical team pause right before surgery to meditate for 1 minute to decrease stress and possible errors.
- D. A surgical timeout is performed just before the procedure is started to verify patient identity, surgical procedure, and surgical site.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client who is interested in smoking cessation receives teaching from a nurse. Which statements should the nurse include in this teaching? (Select ONE that does not apply)
- A. Find an activity that you enjoy and that will keep your hands busy.
- B. Keep healthy snacks on hand to nibble on.
- C. Identify reasons for quitting smoking.
- D. Make a list of reasons for quitting smoking.
Correct Answer: C
Rationale: The correct answer is C: Identify reasons for quitting smoking. This should not be included in the teaching because the client should already have identified their reasons for quitting before receiving the teaching. The client should have a clear understanding of why they want to quit smoking before seeking help. Choices A and B are correct as they provide practical tips to distract from smoking and avoid unhealthy behaviors. Choice D is also correct as making a list of reasons can help reinforce motivation.