Nokea
A patient has a PPD skin test (Mantoux test). As the nurse you tell the patient to report back to the office in so the results can be interpreted?
- A. 24-48 hours
- B. 12-24 hours
- C. 48-72 hours
- D. 24-72 hours
Correct Answer: C
Rationale: The PPD skin test (Mantoux) is read 48-72 hours after administration to assess for induration, as this is the standard timeframe for an accurate immune response to be visible.
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The nursing staff on an oncology unit is interviewing applicants for the unit manager position. Which type of organizational structure does this represent?
- A. Centralized decision making.
- B. Decentralized decision making.
- C. Shared governance.
- D. Pyramid with filtered-down decisions.
Correct Answer: C
Rationale: Staff interviewing for a manager (C) reflects shared governance, empowering nurses in decisions. Centralized (A), decentralized (B), and pyramid (D) involve top-down structures.
The best evidence that the client understands the procedure for a pulmonary function test is when stating that it involves which action?
- A. Having an X-ray taken
- B. Drawing a blood specimen
- C. Breathing into a mouthpiece
- D. Examining expectorated sputum
Correct Answer: C
Rationale: Pulmonary function tests involve breathing into a mouthpiece to measure lung capacity and airflow.
Which of the following statements are incorrect about discharge teaching that you would provide to a patient with COPD? Select-all-that-apply:
- A. It is best to eat three large meals a day that are relatively low in calories.'
- B. Avoid going outside during extremely hot or cold days.'
- C. It is important to receive the Pneumovax vaccine annually.'
- D. Smoking cessation can help improve your symptoms.'
Correct Answer: A,C
Rationale: Eating small, frequent meals (not three large meals, A) prevents diaphragm compression, and Pneumovax is not annual but given once or as per guidelines. Avoiding extreme weather and smoking cessation are correct.
The client is admitted with a diagnosis of rule-out tuberculosis. Which type of isolation procedures should the nurse implement?
- A. Standard Precautions.
- B. Contact Precautions.
- C. Droplet Precautions.
- D. Airborne Precautions.
Correct Answer: D
Rationale: TB is transmitted via airborne droplets, requiring airborne precautions (D) with negative-pressure rooms. Standard (A), contact (B), and droplet (C) are insufficient.
A patient taking Isoniazid (INH) should be monitored for what deficiency?
- A. Vitamin C
- B. Calcium
- C. Vitamin B6
- D. Potassium
Correct Answer: C
Rationale: Isoniazid can cause peripheral neuropathy due to vitamin B6 (pyridoxine) deficiency. Patients are often given B6 supplements and monitored for this deficiency.