Nokea
A patient is brought into the ER. The patient's BAL is 0.48 and the patient is unconscious. What is the first thing you do?
- A. Place the patient in a quiet area and wait until the patient begins to sober before continuing your assessment.
- B. Call the ED practitioner immediately.
- C. Administer Narcan to the patient.
- D. Send the patient to ICU immediately.
Correct Answer: B
Rationale: Immediate notification of the ED practitioner ensures prompt intervention for a life-threatening condition.
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If a client denies having a hearing impairment, which question would encourage them to respond?
- A. Do you always ask people to repeat questions? If so, do you think that you have a hearing problem?
- B. Are you cupping your ear for a reason? Do you have trouble hearing?
- C. Both A and B
- D. Neither A nor B
Correct Answer: C
Rationale: Asking open-ended questions increases the likelihood of acknowledgment and discussion of the issue.
You are reviewing your client's understanding of the post-operative stapedectomy instructions that you gave several days ago. Which comment concerns you the most?
- A. I'm going to take swimming lessons in a couple of months.'
- B. I have to take a long overseas flight in several weeks.'
- C. I can't wait to get back to my regular weightlifting class.'
- D. I have been coughing a lot with my mouth open.'
Correct Answer: C
Rationale: Weightlifting can increase intracranial pressure and compromise the surgical site, posing a risk to recovery.
Which of the following helps the nurse to identify goals, tailor the teaching plan, and evaluate outcomes?
- A. Desire to acquire new information.
- B. Assessment of what the client knows.
- C. Purpose or reason for mastering skills.
- D. Restored independence.
Correct Answer: B
Rationale: Assessing the client's existing knowledge provides a foundation for setting realistic goals and tailoring the teaching plan.
Which of the following is a finding that is most often associated with endometrial cancer?
- A. Thickened endometrial lining on ultrasound
- B. Irregular periods
- C. Young age
- D. Dyspareunia
Correct Answer: A
Rationale: A thickened endometrial lining on ultrasound is commonly associated with endometrial cancer, indicating abnormal cell growth.
Which actions are done primarily by an informatics nurse (select all that apply)?
- A. Designs and builds computer systems
- B. Studies the validity of nursing information
- C. Trains health care providers to provide nursing care
- D. Communicates and accesses information for nursing staff
Correct Answer: A
Rationale: Informatics nurses focus on designing systems, validating information, and building tools to support nursing processes.