Nokea
According to the theory of planned behaviour, what is the best predictor of behaviour?
- A. Attitude
- B. Habit
- C. Intention
- D. Social norm
Correct Answer: C
Rationale: Planned behaviour intention rules, not just liking, routine, or peer push. Nurses bet on this, a chronic action cue.
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The nurse is providing preoperative care for a 7-year-old patient with a brain tumor. Which of the following is the priority intervention?
- A. Assessing the child's level of consciousness
- B. Providing a tour of the intensive care unit for the child and parents
- C. Educating the child and parents about shunts
- D. Having the child talk to another child who has had this surgery
Correct Answer: A
Rationale: For a child with a brain tumor preoperatively, assessing level of consciousness (LOC) is the priority, as it monitors for increased intracranial pressure (ICP) from tumor mass effect vital signs like alertness or confusion shift rapidly and signal deterioration needing immediate action. No baseline data exists here, making LOC the first step in the nursing process to guide care. An ICU tour reduces anxiety but delays critical assessment. Shunt education applies post-diagnosis of hydrocephalus, not universally pre-op, and lacks urgency without LOC context. Peer support is psychosocial, not physiological, and secondary. LOC assessment aligns with ABCs (circulation includes cerebral perfusion), ensuring the nurse detects neurological decline early, a cornerstone of pediatric neuro-oncology care before surgery.
A 50 year old man has a BP of 160/100 mmHg despite being on 10 mg Lisinopril om. Which of the following is not a good choice?
- A. Diuretic
- B. Calcium channel blocker
- C. Bisoprolol
- D. Losartan
Correct Answer: D
Rationale: BP 160/100 diuretic, calcium, beta, upping lisinopril stack; losartan doubles ACE, risks crash. Nurses dodge this chronic overlap.
During his internship at a general practice, a medical student is asked to check the blood glucose level in a 30-year-old patient with type 1 diabetes. Acute glycaemic dysregulation is suspected in this patient. The patient asks if the student is going to take a capillary blood sample as shown in the picture below. Which of the following statements applies best in case of suspected acute dysregulation?
- A. The result will equal that of a finger prick sample
- B. The result will be higher than that of a finger prick sample
- C. The result will be lower than that of a finger prick sample
- D. One must not draw blood from this site in this case
Correct Answer: D
Rationale: Acute type 1 chaos no arm vein draw, finger prick's king for fast reads, not this site. Nurses skip this, a chronic crisis dodge.
Tetanus:
- A. typically has an incubation period of 23 days
- B. immunization status is particularly poor in elderly women
- C. toxoid is more effective by S.C. injection
- D. IgG will provide passive protection for about a week
Correct Answer: B
Rationale: Tetanus 7-10 days incubate, elderly women lag shots, IM toxoid, Ig lasts longer, pregnancy's fine. Nurses tag this chronic gap.
Essential education for patients with regards to insulin therapy includes the following except:
- A. Hypoglycaemia management
- B. Sickday management
- C. Prescribing insulin
- D. Safe driving
Correct Answer: C
Rationale: Insulin education patients learn hypo fixes, sick day tweaks, driving rules, needle skills; prescribing's the doc's job, not their load. Nurses drill this chronic self-care kit, skipping the script-writing bit for pros.