Nokea
Anne asks how a chest x-ray would help the physician examine her heart. You respond by saying
- A. A chest x-ray is used to rule out that a fractured rib caused your pain.
- B. The chest x-ray is an error. I will cancel the order.
- C. A chest x-ray is used to detect the size and position of the heart.
- D. All patients who are admitted must have a chest x-ray.
Correct Answer: C
Rationale: Chest x-rays provide information about heart size and position.
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What should the nurse do if Mrs. West reports restless sleep and frequent bathroom visits postoperatively?
- A. Write a nursing order to give Mrs. West a backrub
- B. Call the physician to obtain an order to increase the dosage of her hypnotic
- C. Write a nursing order to keep intake and output with times and amounts
- D. Call the physician to obtain an order for intake and output
Correct Answer: D
Rationale: Monitoring intake and output is essential to assess postoperative fluid balance.
What is the most appropriate response to Harold Smith asking what he can do to prevent black lung disease?
- A. Suggest he seek symptomatic medical treatment
- B. Reassure him that black lung is a disease of the past
- C. Encourage him to change jobs
- D. Recommend psychologic counseling
Correct Answer: C
Rationale: Changing jobs eliminates exposure to coal dust, preventing black lung.
Which neurotransmitter influences movement, memory, thoughts, and judgment?
- A. Norepinephrine
- B. Dopamine
- C. Epinephrine
- D. Serotonin
Correct Answer: B
Rationale: Dopamine plays a key role in regulating movement, memory, motivation, and decision-making processes in the brain.
Nursing diagnoses mostly differ from medical diagnoses, in that they are
- A. dependent upon medical diagnoses for the direction of appropriate interventions.
- B. primarily concerned with caring, while medical diagnoses are primarily concerned with curing.
- C. primarily concerned with human response, while medical diagnoses are primarily concerned with pathology.
- D. primarily concerned with psychosocial parameters, while medical diagnoses are primarily concerned with physiologic parameters.
Correct Answer: C
Rationale: Nursing diagnoses focus on the patient's response to health conditions, whereas medical diagnoses focus on the disease itself.
Which symptom should the nurse closely monitor for and report immediately in a client who has just undergone cataract surgery?
- A. Hypotension
- B. Nausea and vomiting
- C. Intense pain in the eye or near the brow
- D. Increased urine output
Correct Answer: C
Rationale: Intense pain could indicate complications such as infection or increased intraocular pressure.