Nokea
Antibodies are passed from mother to fetus through the placenta. What is
this type of immunity called?
- A. Artificial passive
- B. Natural passive
- C. Natural active
- D. Artificial active
Correct Answer: B
Rationale:
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A client is immobile and requires mechanical ventilation with a tracheostomy.
She has a pressure injury on her coccyx measuring 5 cm by 3 cm. the nurse
observes bone and tendon at the base of the wound. How would the nurse
document this wound?
- A. Stage III pressure injury
- B. A stage II pressure injury
- C. A non-staging pressure injury
- D. Stage IV pressure injury
Correct Answer: D
Rationale:
Which organization publishes the National Patient Safety Goals?
- A. The Joint Commission
- B. Medicare
- C. The American Nurses Association
- D. The Institute of Medicine
Correct Answer: A
Rationale:
What level of Maslow's Hierarchy of needs does shelter belong to?
- A. Love and belonging
- B. Physiological
- C. Safety and security
- D. Esteem
Correct Answer: C
Rationale:
The nurse is preparing communication for a provider. The client is experiencing
acute pain greater than the severity of the fracture. Distal to the injury, he is
experiencing a 'pins and needles' sensation. The pulse is weak and thready but
is bounding on all unaffected extremities. What emergent condition does the
nurse suspect?
- A. Ischial tuberosity
- B. Compartment syndrome
- C. Broken arm syndrome
- D. Pulmonary embolism
Correct Answer: B
Rationale:
A client states that he has been experiencing oozing from his wounds. What is
the nurse's priority action?
- A. Insert the wound and assess the drainage
- B. Apply topical ointment to the wound
- C. Call the provider to initiate antibiotics
- D. Culture the wound
Correct Answer: D
Rationale: