Nokea
At what point should a 24-year-old client without a family history of eye disease have an eye exam?
- A. Annually after the age of 30
- B. Initially, a thorough exam at the age of 40
- C. Initially, a thorough exam at the age of 50
- D. Annually after the age of 50
Correct Answer: B
Rationale: For individuals without risk factors, a baseline eye exam is recommended at age 40 to detect early signs of age-related conditions.
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A patient is admitted to the ER and presents as very talkative, highly alert, pupil dilated, has a relatively high temperature and is sweating. He or she tells you he or she never needs to sleep anymore. What would you suspect is causing the patient's condition?
- A. The patient is under the influence of heroin.
- B. The patient is under the influence of amphetamines.
- C. The patient is under the influence of oxycodone.
- D. The patient is under the influence of Oxycodan.
Correct Answer: B
Rationale: Symptoms such as talkativeness, alertness, dilated pupils, and hyperthermia are characteristic of amphetamine use.
During a preoperative review of systems, the patient reveals a history of renal disease. This finding suggests the need for which preoperative diagnostic tests?
- A. ECG and chest x-ray
- B. Serum glucose and CBC
- C. ABGs and coagulation tests
- D. BUN, serum creatinine, and electrolytes
Correct Answer: D
Rationale: Renal disease necessitates evaluating kidney function through tests like BUN, serum creatinine, and electrolytes.
Why is it necessary for a nurse to assess a client’s health beliefs and practices?
- A. For possessing knowledge of health problems affecting a particular cultural group.
- B. For accepting each client as an individual.
- C. For providing culturally competent care to the client.
- D. For viewing the situation from the client’s perspective.
Correct Answer: C
Rationale: Assessing health beliefs ensures personalized, respectful, and effective care aligned with the client's values.
A patient with end-stage liver failure tells the nurse, “If I can just live to see my first grandchild who is expected in 5 months, then I can die happy.” The nurse recognizes that the patient is demonstrating which of the following stages of grieving?
- A. Prolonged grief disorder
- B. Kübler-Ross’s stage of bargaining
- C. Kübler-Ross’s stage of depression
- D. The new normal stage of the Grief Wheel.
Correct Answer: B
Rationale: The patient is expressing a desire to delay death in exchange for a significant event, characteristic of the bargaining stage in Kübler-Ross's model of grief.
Persons at risk are the target population for cancer screening programs. Which asymptomatic patient(s) needs extra encouragement to participate in cancer screening? (Choose all that apply.)
- A. A 19-year-old white-American female who is sexually inactive for a Pap smear.
- B. A 35-year-old white-American female for an annual mammogram.
- C. A 45-year-old African-American male for an annual prostate-specific antigen.
- D. A 49-year-old African-American male for an annual fecal occult blood test.
Correct Answer: D
Rationale: African-American males are at higher risk for prostate and colorectal cancers, making regular screening crucial for early detection.