Nokea
Client perceptions about their health problems are:
- A. Objective data
- B. Observational recordings
- C. Aucilliary reports from the data collector
- D. Subjective data
Correct Answer: D
Rationale: Subjective data are clients' perceptions e.g., 'I feel dizzy' reported directly, capturing experiences unmeasurable by others. This contrasts with objective data (e.g., pulse), observable by nurses. Observational recordings are objective, like noting pallor, not perceptions. Ancillary reports (e.g., lab results) are objective, external data, not client-voiced. Subjective data's focus on personal input e.g., pain severity enriches assessment, guiding nurses to explore symptoms' impact (e.g., anxiety's role), making it vital for holistic care and the correct classification here.
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A healthcare professional is preparing to administer a subcutaneous injection of insulin. Which of the following actions should the professional take?
- A. Use a 1-inch needle.
- B. Insert the needle at a 90-degree angle.
- C. Use a tuberculin syringe.
- D. Aspirate before injecting.
Correct Answer: B
Rationale: When administering a subcutaneous injection, inserting the needle at a 90-degree angle is appropriate. This angle helps ensure proper delivery of the medication into the subcutaneous tissue. Using a 1-inch needle is common for subcutaneous injections to reach the subcutaneous fat layer adequately. Tuberculin syringes are typically used for intradermal injections, not subcutaneous injections. Aspirating before injecting is not necessary for subcutaneous injections as it is primarily used for intramuscular injections to ensure the needle is not in a blood vessel.
Which of the following statement is TRUE about deductibles?
- A. Paid after care
- B. Paid before insurance kicks in
- C. Not part of insurance
- D. All of the above
Correct Answer: B
Rationale: Deductibles are paid before insurance kicks in (B), per definition e.g., Mr. Gary's upfront cost. Not after (A), are insurance (C), not all (D) threshold-based. B truly defines deductibles' role, triggering coverage, making it correct.
When should discharge planning begin for a client admitted to a long-term care facility for rehabilitation after a total hip arthroplasty?
- A. One week prior to the client's discharge
- B. Upon the client's admission to the care facility
- C. Once the discharge date is identified
- D. When the client addresses the topic with the nurse
Correct Answer: B
Rationale: Discharge planning should begin upon the client's admission to the care facility. This early start allows the healthcare team to conduct assessments, set goals, and coordinate services for a smooth transition back home or to the community. Initiating discharge planning early ensures timely arrangements, leading to optimal outcomes and continuity of care. Choices A, C, and D are incorrect because waiting until one week before discharge, after the discharge date is identified, or until the client brings up the topic may lead to rushed decision-making, inadequate arrangements, and a less effective transition process.
In a 24 hour urine specimen started Friday, 9:00 A.M, which of the following if done by a Nurse indicate a NEED for further procedural debriefing?
- A. The nurse ask the client to urinate at 9:00 A.M, Friday and she included the urine in the 24 hour urine specimen
- B. The nurse discards the Friday 9:00 A M urine of the client
- C. The nurse included the Saturday 9:00 A.M urine of the client to the specimen collection
- D. The nurse added preservatives as per protocol and refrigerates the specimen
Correct Answer: A
Rationale: Including 9:00 AM Friday urine e.g., pre-start skew 24-hour totals (9 AM Friday to 9 AM Saturday); it's discarded. Discarding start, including end, and preserving are correct. Nurses need debriefing here e.g., timing for accurate collection, per lab standards.
Tympanic temperature is taken from John, A client who was brought recently into the ER due to frequent barking cough. The temperature reads 37.9 Degrees Celsius. As a nurse, you conclude that this temperature is
- A. High
- B. Low
- C. At the low end of the normal range
- D. At the high end of the normal range
Correct Answer: D
Rationale: Tympanic temp of 37.9°C is normal (36.6-38°C) e.g., high-normal from cough stress. Not high (>38°C), low (<36.6°C), or low-end. Nurses interpret this e.g., monitor trends in acute cases, per standard ranges.