Nokea
Examples of patients suffering from impaired awareness include all of the following except:
- A. A semiconscious or over fatigued patient
- B. A disoriented or confused patient
- C. A patient who cannot care for himself at home
- D. A patient demonstrating symptoms of drugs or alcohol withdrawal
Correct Answer: C
Rationale: Inability to self-care at home doesn't inherently impair awareness.
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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.
Indicate true or false: (Adapted: Which statement is true about IV solutions?)
- A. Hypotonic solutions should be replaced intracellular fluid loss.
- B. Smaller veins are ideal for intravenous solutions that are irritating.
- C. Both statements are true.
- D. Neither statement is true.
Correct Answer: A
Rationale: Hypotonic solutions (e.g., 0.45% saline) shift fluid into cells, replacing intracellular loss (e.g., dehydration), making this true ideal for cellular rehydration. Smaller veins aren't ideal for irritating solutions (e.g., potassium); larger veins dilute and tolerate them better, reducing phlebitis making this false. Adapting the true/false format, 'hypotonic solutions should replace intracellular loss' stands as true, supported by fluid dynamics in nursing. Both being true fails due to the vein statement. Neither true ignores the hypotonic role. The first statement's accuracy aligns with IV therapy principles, guiding nurses in fluid management, making it the correct choice.
Which are goals of nursing theory?
- A. Provide knowledge and a rationale for client interventions
- B. Provide a rationale for appropriate nursing actions in a given situation
- C. Identify and define concepts that are important to nursing
- D. Provide a definition for nursing
Correct Answer: A
Rationale: Nursing theory serves as a foundational framework, guiding practice with clear goals. It provides knowledge and a rationale for client interventions, explaining why specific actions like wound care techniques benefit patients, rooted in conceptual understanding. It offers a rationale for appropriate nursing actions, ensuring responses to situations, such as pain management, are logical and effective. Identifying and defining concepts important to nursing like health or caring clarifies the discipline's focus, fostering consistency. Increasing the nursing body of knowledge expands its intellectual base through theoretical development. However, it doesn't provide a single definition for nursing, instead directing it toward a common purpose across diverse interpretations. These goals unify nursing, bridging theory to practice, and equip nurses to deliver informed, purposeful care that adapts to client needs and evolves with new insights.
The nurse ensured Mr. Gary's treatment wishes were followed. This is an example of?
- A. Advocacy
- B. Management
- C. Health literacy
- D. Quality improvement
Correct Answer: A
Rationale: Ensuring treatment wishes is advocacy (A) protecting rights, per definition. Management (B) organizes, literacy (C) understands, QI (D) enhances not rights-specific. A fits patient voice, making it correct.
Which of the following statement best describe the resistance stage of GAS?
- A. Body shuts down due to stress
- B. Body adapts to stress
- C. Immediate reaction to stress
- D. Permanent damage occurs
Correct Answer: B
Rationale: Resistance stage is body adapting to stress (B), per GAS sustaining effort (e.g., cortisol stabilizes). Shutdown (A) and damage (D) are exhaustion, immediate (C) alarm. B best defines resistance's coping phase, making it correct.