Nokea
How should the nurse explain the consistency of cervical mucus at the time of ovulation?
- A. It becomes thin and elastic.
- B. It becomes opaque and acidic.
- C. It contains numerous leukocytes to prevent vaginal infections.
- D. It decreases in quantity in response to body temperature changes.
Correct Answer: A
Rationale: Thin, elastic mucus facilitates sperm transport during ovulation.
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A nurse is working in a Level 4 hospital. What type of patient would the nurse expect to see?
- A. a first-time pregnant person with good fetal movement
- B. a pregnant person who needs neurosurgery
- C. a postpartum person with asthma
- D. a pregnant person who plans to birth in a birth center
Correct Answer: B
Rationale: The correct answer is B: a pregnant person who needs neurosurgery. In a Level 4 hospital, which is a facility capable of providing the highest level of care, the nurse can expect to see patients with complex and critical medical conditions like a pregnant person requiring neurosurgery. This level of hospital is equipped with advanced medical technology and specialists to handle such cases.
A: a first-time pregnant person with good fetal movement - This choice is incorrect as it does not specify any complex medical condition that would require the services of a Level 4 hospital.
C: a postpartum person with asthma - While asthma can be a serious condition, it does not necessarily require the highest level of care provided by a Level 4 hospital.
D: a pregnant person who plans to birth in a birth center - This choice is incorrect as it suggests a low-risk pregnancy that can be managed in a less intensive care setting than a Level 4 hospital.
The nurse makes an error of omission. What is an example of an error of omission?
- A. placing the fetal monitor incorrectly
- B. not recording input/output amounts
- C. not covering the computer screen when documenting
- D. removing an IV
Correct Answer: B
Rationale: The correct answer is B because not recording input/output amounts can lead to missed vital information affecting patient care. Omission errors involve failing to perform a required action. Placing the fetal monitor incorrectly (A) is an error of commission, actively doing something incorrectly. Not covering the computer screen (C) is a breach of patient confidentiality, not an omission error. Removing an IV (D) is an active intervention, not an omission error.
The nurse is describing the difference between community-based nursing and community health nursing. What response best describes the difference?
- A. A community-based nurse would provide care in a mobile unit in the neighborhood.
- B. A community-based nurse only provides education.
- C. A community health nurse performs cardiac assessments.
- D. A community health nurse only provides hands-on care.
Correct Answer: A
Rationale: The correct answer is A because community-based nursing involves providing care directly to individuals and families within the community, often in non-traditional settings like mobile units or homes. This differs from community health nursing, which focuses on promoting and protecting the health of populations. Choice B is incorrect because community-based nurses do more than just provide education. Choice C is incorrect as cardiac assessments are a specific task that may not always be performed by community health nurses. Choice D is incorrect as community health nurses also provide a range of services beyond hands-on care.
A preterm neonate develops physiologic jaundice and phototherapy is ordered. The nurse understands that this therapy:
- A. Activates the liver to dispose the bilirubin
- B. Breaks down the unconjugated bilirubin in the skin to conjugated form permitting excretion
- C. Activates Vit. K to facilitate excretion of the bilirubin
- D. Dissolves the bilirubin and allows it to be excreted from the skin
Correct Answer: B
Rationale: Phototherapy converts bilirubin into a form that can be excreted.
The nursing assessment of an infant reveals expiratory grunting, substernal retractions, and a temperature of 99° F (32.2° C). What is the first nursing action?
- A. Place the infant in Trendelenburg position.
- B. Begin administration of 40% humidified oxygen via hood.
- C. Increase the temperature of the environment
- D. Perform a complete assessment for congenital anomalies.
Correct Answer: B
Rationale: Oxygen administration addresses potential respiratory distress.