Nokea
Mr. Gary relied on the nurse for honest care. This is an example of?
- A. Trust
- B. Sympathy
- C. Health literacy
- D. Care coordination
Correct Answer: A
Rationale: Relying on honest care is trust (A) confidence in bond, per definition. Sympathy (B) pity, literacy (C) understanding, coordination (D) organization not trust-specific. A fits Mr. Gary's faith in the nurse, making it correct.
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Becky has been NPO since midnight in preparation for a blood test. The adreno-cortical response is activated. Which of the following is an expected response?
- A. Low blood pressure
- B. Warm, dry skin
- C. Decreased serum sodium levels
- D. Decreased urine output
Correct Answer: D
Rationale: The adrenocortical response, triggered by fasting (NPO status), activates stress hormones like cortisol and aldosterone, conserving resources during deprivation. Decreased urine output results from aldosterone's promotion of sodium and water reabsorption in the kidneys, maintaining fluid volume and blood pressure. This adaptation counters the stress of fasting, ensuring homeostasis. Low blood pressure would oppose this, as the response aims to stabilize circulation, not reduce it. Warm, dry skin isn't typical; stress might cause cool, clammy skin from vasoconstriction, but fasting alone doesn't dictate this. Decreased serum sodium levels contradict aldosterone's sodium-retaining effect, which elevates or stabilizes sodium. Decreased urine output aligns with the body's conservation mechanism, making it the expected physiological response in this scenario, critical for nurses to recognize during patient monitoring.
Which of the following is true about the NURSING CARE PLAN?
- A. It is nursing centered
- B. Rationales are supported by interventions
- C. Verbal
- D. Atleast 2 goals are needed for every nursing diagnosis
Correct Answer: A
Rationale: The nursing care plan is nursing-centered (A), focusing on nurse-led actions, per planning standards. Rationales support interventions (B) reverses logic, verbal (C) isn't typical, two goals (D) isn't required. A aligns with purpose, making it correct.
The nurse uses the Glasgow Coma Scale to assess a client with a head injury. Which Glasgow Coma Scale score indicates that the client is in a coma?
- A. 6
- B. 9
- C. 12
- D. 15
Correct Answer: A
Rationale: A Glasgow Coma Scale (GCS) score of 6 (A) indicates coma, defined as ≤8, reflecting minimal responsiveness (eye, verbal, motor). Scores of 9 (B) and 12 (C) suggest moderate injury. 15 (D) is normal. A is correct. Rationale: GCS ≤8 signifies severe brain dysfunction, often requiring intubation, a standard threshold in neurocritical care for coma classification and management.
Which of the following statement best describe quality improvement?
- A. A one-time fix
- B. Ongoing effort to enhance care
- C. A punishment for errors
- D. A financial strategy
Correct Answer: B
Rationale: Quality improvement is an ongoing effort to enhance care (B), per QI models e.g., PDSA cycles. Not one-time (A), not punishment (C), not just finance (D) continuous. B best defines QI's iterative nature, making it correct.
A nurse identifies ways he/she can improve performance. He/she reflects on his nursing experiences. This is an example of the core critical thinking skill:
- A. Self-regulation
- B. Analysis
- C. Inference
- D. Explanation
Correct Answer: A
Rationale: Self-regulation in critical thinking involves monitoring and improving one's performance through reflection on experiences, identifying strengths and weaknesses. A nurse reflecting on past care to enhance future practice exemplifies this e.g., adjusting communication after a patient misunderstanding. Analysis breaks down data (e.g., lab results), not necessarily reflecting on personal performance. Inference draws conclusions from evidence (e.g., diagnosing from symptoms), not self-improvement. Explanation justifies actions (e.g., why a drug was given), not introspective growth. Self-regulation's focus on self-assessment and correction aligns with the nurse's reflective process, fostering continuous professional development, a vital skill in nursing for adapting to challenges and ensuring high-quality, patient-centered care over time.