Nokea
Name the system that controls every activity that you do?
- A. Nervous System
- B. Exocrine System
- C. Endocrine System
- D. Respiratory System
Correct Answer: A
Rationale: The nervous system is the correct answer because it controls all voluntary and involuntary activities in the body. It consists of the central nervous system (brain and spinal cord) and the peripheral nervous system (nerves), which work together to process information and generate responses.
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The substance that is released at axonal endings to propagate a nervous impulse is called:
- A. an ion
- B. nerve glue
- C. a neurotransmitter
- D. the sodium-potassium pump
Correct Answer: C
Rationale: Neurotransmitters are chemical substances released at axonal endings to propagate nervous impulses across synapses. Ions and the sodium-potassium pump are involved in generating action potentials, while nerve glue and action potentials are not substances released at axonal endings. Thus, C is the correct answer.
A patient is admitted with an open fracture of the tibia following a bicycle accident. During assessment of the patient, what specifically should the nurse question the patient about?
- A. Any previous injuries to the leg
- B. The status of tetanus immunization
- C. The use of antibiotics in the last month
- D. Whether the injury was exposed to dirt or gravel
Correct Answer: B
Rationale: Tetanus prophylaxis is crucial in open fractures due to the risk of contamination.
Which action requires intervention by the charge nurse for an LPN/LVN caring for a patient with Paget's disease?
- A. Administers 600 mg of ibuprofen to the patient.
- B. Encourages the patient to perform PT recommended exercises.
- C. Applies ice and gentle massage to the patient's lower extremities.
- D. Reminds the patient to drink milk and eat cottage cheese.
Correct Answer: C
Rationale: Applying ice and massage without specific instructions may not be appropriate and could potentially cause harm.
When assessing a patient diagnosed with multiple sclerosis (MS), which of the following would require immediate action by the healthcare provider?
- A. Fatigue and depression
- B. Paresthesia and tremor
- C. Nystagmus and diplopia
- D. Dysphagia and congested cough
Correct Answer: D
Rationale: Dysphagia and a congested cough indicate potential aspiration risk, which requires immediate intervention to prevent respiratory complications.
In the care plan for Mr. Thompson, a 78-year-old man with Parkinson's disease, Nurse Edwards is identifying tasks that can be safely delegated to a nursing assistant (NA). Considering the responsibilities and scope of practice for a nursing assistant, which of the following tasks is most appropriate for Nurse Edwards to delegate?
- A. Checking for orthostatic changes in pulse and blood pressure.
- B. Monitoring for improvement in tremor after levodopa (L-dopa) is given.
- C. Adjusting the dosage of levodopa (L-dopa) based on the patient's response.
- D. Monitoring for abnormal involuntary jerky movements of extremities.
Correct Answer: A
Rationale: Checking for orthostatic changes is within the scope of practice for a nursing assistant and is important for monitoring the side effects of PD medications.