Nokea
Priority Decision: While the nurse is obtaining a health history the patient tells the nurse, "I am so tired I can hardly function." What is the nurse’s best action at this time?
- A. Stop the interview and leave the patient alone to be able to rest.
- B. Arrange another time with the patient to complete the interview.
- C. Question the patient further about the characteristics of the symptoms.
- D. Reassure the patient that the symptoms will improve when treatment has had time to be effective.
Correct Answer: C
Rationale: The correct answer is 'Question the patient further about the characteristics of the symptoms.' Fatigue could indicate underlying health issues such as anemia, infection, or chronic illness. Further questioning helps identify potential causes and prioritize care.
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What term is used to describe a decreased effect of a substance following repeated exposure?
- A. Relapse
- B. Tolerance
- C. Abstinence
- D. Withdrawal.
Correct Answer: B
Rationale: Tolerance develops when repeated exposure to a substance diminishes its effects, requiring higher doses to achieve the same impact.
What might have been the precipitating cause of Wendy’s asthmatic attack?
- A. Breaking up with her boyfriend
- B. Personal history of allergies
- C. Restless sleeping pattern
- D. Smoking five cigarettes daily
Correct Answer: B
Rationale: Allergies are common triggers for asthma exacerbations.
An 80-year-old woman is brought to the emergency department by her daughter, who says her mother has refused to eat for 6 days. The mother says she stays in her room all of the time because the family is mean to her when she eats or watches TV with them. She says her daughter brings her only one meal a day and that meal is cold leftovers from the family’s meals days before.
- A. Neglect
- B. Emotional abuse
- C. Weight loss
- D. Decreased muscle mass
Correct Answer: A
Rationale: The scenario describes neglect (insufficient food provision) and emotional abuse (isolation due to perceived meanness).
Priority treatment of a fracture is
- A. Surgical reduction of the fracture.
- B. Immobilization of the area.
- C. Insertion of an internal fixation device.
- D. Reduction of the fracture.
Correct Answer: B
Rationale: Immobilization prevents further injury and promotes healing.
Which medication is a nonamphetamine wake-promotion drug?
- A. Modafinil (Provigil)
- B. Protriptyline (Vavactil)
- C. Desipramine (Norpramin)
- D. Methylphenidate (Concerta)
Correct Answer: A
Rationale: The correct answer is A. Modafinil is a wake-promoting agent used for conditions like narcolepsy. Protriptyline (B) and Desipramine (C) are tricyclic antidepressants, while Methylphenidate (D) is a stimulant.