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The 1icensure examination which is administered by the Professional Regulation Commission, Board of Nursing is given to ______.
- A. apply the theory earned from classroom to practice settings
- B. protect the public from incompetent practitioners
- C. apply the scope of nursing practice
- D. demonstrate expected competency standards
Correct Answer: D
Rationale: The correct answer is D because the licensure examination aims to assess if candidates meet the expected competency standards to practice nursing safely and effectively. This process ensures that only qualified individuals enter the profession, maintaining high standards of care. Choice A is incorrect because the exam goes beyond applying theory to include practical skills. Choice B is incorrect as protecting the public is the outcome of ensuring competency. Choice C is incorrect as the exam evaluates the full scope of nursing practice, not just its application.
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Nurse Sarah reads the physician's prescription to administer methylergonovine maleate (Methergin) intramuscularly after delivery. The rationale for giving this medication is which of the following?
- A. Reduces the amount of lochia drainage.
- B. Prevents postpartum hemorrhage.
- C. Decreases uterine contractions.
- D. Maintains normal blood pressure.
Correct Answer: B
Rationale: The correct answer is B: Prevents postpartum hemorrhage. Methylergonovine maleate is a uterotonic medication used to prevent and treat postpartum hemorrhage by causing strong uterine contractions, which help to control bleeding after delivery. It is not used to reduce lochia drainage (choice A), decrease uterine contractions (choice C), or maintain normal blood pressure (choice D). By understanding the pharmacological action of methylergonovine maleate in preventing postpartum hemorrhage, we can confidently select choice B as the correct answer.
A nurse is conducting a discharge planning assessment for a patient preparing to transition home. What action by the nurse demonstrates continuity of care?
- A. Providing the patient with written discharge instructions only
- B. Discharging the patient without coordinating follow-up care or support services
- C. Communicating with the patient's primary care provider and community resources
- D. Disregarding the patient's concerns and preferences during the discharge process Specialized Nursing Procedures
Correct Answer: C
Rationale: The correct answer is C because communicating with the patient's primary care provider and community resources demonstrates continuity of care. This action ensures a seamless transition from the hospital to home by keeping all involved parties informed and involved in the patient's care. Option A (written discharge instructions only) may provide information but lacks coordination with other healthcare providers. Option B (discharging without follow-up care coordination) can lead to gaps in care. Option D (disregarding patient concerns) goes against patient-centered care and can disrupt the continuity of care.
Which diagnostic procedure is commonly used to establish the diagnosis of lung cancer which provides a detailed description of the tracheobronchial tree and allows for biopsies of suspicious areas?
- A. Computerized Tomography (CT) scan
- B. Bronchoscopy
- C. Sputum cytology
- D. Positron Emission Tomography (PET)
Correct Answer: B
Rationale: The correct answer is B: Bronchoscopy. This procedure involves inserting a thin, flexible tube with a camera through the mouth or nose to examine the tracheobronchial tree. It allows direct visualization of the airways, collection of tissue samples for biopsy, and detection of abnormalities like tumors. A: CT scan provides detailed images of the lungs but does not allow for direct tissue sampling. C: Sputum cytology involves examining sputum for cancer cells but may not provide accurate results. D: PET scan is used to detect metabolic activity in tissues, including tumors, but does not provide detailed visualization of the airways or allow for biopsies.
A patient is prescribed a selective serotonin reuptake inhibitor (SSRI) for the treatment of depression. Which adverse effect should the nurse monitor closely in the patient?
- A. Bradycardia
- B. Hyperkalemia
- C. Hyponatremia
- D. Hypertension
Correct Answer: C
Rationale: The correct answer is C: Hyponatremia. SSRI medications can lead to the syndrome of inappropriate antidiuretic hormone secretion (SIADH), causing hyponatremia. This occurs due to increased levels of serotonin affecting the hypothalamus, leading to excessive ADH release. Hyponatremia can result in neurological symptoms and must be closely monitored.
A: Bradycardia is not a common adverse effect of SSRIs.
B: Hyperkalemia is not typically associated with SSRIs.
D: Hypertension is not a common adverse effect of SSRIs; they may actually lower blood pressure.
Collaboration and teamwork are essential in public health to improve
- A. Staff performance
- B. Equity in services
- C. Proper use of resources
- D. Quality healthcare
Correct Answer: B
Rationale: The correct answer is B: Equity in services. Collaboration and teamwork in public health are crucial to ensure equal access to services for all populations, regardless of their background or socioeconomic status. By working together, public health professionals can identify disparities and implement strategies to address them, ultimately leading to improved equity in healthcare services.
A: Staff performance - While collaboration and teamwork can positively impact staff performance, the primary focus in public health is on achieving equity in services for all individuals.
C: Proper use of resources - Collaboration can help optimize resource allocation, but the main goal in public health is to ensure equitable access to services.
D: Quality healthcare - While collaboration can enhance the quality of healthcare, the primary emphasis in public health is on promoting equity in services to address health disparities.