Nokea
The following are the monometer measurements of four clients. Which of them has normal intraocular pressure (IOP)?
- A. 8 mm Hg
- B. 11 mm Hg
- C. 25 mm Hg
- D. 28 mm Hg
Correct Answer: B
Rationale: Normal intraocular pressure ranges from 10 to 21 mm Hg. Therefore, 11 mm Hg is within the normal range.
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Bob, who has Huntington's disease, tells you that he sees the same symptoms of the disease in his 13-year-old son. You respond by saying
- A. Your son probably has the early symptoms of the disease.
- B. Symptoms usually appear between the ages of 30 and 50; however, you may want to ask your physician about genetic testing that can detect if your son has the gene that is associated with Huntington's disease.
- C. Symptoms usually appear before the age of 30; you may want to ask your physician about genetic testing.
- D. Huntington's disease is genetically transmitted.
Correct Answer: B
Rationale: Huntington's disease typically manifests in adulthood, but genetic testing can confirm early cases.
You have just received the morning report from the night shift nurses. List the order of priority for assessing and caring for these patients.
- A. A patient who developed tumor lysis syndrome around 5:00 am.
- B. A patient with frequent reports of break-through pain over the past 24 hours.
- C. A patient scheduled for exploratory laparotomy this morning.
- D. A patient with anticipatory nausea and vomiting for the past 24 hours.
Correct Answer: A
Rationale: Tumor lysis syndrome is a life-threatening condition requiring immediate intervention, making it the top priority.
Why should the nurse assess current weight status and recent weight fluctuations in a client with anxiety?
- A. Weight fluctuations indicate impaired kidney function in clients with anxiety
- B. All clients with anxiety lose weight rapidly
- C. Antianxiety drugs increase appetite
- D. Some clients may react to stress by overeating
Correct Answer: D
Rationale: Clients may overeat or lose appetite due to stress, affecting their weight and overall health.
Match the following types of pain in the left column with a category of pain from the upper right column and an example of the source of the pain from the lower right column.
- A. Pain from loss of afferent input
- B. Pain persisting from sympathetic nervous system (SNS) activity
- C. Pain caused by dysfunction in the central nervous system (CNS)
- D. Pain arising from muscles and bones; localized or diffuse and radiating
Correct Answer: D
Rationale: Pain felt along the distribution of peripheral nerve(s) from nerve damage
Glaucoma is a preventable condition. Which group is most likely to develop glaucoma and should be targeted for educational programs?
- A. African-Americans of any age
- B. Alaskan-Americans >50 years
- C. White-Americans >60 years
- D. Native-Americans >35 years
Correct Answer: A
Rationale: African-Americans are at higher risk for developing glaucoma at a younger age and should be prioritized for education and screening.