Nokea
The master gland controls the thyroid hormone by secreting
- A. Thyroxine
- B. Triiodothyronine
- C. Thyroid stimulating hormone
- D. Calcitonin
Correct Answer: C
Rationale: The pituitary secretes TSH e.g., stimulates thyroid unlike thyroxine, T3 (thyroid products), calcitonin (calcium). Nurses understand e.g., TSH tests for regulation, per endocrine.
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The nurse questions a doctors order of Morphine sulfate 50 mg, IM for a client with pancreatitis. Which role best fit that statement?
- A. Change agent
- B. Client advocate
- C. Case manager
- D. Collaborator
Correct Answer: B
Rationale: Questioning an inappropriate order like morphine for pancreatitis, which worsens sphincter of Oddi spasm reflects the client advocate role. Nurses protect patient rights and safety by challenging harmful directives, ensuring optimal care (e.g., suggesting alternatives like meperidine). This differs from change agent (lifestyle shifts), case manager (coordination), or collaborator (teamwork), emphasizing advocacy's focus on patient well-being, a core ethical duty in nursing.
Which of the following urine color is considered normal?
- A. Dark amber
- B. Yellow, Cloudy
- C. Light Yellow, Amber
- D. Slightly pale yellow
Correct Answer: D
Rationale: Slightly pale yellow is normal e.g., hydrated urine per standards. Dark amber (dehydration), yellow cloudy (infection), light yellow amber (concentrated) differ. Nurses assess e.g., hydration for health, per norms.
The absence of which pulse may not be a significant finding when a patient is admitted to the hospital?
- A. Apical
- B. Radial
- C. Pedal
- D. Femoral
Correct Answer: C
Rationale: Pedal pulse absence is normal in 10-20% of people and less critical initially.
A nurse uses an institution's procedure manual to confirm how to insert a nasogastric tube. The level of critical thinking the nurse is using is:
- A. Basic critical thinking
- B. Commitment
- C. Complex critical thinking
- D. Scientific method
Correct Answer: A
Rationale: Basic critical thinking involves following established guidelines or procedures, like using a manual for nasogastric tube insertion, typical for novices relying on concrete rules. The nurse here seeks confirmation, indicating dependence on external standards rather than independent judgment. Commitment reflects decisive action based on internalized reasoning, not manual reliance. Complex critical thinking analyzes and adapts procedures (e.g., modifying technique for patient anatomy), requiring experience beyond rote steps. The scientific method tests hypotheses, not applicable to routine protocol checks. Basic critical thinking suits this scenario, as the nurse applies learned steps without deviation, a foundational level ensuring safe practice while building toward higher-order skills in dynamic clinical settings.
Which of the following statement best describe fidelity in nursing?
- A. Telling the truth
- B. Keeping promises
- C. Doing good
- D. Avoiding harm
Correct Answer: B
Rationale: Fidelity in nursing is keeping promises (B), per ethics e.g., returning as pledged. Telling truth (A) is veracity, doing good (C) beneficence, avoiding harm (D) nonmaleficence not promise-focused. B best defines fidelity's commitment to trust, a cornerstone of nurse-patient relationships, making it the correct description.