Nokea
The nurse is assessing a child diagnosed with a brain tumor. Which of the following signs and symptoms would the nurse expect the child to demonstrate? Select all that apply.
- A. Head tilt
- B. Vomiting
- C. Polydipsia
- D. Lethargy
Correct Answer: A
Rationale:
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Which of the following organisms causes epidemic meningitis cases at college campuses?
- A. Haemophilus influenzae type b
- B. Neisseria meningitidis
- C. Streptococcus pneumoniae
- D. Listeria monocytogenes
Correct Answer: B
Rationale: The correct answer is B: Neisseria meningitidis. This bacterium is a common cause of epidemic meningitis in college campuses due to person-to-person transmission, especially in crowded living spaces. It has a polysaccharide capsule that helps evade the immune system, leading to severe infections. Haemophilus influenzae type b, Streptococcus pneumoniae, and Listeria monocytogenes can also cause meningitis but are not typically associated with college campus epidemics.
A nurse assessing a patient diagnosed with a somatic system disorder is most likely to note that the patient:
- A. readily sees a relationship between symptoms and interpersonal conflicts.
- B. rarely derives personal benefit from the symptoms.
- C. has little difficulty communicating emotional needs.
- D. has unmet needs related to comfort and activity.
Correct Answer: D
Rationale: The correct answer is D because patients with somatic system disorders often have unmet needs related to comfort and activity. These patients may focus on physical symptoms to express underlying emotional distress or seek attention. Choice A is incorrect because patients with somatic disorders often struggle to see a relationship between symptoms and psychological conflicts. Choice B is incorrect because patients with somatic disorders may derive secondary gain from their symptoms. Choice C is incorrect because patients with somatic disorders often have difficulty expressing emotional needs.
The nurse in the postoperative unit prepares to receive a client after a balloon angioplasty of the carotid artery. Which of the following items should the nurse keep at the bedside for such a client in the case of an emergency situation based on the procedure that was done?
- A. BP apparatus
- B. Call bell
- C. IV infusion stand
- D. Endotracheal intubation
Correct Answer: D
Rationale: Endotracheal intubation is essential in case of airway compromise.
A patient arrives in the ER with blurred and double vision, muscle weakness, and intolerance of temperature changes. The physician suspects multiple sclerosis. What test would you expect the physician to do in order to confirm his or her suspicions?
- A. CBC with a very low WBC count.
- B. MRI with gadolinium showing demyelination of nerve fibers.
- C. Endocrine function study with a low growth hormone and high T3 and T4.
- D. Fasting glucose test with a result over 300 mg/dL.
Correct Answer: B
Rationale: MRI with gadolinium is used to identify demyelination, which is characteristic of multiple sclerosis.
To evaluate a patient's intellectual function, the nurse should assess:
- A. The patient's ability to understand, reason, and recall information.
- B. The patient's blood pressure.
- C. The patient's respiratory rate.
- D. The patient's skin texture.
Correct Answer: A
Rationale: Intellectual function is assessed by evaluating the patient's ability to understand, reason, and recall information. Blood pressure, respiratory rate, and skin texture are unrelated to intellectual function.