Nokea
The nurse is assessing the client for abdominal distention, which of the following technique should be performed by the nurse?
- A. Inspection alone is sufficient
- B. Inspection and Palpation
- C. Inspection and Percussion
- D. Inspection, Palpation and Percussion
Correct Answer: C
Rationale: Abdominal distention needs inspection (e.g., bloating) and percussion (e.g., tympany for gas) unlike inspection alone or palpation (tenderness). Nurses use e.g., tap for cause, per assessment.
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The nurse informed the doctor that Mr. Gary does not want a certain procedure. This is an example of?
- A. Advocacy
- B. Fidelity
- C. Veracity
- D. Justice
Correct Answer: A
Rationale: Informing the doctor of Mr. Gary's refusal is advocacy (A) upholding his rights, per nursing. Fidelity (B) promises, veracity (C) truth, justice (D) fairness not refusal-based. A supports autonomy, making it correct.
Which of the following is NOT TRUE about profession according to Marie Jahoda?
- A. A profession is an organization of an occupational group based on the application of special knowledge
- B. It serves specific interest of a group
- C. It is altruistic
- D. Quality of work is of greater importance than the rewards
Correct Answer: B
Rationale: Marie Jahoda, a 20th-century psychologist, defined a profession as an organized group applying specialized knowledge for the broader community's benefit, not just a specific subset. She emphasized altruism (serving others selflessly) and prioritizing work quality over rewards, traits nursing exemplifies through education and care standards. The idea that a profession serves only a specific group's interests contradicts her view professions like nursing aim for universal welfare, such as public health initiatives. This distinction often appears in licensure exams, highlighting nursing's societal role over narrow advocacy, aligning with its ethical and professional identity.
The nurse asked the client to read the Snellen chart. Which of the following is tested:
- A. Optic
- B. Olfactory
- C. Oculomotor
- D. Trochlear
Correct Answer: A
Rationale: The Snellen chart tests vision, linked to the optic nerve (Cranial Nerve II).
Which of the following is TRUE about the mechanism of action of the Aortic and Carotid bodies?
- A. If the BP is elevated, the RR increases
- B. If the BP is elevated, the RR decreases
- C. Elevated BP leads to Metabolic alkalosis
- D. Low BP leads to Metabolic acidosis
Correct Answer: B
Rationale: Aortic and carotid bodies, chemoreceptors, slow respiration when BP rises e.g., baroreceptors signal reduced need for O2 delivery. Increased RR (hypoxia), alkalosis (pH), or acidosis (metabolic) misalign. Nurses note this e.g., in hypertension for respiratory adjustments, per cardiovascular interplay.
A client with a new diagnosis of celiac disease is being taught about dietary management. Which of the following statements should be included by the healthcare provider?
- A. You should avoid foods that contain gluten.
- B. You should increase your intake of dairy products.
- C. You should avoid foods that contain lactose.
- D. You should increase your intake of high-fiber foods.
Correct Answer: A
Rationale: The correct answer is A: 'You should avoid foods that contain gluten.' Gluten is a protein found in wheat, barley, and rye, which can trigger an immune response in individuals with celiac disease. Avoiding gluten-containing foods is crucial to managing the condition and preventing symptoms and complications associated with celiac disease. Choices B, C, and D are incorrect. Increasing dairy intake (Choice B) is not necessary for celiac disease management. Avoiding lactose (Choice C) is relevant for individuals with lactose intolerance, not celiac disease. While high-fiber foods (Choice D) are generally beneficial for health, they are not specifically indicated for celiac disease management.