Nokea
The nurse is caring for a client suspected to have Tuberculosis (TB). Which of the following diagnostic tests is essential for determining the presence of active TB?
- A. Tuberculin skin testing
- B. Sputum culture
- C. White blood cell count
- D. Chest x-ray
Correct Answer: B
Rationale: Sputum culture. The sputum culture is the most accurate method for determining the presence of active TB.
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When assessing a client who has just undergone a cardioversion, the practical nurse (LPN) finds the respirations are 12/minute. Which action should the nurse take first?
- A. Try to vigorously stimulate normal breathing
- B. Ask the RN to assess the vital signs
- C. Measure the pulse oximetry
- D. Continue to monitor respirations
Correct Answer: D
Rationale: Continue to monitor respirations. A rate of 12/minute is acceptable post-cardioversion, requiring no immediate intervention.
The nurse performs an assessment of an 8-year-old girl diagnosed with scoliosis.
- A. Which observation is expected in an 8-year-old girl with scoliosis?
- B. The girl’s thoracic area is asymmetrical.
- C. The girl walks with a waddling gait.
- D. The girl’s lower legs are edematous.
- E. The girl has a protruding sternum.
Correct Answer: A
Rationale: Scoliosis causes lateral spinal curvature, leading to thoracic asymmetry. Waddling gait is associated with hip issues, edema with circulatory problems, and a protruding sternum with pectus carinatum, none of which are typical of scoliosis.
An older man is being prepared for discharge after treatment for dehydration.
Which of the following statements, if made by the patient to the nurse, indicates that further teaching is needed?
- A. I should weigh myself daily.'
- B. I should drink fluids throughout the day.'
- C. I can use a measuring cup to find out how much I drink during the day.'
- D. I should let my doctor know if I get dizzy when I change positions.'
Correct Answer: A
Rationale: Strategy: Determine how each answer choice relates to dehydration. Be careful, this is a negative question. (1) correct-would only indicate overhydration, not response to dehydration (2) will help prevent recurrence of dehydration, should force fluids to 3,000 cc/day (3) would give good indication of total intake (4) would indicate postural hypotension resulting from volume deficit
A nursing student asks the nurse manager to explain the forces that drive health care reform. The appropriate response by the nurse manager should include
- A. The escalation of fees with a decreased reimbursement percentage
- B. High costs of diagnostic and end-of-life treatment procedures
- C. Increased numbers of elderly and of the chronically ill of all ages
- D. A steep rise in provider fees and in insurance premiums
Correct Answer: A
Rationale: The escalation of fees with a decreased reimbursement percentage. The percentage of the gross national product representing health care costs rose dramatically with reimbursement based on fee for service. Reimbursement for Medicare and Medicaid recipients based on fee for service also escalates health care costs.
An eight-year-old with cystic fibrosis (CF).
Which of the following dietary requirements should be considered?
- A. High protein, high fat, and high calories.
- B. High protein, low fat, and high calories.
- C. Low protein, low fat, and low carbohydrate.
- D. High protein, high fat, and low carbohydrate.
Correct Answer: B
Rationale: Strategy: Think about each answer choice. (1) contains high fat (2) correct-impaired inTest inal absorption due to cystic fibrosis necessitates a diet higher in protein and calories; fat is decreased because it may interfere with absorption of other nutrients (3) not adequate for this child (4) contains high fat