Nokea
The nurse is performing community health screenings. A client tells the nurse that they smoke two packs a day of cigarettes and they have smoked for the past six years. How should the nurse document the Pack-years this client has smoked?
- A. 3.5 pack years
- B. 3 pack years
- C. 12 pack years
- D. 6 pack years
Correct Answer: C
Rationale: Pack-years = packs per day × years smoked = 2 × 6 = 12 pack-years. Other calculations are incorrect.
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The nurse is caring for a client immediately following hypophysectomy. The nurse should position the client
- A. Trendelenburg
- B. Side-lying
- C. high-Fowler's
- D. Reverse Trendelenburg
Correct Answer: C
Rationale: High-Fowler’s position (head elevated 30–45 degrees) is recommended post-hypophysectomy to reduce intracranial pressure and prevent cerebrospinal fluid leakage. Trendelenburg and reverse Trendelenburg could increase pressure or disrupt surgical site healing, and side-lying is less effective for this purpose.
A health care provider (HCP) orders the immediate use of a piece of electrical care equipment for a client. When the nurse goes to use the piece of equipment, the nurse immediately suspects it may be faulty. The nurse should take which initial action?
- A. Try the piece of electrical care equipment and see if it becomes hazardous.
- B. Call the health care provider and report your suspicion.
- C. Ask the client if they want you to try the piece of electrical care equipment.
- D. Immediately remove the piece of electrical care equipment from service.
Correct Answer: D
Rationale: Removing faulty equipment from service prevents harm, the priority action. Trying it, consulting the client, or calling the provider delays safety measures.
Ergonomic principles are most closely associated with:
- A. Normal bodily alignment
- B. The control of infection
- C. Preventing congenital abnormalities
- D. Preventing hospital-acquired infections
Correct Answer: A
Rationale: Ergonomics focuses on optimizing bodily alignment to reduce strain. Infection control and congenital abnormalities are unrelated.
The nurse recognizes which of the following is considered an internal disaster?
- A. Water failure in the facility.
- B. Overcrowding in the emergency department.
- C. Mass shooting at a nearby concert.
- D. Shortage of opioid analgesia in the surgical department.
Correct Answer: A
Rationale: Water failure is an internal disaster as it originates within the facility. A mass shooting is external, while overcrowding and shortages are operational issues.
The nurse is assessing a client with a history of chronic pain. Which chronic pain assessment focuses on wellness?
- A. Birth history, immunizations, as well as growth and development
- B. Medical history, chronic pain symptoms, and psychosocial factors.
- C. Religion
- D. Sensory deficits, pain management, medication history
Correct Answer: B
Rationale: A wellness-focused chronic pain assessment includes medical history, pain symptoms, and psychosocial factors to optimize quality of life. Birth history, religion, or sensory deficits alone are insufficient.