Nokea
The nurse touched Mr. Gary without consent during care. This is an example of?
- A. Battery
- B. Assault
- C. Justice
- D. Nonmaleficence
Correct Answer: A
Rationale: Touching without consent is battery (A) unconsented contact, per law. Assault (B) threat, justice (C) fairness, nonmaleficence (D) harm avoidance not contact-specific. A fits the nurse's breach of Mr. Gary's autonomy, making it correct.
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Type of respiration that occurs when there is an increase in depth and rate of respiration usually seen in people who engages in strenuous exercise.
- A. Kussmaul's breathing
- B. Eupnea
- C. Hyperpnea
- D. Bradypnea
Correct Answer: C
Rationale: Hyperpnea (C) is increased depth and rate of respiration, common in strenuous exercise, per respiratory terminology. Kussmaul's (A) is deep, rapid breathing in metabolic acidosis, not exercise. Eupnea (B) is normal breathing, and bradypnea (D) is slow. Hyperpnea matches the physiological response to heightened oxygen demand during activity, making C the correct answer based on its specific context.
Palpating the midclavicular line is the correct technique for assessing
- A. Baseline vital signs
- B. Systolic blood pressure
- C. Respiratory rate
- D. Apical pulse
Correct Answer: D
Rationale: The midclavicular line locates the apical pulse at the heart's apex.
Which of the following condition has an increased risk of for developing hyperkalemia?
- A. Crohn's disease
- B. Cushing's disease
- C. Chronic heart failure
- D. End-stage renal disease
Correct Answer: D
Rationale: End-stage renal disease impairs potassium excretion, causing hyperkalemia as kidneys fail to filter excess. Crohn's affects absorption, Cushing's alters cortisol, and heart failure impacts circulation not potassium directly. Nurses monitor levels in renal patients, adjusting diet or dialysis to prevent arrhythmias or muscle issues from high potassium, a common complication.
Considered as Safest and most non invasive method of temperature taking
- A. Oral
- B. Rectal
- C. Tympanic
- D. Axillary
Correct Answer: D
Rationale: Axillary temp is safest, least invasive no mucosal entry e.g., armpit avoids rectal (perforation), oral (biting), or tympanic (ear) risks. Ideal for infants, nurses use it e.g., frail patients for safety, per non-invasive guidelines.
The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the:
- A. Rectus femoris muscle
- B. Vastus lateralis muscle
- C. Deltoid muscle
- D. Dorsogluteal muscle
Correct Answer: B
Rationale: The vastus lateralis muscle is the preferred site for vitamin K injection in newborns, offering a large, safe muscle mass away from nerves and vessels, standard for intramuscular prophylaxis against hemorrhagic disease. Rectus femoris is smaller, deltoid underdeveloped, and dorsogluteal risky near sciatic nerve. Nurses use this site for efficacy and safety, teaching parents its purpose in clotting support.