The spinothalamic and dorsal column sensation are examined as part of a neurological examination. One of the items belonging to dorsal column sensation is the sense of vibration, which is examined by means of a tuning fork. Question: What is the required frequency of this tuning fork?
- A. 512 Hz
- B. 256 Hz
- C. 128 Hz
- D. 64 Hz
Correct Answer: C
Rationale: Vibration check 128 Hz hums right, dorsal column's sweet spot, not higher or lower. Nurses tune this, a chronic nerve test.
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The following are major causes of death among patients with NAFLD over the long term, except:
- A. Pancreatic cancer
- B. Acute myocardial infarct
- C. Road traffic accident
- D. Colon cancer
Correct Answer: C
Rationale: NAFLD's long haul kills via heart attacks, pancreatic, colon, or breast cancers metabolic and inflammation's toll. Road accidents? Random, not tied to fat liver's chronic grind. Clinicians watch these big hitters, not crash stats, in NAFLD's mortal map.
A nurse is caring for a client who recently underwent a heart transplant. Which of the following postoperative nursing interventions is the priority?
- A. Maintain strict bedrest
- B. Advance diet as tolerated
- C. Educate the client on medication
- D. Ensure strict adherence to aseptic techniques
Correct Answer: D
Rationale: Heart transplant's success hinges on dodging infection immunosuppression skyrockets risk, making aseptic technique the priority to shield the graft. Bedrest aids early recovery but isn't top. Diet advances slowly, education's vital long-term, but infection's immediate threat trumps. Nurses enforce sterility dressings, lines safeguarding this fragile post-op phase, a life-or-death focus in transplant care.
Clients with chronic illness want the health care system to provide them with which of the following?
- A. Less information
- B. Less travel time
- C. Ways to adjust to disease consequences
- D. Limited information on ways to cope with their symptoms
Correct Answer: C
Rationale: Chronic folks crave adaptation tools handling fear, sleep woes, or sex shifts not less info or travel ease. Nurses deliver this, a lifeline for illness' long tail, not just quick fixes.
A nurse is caring for a client recently diagnosed with leukemia. Which of the following signs and symptoms are consistent with this diagnosis?
- A. Bone pain
- B. Bleeding gums
- C. Weight gain
- D. Increased urination
Correct Answer: B
Rationale: Leukemia's marrow takeover bleeds out gums ooze from thrombocytopenia, a textbook sign as platelets tank. Bone pain hits from blasts crowding marrow; bruising tags along. Weight gain or urination spikes don't fit cachexia's more likely. Nurses watch bleeding, linking it to leukemia's hematologic havoc, a key clue in this cancer's brutal spread.
Which of these organisms causing gastroenteritis produce the toxin in the food prior to ingestion?
- A. vibrio cholera
- B. salmonella
- C. staph aureus
- D. clostridium perfringens
Correct Answer: C
Rationale: Staph aureus pre-toxins food, not cholera, salmonella, E. coli, Clostrid's gut brew. Nurses tag this chronic picnic poison.
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