Nokea
The staff assigned to check the fire extinguisher failed to monitor the assigned equipment. The following statements are "whereabouts" of true, EXCEPT
- A. all employees are lazy
- B. monitoring staff is important
- C. not all staff are diligent in their tasks
- D. two errors added together can be potentially devastating
Correct Answer: A
Rationale: The statement "all employees are lazy " is not a correct assertion. It is a generalization that is unfair to make about all employees. It is incorrect to assume that all employees are lazy based on the failure of a certain staff member to monitor the fire extinguisher. Making blanket statements like this can lead to further misunderstandings and negativity in the workplace. The focus should be on individual accountability, proper training, and clear communication to ensure that tasks are being diligently carried out.
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When can AIDS be manifested? The nurse answer was, "It can be as early as _______."
- A. 1 year or as late as 2 years
- B. 2 years or as late as 10 years
- C. 1 year
- D. 6 months
Correct Answer: B
Rationale: After being infected with the human immunodeficiency virus (HIV), it can take an average of 8-10 years before the development of Acquired Immunodeficiency Syndrome (AIDS) if left untreated. However, AIDS can manifest sooner in some cases, typically within 2 years, especially if the person's immune system is already significantly compromised or if they have other underlying health conditions. Thus, the manifestation of AIDS can vary, but it generally occurs within a range of 2 to 10 years after initial HIV infection.
A pregnant woman presents with severe lower abdominal pain and vaginal bleeding. On examination, cervical motion tenderness and unilateral adnexal tenderness are noted, along with an adnexal mass on the affected side. Which of the following conditions is the most likely cause of these symptoms?
- A. Ectopic pregnancy
- B. Pelvic inflammatory disease
- C. Placenta previa
- D. Ovarian torsion
Correct Answer: A
Rationale: The clinical presentation of severe lower abdominal pain and vaginal bleeding in a pregnant woman, along with cervical motion tenderness, unilateral adnexal tenderness, and an adnexal mass on the affected side, is highly concerning for an ectopic pregnancy. Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, most commonly in the fallopian tube. The presence of an adnexal mass and tenderness on one side is indicative of potential tubal involvement and can mimic symptoms of pelvic inflammatory disease. Prompt evaluation and management are crucial in ectopic pregnancy to prevent life-threatening complications associated with rupture of the fallopian tube.
Which diagnostic test could be useful in confirming the diagnosis of Dengue Fever?
- A. Rumpell -Leede
- B. Elisa
- C. Mantoux
- D. Widal
Correct Answer: B
Rationale: The diagnostic test that could be useful in confirming the diagnosis of Dengue Fever is the ELISA test. ELISA stands for Enzyme-Linked Immunosorbent Assay. This test detects the presence of dengue virus-specific antibodies (IgM and IgG) in the blood of an individual suspected to have dengue fever. Elevated levels of these antibodies indicate a recent or ongoing dengue virus infection. ELISA is a standard and reliable test used in diagnosing dengue fever, along with clinical symptoms and other laboratory tests.
The labor progress and the physician performed amniotomy. Nurse Hope should FIRST assess tor _______.
- A. bladder distention
- B. maternal blood pressure
- C. cervical dilatation
- D. fetal heart rate (FHR) pattern
Correct Answer: D
Rationale: Following an amniotomy procedure during labor, Nurse Hope's priority should be to assess the fetal heart rate (FHR) pattern. This assessment is crucial to ensure the well-being and safety of the fetus. Changes in the FHR can provide valuable information about fetal distress or complications, allowing for timely interventions if needed. Monitoring the FHR pattern is a standard practice during labor and delivery to track the fetus's response to the changes in uterine activity. Therefore, assessing the FHR pattern should be the first priority after a labor progress and amniotomy.
A patient presents with grouped vesicles on an erythematous base, affecting the lips and perioral region. The patient reports a history of similar episodes triggered by sunlight exposure and stress. Which of the following conditions is most likely responsible for this presentation?
- A. Herpes simplex labialis (cold sores)
- B. Perioral dermatitis
- C. Angular cheilitis
- D. Allergic contact dermatitis
Correct Answer: A
Rationale: The patient's presentation with grouped vesicles on an erythematous base affecting the lips and perioral region, triggered by sunlight exposure and stress, is classic for herpes simplex labialis, commonly known as cold sores. Herpes simplex virus type 1 (HSV-1) is responsible for cold sores and is highly contagious. Recurrent episodes can be triggered by factors like UV exposure, stress, illness, and hormonal changes. Symptoms typically start with tingling or burning sensations before progressing to grouped vesicles that rupture, forming crusts. Treatment may involve antiviral medications to reduce the severity and duration of symptoms. Perioral dermatitis typically presents with papules and pustules around the mouth, while angular cheilitis involves fissures and inflammation at the corners of the mouth. Allergic contact dermatitis would present with erythema, pruritus, and possibly vesicles in