Nokea
What accurately describes the health care system in which future nurses will be employed?
- A. With improvements in medicine there will be fewer patients with chronic illnesses
- B. Rapidly changing technology and expanding knowledge will simplify the health care environment
- C. The Quality and Safety Education for Nurses (QSEN) project measures the ability of nursing graduates to be prepared for the reality of practice
- D. The Joint Commission establishes National Patient Safety Goals and evidence-based solutions for nurses to promote meeting these goals by all caring for the patient
Correct Answer: C
Rationale: The QSEN project focuses on preparing nurses for real-world practice, and The Joint Commission sets safety goals. Chronic illnesses are increasing due to aging populations, and technology adds complexity rather than simplifying the environment.
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What are the criteria for diagnosing systemic inflammatory response syndrome (SIRS)?
- A. Dehydration
- B. Overhydration
- C. Electrolyte imbalance
- D. Hypertension
Correct Answer: A
Rationale: Dehydration results from fluid loss exceeding intake, causing symptoms like dry mucous membranes, poor skin turgor, and hypotension.
Anne asks how she developed iron deficiency anemia. You respond by saying
- A. Insomnia.
- B. An increase in iron intake.
- C. Heavy menses or an inadequate intake of iron.
- D. Low salt intake.
Correct Answer: C
Rationale: Iron deficiency anemia is commonly caused by blood loss or insufficient dietary intake.
Which statement best describes emmetropia?
- A. Difficulty with near vision
- B. Difficulty with far vision
- C. Visual distortion caused by an irregularly shaped cornea
- D. Normal vision
Correct Answer: D
Rationale: Emmetropia refers to normal vision where light focuses correctly on the retina without refractive error.
A healthcare provider is assessing a client immediately after the removal of the endotracheal tube. Which of the following findings should the provider report to the healthcare provider?
- A. Stridor
- B. Copious oral secretions
- C. Hoarseness
- D. Sore throat
Correct Answer: A
Rationale: The correct answer is A: Stridor. Stridor is a high-pitched, harsh respiratory sound that indicates airway obstruction, which can be life-threatening post endotracheal tube removal. Copious oral secretions (B), hoarseness (C), and sore throat (D) are common after endotracheal tube removal but do not indicate immediate airway compromise. Reporting stridor is crucial for prompt intervention to prevent respiratory distress.
What prevents disorientation in older clients with hearing impairments?
- A. Use of written notes and a walking cane for proper balance
- B. Refer to a local support or self-help group
- C. Frequent contact and reorientation
- D. Avoid frequent outdoor activities
Correct Answer: C
Rationale: Regular reorientation and interaction help maintain cognitive and spatial awareness.