Nokea
What best describes nurses as a care provider?
- A. Determine client's need
- B. Provide direct nursing care
- C. Help client recognize and cope with stressful psychological situation
- D. Works in combined effort with all those involved in patient's care
Correct Answer: A
Rationale: As care providers, nurses first assess client needs e.g., identifying respiratory distress before delivering care. This foundational step ensures interventions (like oxygen therapy) are targeted and effective, unlike direct care (an outcome), psychological support (a subset), or collaboration (a method). Accurate need determination, rooted in the nursing process, is the bedrock of care provision, guiding all subsequent actions in clinical practice.
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A 46-year-old female with chronic constipation is assessed by the nurse for a bowel training regimen. Which factor indicates further information is needed by the nurse?
- A. The client's dietary habits include foods high in bulk
- B. The client's fluid intake is between 2500-3000 ml per day
- C. The client engages in moderate exercise each day
- D. The client's bowel habits were not discussed
Correct Answer: D
Rationale: Bowel habits are essential to tailor a training regimen; their absence indicates a gap.
After a head injury, a client develops a deficiency of antidiuretic hormone (ADH). What should the nurse consider before assessing the patient about the response to secretion of ADH?
- A. Serum osmolality increases
- B. Urine concentration decreases
- C. Glomerular filtration decreases
- D. Tubular reabsorption of water increases
Correct Answer: B
Rationale: ADH deficiency (diabetes insipidus) post-head injury causes dilute urine (B) due to reduced water reabsorption. Osmolality increases (A) is a result, not a cause. GFR (C) isn't primarily affected. Reabsorption (D) decreases. B is correct. Rationale: Low ADH leads to polyuria with low urine concentration, a key assessment in DI, per endocrine trauma care.
Mrs. Mitchell has been given a copy of her diet. The nurse discusses the foods allowed on a 500-mg low sodium diet. These include:
- A. A ham and Swiss cheese sandwich on whole wheat bread
- B. Mashed potatoes and broiled chicken
- C. A tossed salad with oil and vinegar and olives
- D. Chicken bouillon
Correct Answer: B
Rationale: Mashed potatoes and broiled chicken are low in sodium, unlike ham, olives, or bouillon.
Which of the following statement best describe battery in nursing?
- A. A verbal threat
- B. Unconsented physical contact
- C. A legal fine
- D. A care plan
Correct Answer: B
Rationale: Battery is unconsented physical contact (B), per law e.g., touching without permission. Not threat (A, assault), not fine (C), not plan (D) contact-based. B best defines battery's violation, like touching Mr. Gary against will, making it correct.
Considered as the most accessible and convenient method for temperature taking
- A. Oral
- B. Rectal
- C. Tympanic
- D. Axillary
Correct Answer: A
Rationale: Oral temp is most accessible e.g., quick tongue placement needing minimal prep, unlike rectal (invasive), tympanic (equipment), or axillary (longer). Convenient for alert patients, nurses favor it e.g., clinics for routine ease, per practice standards.