Nokea
What changes are seen in the skin during shock?
- A. Increased urine output
- B. Edema
- C. Hypertension
- D. Hypernatremia
Correct Answer: B
Rationale: Edema occurs due to excess fluid accumulation in the interstitial spaces, commonly seen in conditions like heart failure and kidney disease.
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The nurse is reviewing the laboratory results for a preoperative patient. Which test result should be brought to the attention of the surgeon immediately?
- A. Serum K+ of 3.8 mEq/L
- B. Hemoglobin of 15 g/dL
- C. Blood glucose of 100 mg/dL
- D. White blood cell (WBC) count of 18,500/µL
Correct Answer: D
Rationale: An elevated WBC count indicates potential infection, requiring immediate attention.
What is the priority intervention for a patient admitted to your unit diagnosed with advanced amyotrophic lateral sclerosis (ALS)?
- A. Develop a method of communication.
- B. Provide six small meals high in protein and assist with feeding.
- C. Do not involve the patient in decisions about his healthcare because he is not in the mental state to respond.
- D. Provide six normal meals high in protein and assist with feeding.
Correct Answer: A
Rationale: Communication becomes critical as ALS progresses and affects motor functions.
How would you respond to a family member experiencing anticipatory grieving who emotionally withdraws from the client?
- A. Encourage continued engagement and communication.
- B. Allow space while offering support and reassurance.
- C. Advise them to focus solely on practical matters.
- D. Recommend avoiding the client until after their passing.
Correct Answer: B
Rationale: Offering support while respecting emotional withdrawal helps family members process grief at their own pace.
Which concept characterizes culture as continuously evolving?
- A. Learned from birth through language and socialization.
- B. Learned by members of the same cultural group.
- C. Influenced by specific conditions related to environment,technology and availability of resources.
- D. Dynamic and ever-changing.
Correct Answer: D
Rationale: Culture evolves dynamically, adapting to environmental, technological, and resource-related changes over time.
Tom arrives in the Emergency Room (ER) and is unable to move his legs as a result of an automobile accident that occurred 30 minutes ago. You respond by saying
- A. Swelling due to the initial trauma prevents you from moving your legs.
- B. There are good rehabilitation centers that will help restore sensation to your legs.
- C. Swelling due to the initial trauma may make the injury seem more severe than it actually is. A more accurate assessment will be made once the swelling goes down.
- D. You should have been wearing your seatbelt.
Correct Answer: C
Rationale: Initial swelling can mask the true extent of spinal injuries.