Nokea
What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?
- A. 5:01
- B. 1:05
- C. 15:02
- D. 2:15
Correct Answer: C
Rationale: The appropriate ratio for adult CPR is 15 compressions to 2 ventilations.
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A batterer is usually someone who:
- A. grew up in a loving, secure home.
- B. was an only child.
- C. was physically or psychologically abused.
- D. admits he has a problem with anger.
Correct Answer: C
Rationale: Many batterers have a history of experiencing or witnessing abuse, contributing to learned violent behavior. The other options are not consistently associated with battering. Psychosocial Integrity
Which teaching method is most effective when providing health care instructions to members of specific populations?
- A. teach-back
- B. video instructions
- C. written materials
- D. verbal explanation
Correct Answer: A
Rationale: The teach-back method ensures understanding by having patients repeat instructions in their own words, making it ideal for diverse populations with varying literacy levels. Video, written, or verbal methods may not confirm comprehension.
The nurse is caring for a person who is admitted with progressive amyotrophic lateral sclerosis (ALS). What nursing care measure should the nurse expect to be ordered for this client?
- A. Change dressing daily
- B. Monitor IV fluids
- C. Insert indwelling catheter
- D. Chest physical therapy (PT) qid
Correct Answer: D
Rationale: ALS causes respiratory muscle weakness; chest PT helps clear secretions, preventing pneumonia. Dressings, fluids, or catheters are not primary.
A client has been on antibiotics for 72 hours for cystitis. Which report from the client requires priority attention by the nurse?
- A. foul smelling urine
- B. burning on urination
- C. elevated temperature
- D. nausea and anorexia
Correct Answer: C
Rationale: Elevated temperature after 72 hours on an antibiotic indicates the antibiotic has not been effective in eradicating the offending organism. The provider should be informed immediately so that an appropriate medication can be prescribed, and complications such as pyelonephritis are prevented.
The nurse is caring for a preschooler who needs stitches resulting from an injury received during play in the yard. What would be the most appropriate way to prepare the child for the treatment he will receive?
- A. Tell the child the nurse and the doctor will 'make things all better.'
- B. Use dolls and explain through play and simulation what will be done.
- C. Explain to the child slowly and precisely the steps that will be taken in his treatment.
- D. Tell the child that he will have minimal scarring and that any marks will diminish over time.
Correct Answer: B
Rationale: Play-based explanation with dolls engages a preschooler's developmental level, effectively preparing them for stitches.