Nokea
What is the most common cause of conductive hearing loss?
- A. Earwax buildup
- B. Eardrum perforation
- C. Middle ear effusion
- D. All of the above
Correct Answer: D
Rationale: Conductive hearing loss can result from any obstruction or damage in the outer or middle ear.
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Which communication technique will help a nurse communicate with clients who do not speak English?
- A. Repeat the question without changing words.
- B. Look at the translator when asking questions.
- C. Speak slowly,using simple words and short sentences.
- D. Refer to an English or foreign language dictionary for bilingual words.
Correct Answer: C
Rationale: Speaking slowly and using simple language improves comprehension for non-native speakers.
Give an example of a sensitive way to ask a patient each of the following questions.
- A. Is the patient on antihypertensive medication having a side effect of impotence?
- B. Has the patient with a history of alcoholism had recent alcohol intake?
- C. Who are the sexual contacts of a patient with gonorrhea?
- D. Does the patient skip taking medications because they cost too much?
Correct Answer: B
Rationale: N/A
Which of the following nursing actions is helpful for older clients who are experiencing lens changes associated with aging?
- A. Offering teaching aids with large-sized letters
- B. Suggesting reduced visual activity such as reading or watching television
- C. Suggesting the use of eye drops for comfort
- D. Suggesting the use of glasses or contact lenses
Correct Answer: A
Rationale: Large-sized letters help compensate for decreased visual acuity due to aging-related lens changes.
A client has periodic outbreaks of cold sores long after the initial infection of herpes simplex virus. Why does this occur?
- A. The client has low resistance.
- B. The client has not received proper treatment.
- C. The viruses are dormant in the client.
- D. The viruses are immune to the therapy.
Correct Answer: C
Rationale: The correct answer is C because the herpes simplex virus can become dormant in nerve cells and reactivate periodically, leading to recurrent outbreaks.
A client underwent a total laryngectomy. Which of the following is the priority observation in the client's care?
- A. Patency of the intravenous line
- B. Level of pain
- C. Integrity of the dressing
- D. Need for suctioning
Correct Answer: D
Rationale: The correct answer is D: Need for suctioning. After a laryngectomy, maintaining a clear airway is crucial to prevent aspiration and ensure proper oxygenation. Suctioning helps remove secretions and maintain airway patency. Monitoring for signs of respiratory distress is essential.
A: Patency of the intravenous line is important but not the priority over airway management.
B: Level of pain is important but not as critical as ensuring a clear airway.
C: Integrity of the dressing is important for wound healing but does not directly impact airway patency.