Nokea
What is the primary symptom of Bell’s palsy?
- A. Facial drooping
- B. Hearing loss
- C. Eye pain
- D. Tinnitus
Correct Answer: A
Rationale: Bell’s palsy is characterized by sudden onset of unilateral facial drooping due to cranial nerve VII dysfunction.
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Patients with rheumatoid arthritis typically have pain
- A. With activity.
- B. Only upon awakening.
- C. Late in the evening.
- D. All day without remission.
Correct Answer: A
Rationale: RA pain worsens with activity due to joint inflammation.
A client with tuberculosis is starting combination drug therapy. Which of the following medications should the nurse NOT plan to administer?
- A. Rifampin
- B. Isoniazid
- C. Acyclovir
- D. Pyrazinamide
Correct Answer: C
Rationale: The correct answer is C: Acyclovir. Acyclovir is an antiviral medication used to treat herpes infections, not tuberculosis. Rifampin, Isoniazid, and Pyrazinamide are all first-line drugs for tuberculosis treatment. Rifampin is a bactericidal agent, Isoniazid disrupts mycobacterial cell wall synthesis, and Pyrazinamide targets actively replicating bacteria. Therefore, the nurse should not plan to administer Acyclovir as it is not indicated for tuberculosis treatment.
A nurse is assessing a client who has COPD. The nurse should expect the client's chest to be which of the following shapes?
- A. Pigeon
- B. Funnel
- C. Kyphotic
- D. Barrel
Correct Answer: D
Rationale: The correct answer is D: Barrel. In COPD, the chest becomes barrel-shaped due to hyperinflation of the lungs. This results in an increased anterior-posterior chest diameter, giving it a rounded appearance. This shape is characteristic of COPD as the hyperinflation causes the rib cage to remain partially expanded at all times.
A: Pigeon – This shape is not associated with COPD and is not a typical finding in respiratory conditions.
B: Funnel – This shape is not associated with COPD and is more commonly seen in conditions like pectus excavatum.
C: Kyphotic – This shape refers to an exaggerated outward curvature of the thoracic spine, not the chest shape itself.
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.
Why does the nurse advise a client with painless lesions, after exposure to anthrax, to avoid contact with others?
- A. So the client is not exposed to pathogens.
- B. Because the sight of the lesions may cause distress and panic.
- C. Because the lesions may release more spores.
- D. Skin infection is one form of anthrax that spreads by direct contact.
Correct Answer: C
Rationale: The correct answer is C because anthrax lesions can release spores that may infect others.