Nokea
When observing 4 year-old children playing in the hospital playroom, what activity would the nurse expect to see the children participating in?
- A. Competitive board games with older children
- B. Playing with their own toys along side with other children
- C. Playing alone with hand held computer games
- D. Playing cooperatively with other preschoolers
Correct Answer: D
Rationale: Playing cooperatively with other preschoolers. Cooperative play is typical of the late preschool period.
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Padding on a restraint helps:
- A. with pressure distribution so that bony prominences do not receive pressure when a client pulls against the restraints.
- B. the client feel more secure.
- C. to keep infection and wounds down.
- D. to keep restraints in place.
Correct Answer: A
Rationale: Padding distributes pressure so that bony prominences do not receive the brunt of pressure when a client pulls against the restraints. Pressure, especially over bony prominences, causes tissue damage due to ischemia.
A client with a history of a splenectomy has a left upper quadrant mass and is scheduled for a splenectomy. The nurse knows that this client is most at risk for what complication?
- A. Respiratory complications
- B. Bleeding tendencies
- C. Peritonitis
- D. Intestinal obstruction
Correct Answer: B
Rationale: The spleen plays a role in filtering blood and producing immune cells. A history of splenectomy increases the risk of bleeding due to decreased platelet function and impaired immune response.
A risk management program within a hospital is responsible for all of the following except:
- A. identifying risks.
- B. controlling financial loss due to malpractice claims.
- C. making sure that staff follow their job descriptions.
- D. analyzing risks and trends to guide further interventions or programs.
Correct Answer: C
Rationale: Risk management is an organizationwide program to identify risks and control incidents and legal liability. It does not have any direct supervisory or management responsibility for staff.
The nurse is preparing a presentation on workplace incivility. Which incivility behaviors should the nurse plan to include in the presentation? Select all that apply.
- A. Verbal intimidation of nurses and invasion of personal space by HCPs.
- B. Personal insults, then ignoring a person as if that person is not present.
- C. Discussion between the nurse and HCPs about the client's condition.
- D. Teasing that occurs between nurses, HCPs, or other employees.
- E. Reporting the behaviors using the facility's incivility report form.
Correct Answer: A,B,D
Rationale: A: Verbal intimidation and space invasion are uncivil. B: Insults and ignoring are uncivil behaviors. D: Teasing can be disrespectful and uncivil. C and E are not behaviors but actions.
Which of these instructions should the nurse include when preparing a client for a radioactive iodine (I-131) uptake test and treatment for hyperthyroidism?
- A. Avoid taking aspirin for 3 days prior to the test.'
- B. You may eat a light breakfast on the morning of the test.'
- C. Expect to stay in the hospital for 24 hours after treatment.'
- D. In the initial 48 hours, avoid contact with children and pregnant women, and flush the commode twice after urination or defecation.'
Correct Answer: A
Rationale: In the initial 48 hours, avoid contact with children and pregnant women, and flush the commode twice after urination or defecation. The client's urine and saliva are radioactive for 24 hours after ingestion, and vomitus is radioactive for 6 to 8 hours.