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Which are implications of stress?
- A. Valvular conditions
- B. Inflammatory GI disorders
- C. Fluid imbalance
- D. Electrolyte imbalance
Correct Answer: B
Rationale: Stress can lead to gastrointestinal inflammation, which may manifest as ulcers, irritable bowel syndrome, or other digestive issues.
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A healthcare professional is assessing a client with rheumatoid arthritis. Which assessment finding is most characteristic of this disease?
- A. Asymmetrical joint involvement
- B. Heberden's nodes
- C. Morning stiffness lasting more than 30 minutes
- D. Pain that worsens with activity
Correct Answer: C
Rationale: The correct answer is C: Morning stiffness lasting more than 30 minutes. This is characteristic of rheumatoid arthritis due to the inflammatory nature of the disease. The prolonged morning stiffness is a hallmark feature, reflecting the systemic inflammation present in rheumatoid arthritis. This symptom is not typically seen in osteoarthritis, which rules out options A and B. Pain that worsens with activity is more indicative of osteoarthritis as opposed to rheumatoid arthritis, making option D incorrect.
The nurse is teaching a client with dysrhythmia about the electrical pathway of an impulse as it travels through the heart. Which of these demonstrates the normal pathway?
- A. AV node, SA node, Bundle of His, Purkinje fibers.
- B. Purkinje fibers, SA node, AV node, Bundle of His.
- C. Bundle of His, Purkinje fibers, SA node , AV node.
- D. SA node, AV node, Bundle of His, Purkinje fibers.
Correct Answer: D
Rationale: The normal conduction pathway starts at the SA node.
When determining hearing acuity, if the client reports first perceiving sound at ___ dB, then his or her hearing is normal.
- A. 4
- B. 8
- C. 12
- D. 16
Correct Answer: A
Rationale: Normal hearing acuity is typically defined as perceiving sound at 0-25 dB. Therefore, 4 dB would be within the range of normal hearing.
The nurse is teaching a client who has a hip prostheses following total hip replacement. Which of the following should be included in the instructions for home care?
- A. Avoid climbing stairs for 3 months.
- B. Ambulate using crutches only.
- C. Sleep only on your back.
- D. Do not cross legs.
Correct Answer: D
Rationale: Crossing legs can dislocate the hip prosthesis.
What outcome of being truthful about a terminal illness enhances the nurse-client relationship?
- A. The client’s autonomy and right to determine how to spend the rest of their life is upheld.
- B. Meaningful communication between clients and family members is promoted.
- C. The nurse-client relationship is based on honesty rather than false pretenses.
- D. Clients can use inner resources and determination to survive and prolong life.
Correct Answer: A
Rationale: Truthfulness empowers clients to make informed decisions about their remaining time, reinforcing trust and respect.