Nokea
Which cultural group has the highest incidence of inflammatory bowel disease (IBD)?
- A. Asians
- B. Caucasians
- C. Hispanics
- D. African Americans
Correct Answer: B
Rationale: Caucasians have the highest incidence of inflammatory bowel disease (IBD).
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When a client has a chest drainage system in place, where should the system be placed?
- A. above the client's head
- B. at the client's shoulders
- C. at the level of the chest
- D. below the level of the chest
Correct Answer: D
Rationale: A chest drainage system should be placed below the level of the client's chest so that the drainage flows out of the chest into the system. The remaining choices are too high and do not allow fluid to drain out of the chest.
In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:
- A. diabetic signs and symptoms
- B. nutritional status
- C. bleeding problems
- D. availability of insulin
Correct Answer: C
Rationale: Bleeding problems are not typically associated with diabetes management. Assessing diabetic symptoms, nutritional status, and insulin availability are critical to ensure glycemic control in a disaster.
Which of the following instructions should the nurse give a client who will be undergoing mammography?
- A. Be sure to use underarm deodorant.
- B. Do not use underarm deodorant.
- C. Do not eat or drink after midnight.
- D. Have a friend drive you home.
Correct Answer: B
Rationale: Underarm deodorant should not be used because it might cause confusing shadows on the X-ray film. There are no restrictions on food or fluid intake. No sedation is used, so the client can drive herself home.
Which of the following clients require airborne precautions?
- A. a client with fever, chills, vomiting, and diarrhea
- B. a client suspected of varicella (chickenpox)
- C. a client with abdominal pain and purpura
- D. a client diagnosed with AIDS
Correct Answer: B
Rationale: Chickenpox (varicella) is an acute, infectious, airborne illness that requires others in direct contact to wear a respirator mask.
A child comes to the clinic with a skin rash. The maculopapular lesions are distributed around the mouth and have honey-colored drainage. The caregiver states that the rash is getting worse and seems to spread with the child's scratching. Which of the following advisory comments should be given?
- A. The history and presentation might indicate chickenpox, a highly contagious disease.
- B. The lesions might indicate a noncontagious infection that does not require isolation.
- C. The history and presentation might indicate an infectious illness called impetigo.
- D. The lesions are not contagious unless others have open wounds or lesions themselves.
Correct Answer: C
Rationale: The scenario describes classic impetigo for which the physician is likely to order antibiotic therapy. Chickenpox is highly contagious but presents with a history of high fever followed by a vesicular rash.