Nokea
Which drainage is drained with a Hemovac?
- A. Bile
- B. Urine
- C. Gastric contents
- D. Wound drainage
Correct Answer: D
Rationale: Hemovacs are used for wound drainage, collecting serosanguinous fluid.
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Which of the following tasks is most appropriate to delegate to the nursing assistant?
- A. Escort the family to a place of privacy
- B. Go with the organ donor specialist to talk to the family
- C. Assist with postmortem care
- D. Assist the family to collect belongings
Correct Answer: C
Rationale: Postmortem care involves basic hygiene and positioning, which can be performed by a nursing assistant.
What does tenderness behind the ear indicate in a client with otitis media?
- A. Mastoiditis
- B. Tinnitus
- C. Labyrinthitis
- D. Septicemia
Correct Answer: A
Rationale: Tenderness behind the ear may indicate mastoiditis, an infection of the mastoid bone.
A primary nursing responsibility is the prevention of lung cancer by assisting patients in smoking/tobacco cessation. Which task would be appropriate to delegate to the LPN/LVN?
- A. Develop a 'quit plan'.
- B. Discuss strategies to avoid relapse.
- C. Explain the application of a nicotine patch.
- D. Suggest ways to deal with urges for tobacco.
Correct Answer: C
Rationale: Explaining the application of a nicotine patch is a technical task that LPNs/LVNs can perform, while developing plans or discussing strategies require more specialized knowledge.
What general appearance and obvious physical characteristic components should the nurse evaluate when completing a biocultural assessment?
- A. Skin color,bone structure and eye shape.
- B. Mobility and gait.
- C. Behavioral patterns.
- D. All of the above.
Correct Answer: D
Rationale: Evaluating multiple aspects of physical appearance provides a comprehensive understanding of the client's biocultural context.
Which preoperative medications cause a decrease in respiratory tract secretions, dry mucous membranes, and interrupt vagal stimulation?
- A. Histamine z-receptor antagonists
- B. Antianxiety drugs
- C. Anticholinergics
- D. Sedatives
Correct Answer: C
Rationale: The correct answer is C because anticholinergics reduce secretions and block vagal activity.