Nokea
Which is the most common causative agent of bacterial endocarditis?
- A. Staphylococcus albus
- B. Streptococcus hemolyticus
- C. Staphylococcus albicans
- D. Streptococcus viridans
Correct Answer: D
Rationale: S. viridans is the most common causative agent in bacterial (infective) endocarditis.
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A male client with bilateral carpal tunnel syndrome reports to the nurse that the pain and tingling he is experiencing worsens at night. What client teaching should the nurse provide?
- A. Elevate the hands on two pillows at night
- B. Notify the healthcare provider as soon as possible
- C. Wear braces as both wrists during the night
- D. Apply cold compresses for 30 minutes before bedtime
Correct Answer: C
Rationale: Wearing wrist braces during the night helps prevent exacerbation of carpal tunnel syndrome symptoms.
Restrictive cardiomyopathy (RCM) is characterized by all the following EXCEPT
- A. normal ventricular chamber dimensions
- B. normal myocardial wall thickness
- C. preserved systolic function
- D. normal atrial chamber dimensions
Correct Answer: D
Rationale: Restrictive cardiomyopathy is characterized by impaired ventricular filling and high diastolic pressures despite normal systolic function.
In congenital hypertophic pulmonary stenosis
- A. Metabolic alkalosis occurs
- B. In some cases can be treated with non surgical methods
- C. During surgery tumor is removed
- D. Is a caus of conjugated hyperbilirubinaemia in neonate
Correct Answer: B
Rationale: Some cases of congenital hypertrophic pulmonary stenosis can be managed with non-surgical techniques like balloon valvuloplasty.
Which assessment indicates that the parent of a 7-year-old is following the prescribed treatment for congestive heart failure (CHF)?
- A. HR of 56 beats per minute
- B. Elevated red blood cell count
- C. 50th percentile height and weight for age
- D. Urine output of 0.5 cc/kg/hr
Correct Answer: C
Rationale: Normal growth (50th percentile) indicates good nutrition and overall health, suggesting that CHF is well controlled.
A psychiatric referral is warranted in a preschool child with the following:
- A. Night terrors
- B. Separation anxiety
- C. Scared of ghosts
- D. Masturbation
Correct Answer: B
Rationale: Separation anxiety in a preschool child, especially if it is severe and persistent, may warrant a psychiatric referral to assess for anxiety disorders.