Nokea
Which member of the surgical team does not scrub into the operating room?
- A. The surgeon.
- B. The circulating nurse.
- C. The scrub nurse or surgical tech.
- D. The holding area nurse.
Correct Answer: B
Rationale: The circulating nurse does not scrub into the operating room. Their role is to manage activities outside the sterile field and assist with tasks such as retrieving supplies and documenting care.
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What is the purpose of the Weber test?
- A. To determine the type of hearing loss
- B. To measure intraocular pressure
- C. To assess color vision
- D. To evaluate pupil response
Correct Answer: A
Rationale: The Weber test helps differentiate between conductive and sensorineural hearing loss.
What is your most appropriate response to Mr. Brown suspecting tuberculosis?
- A. Unless you have symptoms you could not have tuberculosis
- B. Have you ever had a skin test for tuberculosis?
- C. A routine chest x-ray will determine if you have tuberculosis
- D. Your neighbor could not infect you if he has been following his treatment regimen
Correct Answer: B
Rationale: A tuberculin skin test detects latent TB infection, even without symptoms.
A nurse is assessing a client with a history of seizures. Which assessment finding requires immediate intervention?
- A. The client is experiencing an aura.
- B. The client's antiseizure medication level is within the therapeutic range.
- C. The client has been seizure-free for 2 years.
- D. The client's seizure activity lasts longer than 5 minutes.
Correct Answer: D
Rationale: The correct answer is D because prolonged seizures lasting longer than 5 minutes can lead to status epilepticus, a medical emergency that can cause brain damage or even death. Immediate intervention is necessary to stop the seizure activity. Auras (A) are warning signs of an impending seizure and do not require immediate intervention. Antiseizure medication within therapeutic range (B) indicates proper management. Being seizure-free for 2 years (C) is a positive outcome but does not require immediate intervention unless a seizure occurs.
A healthcare professional wishes to provide client-centered care in all interactions. Which action by the healthcare professional best demonstrates this concept?
- A. Assesses for cultural influences affecting healthcare
- B. Ensures that all the client's basic needs are met
- C. Informs the client and family about all upcoming tests
- D. Thoroughly orients the client and family to the room
Correct Answer: A
Rationale: The correct answer is A because assessing for cultural influences affecting healthcare aligns with client-centered care by recognizing the individual's unique beliefs and values. This action promotes respect, understanding, and tailored care. Choice B might address physical needs but not necessarily emotional or cultural aspects. Choice C focuses on information sharing rather than understanding the client's perspective. Choice D, while important, does not directly address individualized care based on cultural factors.
The purpose of a peripheral iridectomy procedure is to
- A. permit drainage of aqueous humor from the anterior chamber
- B. promote the formation of permanent anterior synechiae with the cornea
- C. promote the formation of permanent posterior synechiae with the lens
- D. gain access to the lens for easy removal
Correct Answer: A
Rationale: A peripheral iridectomy creates an opening to allow aqueous humor to drain properly, relieving intraocular pressure associated with narrow-angle glaucoma.