Nokea
Which nursing actions are completed by the scrub nurse (select all that apply)?
- A. Prepares instrument table
- B. Documents intraoperative care
- C. Remains in the sterile area of the OR
- D. Checks mechanical and electrical equipment
Correct Answer: A
Rationale: The scrub nurse manages sterile instruments and assists the surgical team within the sterile field.
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What is the primary complication of untreated otitis media?
- A. Hearing loss
- B. Meningitis
- C. Cholesteatoma
- D. All of the above
Correct Answer: D
Rationale: Untreated otitis media can lead to serious complications, including hearing loss, meningitis, and cholesteatoma.
The medical-surgical nurse, who cares for a patient newly diagnosed with cancer, observes the patient becoming angry with the physicians and nursing staff. The best approach to diffuse the emotionally charged discussion is to
- A. allow the patient and family members time to be alone.
- B. arrange time for the patient to speak with another patient with cancer.
- C. direct the discussion and validation of emotion, without false reassurance.
- D. request a consultation from a social worker on the oncology unit.
Correct Answer: C
Rationale: Validating emotions without dismissing them helps the patient process feelings.
What is an example of a pertinent negative finding during a physical examination?
- A. Chest pain that does not radiate to the arm
- B. Elevated blood pressure in a patient with hypertension
- C. Pupils that are equal and react to light and accommodation
- D. Clear and full lung sounds in a patient with chronic bronchitis
Correct Answer: A
Rationale: The correct answer is 'Chest pain that does not radiate to the arm.' Pertinent negatives highlight clinically significant absences of expected findings, helping rule out certain conditions like cardiac ischemia.
What is the best method of controlling exposure to illness in any occupational environment?
- A. Use of masks
- B. Developing prevention programs
- C. Early diagnosis of illness
- D. Developing rehabilitation programs
Correct Answer: B
Rationale: Prevention programs address root causes, minimizing exposure risks.
Which nursing interventions should not be delegated to unlicensed assistive personnel (UAP) but should be performed by the RN (select all that apply)?
- A. Administering patient medications
- B. Ambulating stable patients
- C. Performing patient assessment
- D. Evaluating the effectiveness of patient care
Correct Answer: A
Rationale: Medication administration, assessment, evaluation, and teaching require the RN's specialized knowledge and accountability.