Nokea
Which of the following charts does the nurse use to check color vision?
- A. Ishihara polychromatic plates
- B. Rosenbaum Pocket Vision Screener
- C. Snellen eye chart
- D. Jaeger chart
Correct Answer: A
Rationale: The Ishihara polychromatic plates are specifically designed to test for color blindness by using patterns of colored dots.
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Which physical assessment finding should be reported to the physician?
- A. Pearly gray or pink tympanic membrane
- B. Dense, whitish ring at the circumference of the tympanum
- C. Bulging red or blue tympanic membrane
- D. A cone of light at the innermost part of the tympanum
Correct Answer: C
Rationale: A bulging red or blue tympanic membrane indicates acute otitis media or other serious conditions requiring medical intervention.
Which quality of care measures influence the payment for health care services by third-party payers (select all that apply)?
- A. Clinical outcomes
- B. Regulatory agencies
- C. Use of evidence-based practice
- D. Occurrence of preventable conditions
Correct Answer: A
Rationale: Third-party payers prioritize clinical outcomes, evidence-based practice adoption, and minimizing preventable conditions to ensure value-based care.
You are the charge nurse. Which client is most appropriate to assign to the step-down unit nurse pulled to the intensive care unit for the day?
- A. A 68-year-old client on ventilator with acute respiratory failure and respiratory acidosis
- B. A 72-year-old client with COPD and normal arterial blood gases (ABGs) who is ventilator-dependent
- C. A 56-year-old new admission client with diabetic ketoacidosis (DKA) on an insulin drip
- D. A 38-year-old client on a ventilator with narcotic overdose and respiratory alkalosis
Correct Answer: B
Rationale: A client with stable ABGs and ventilator dependence is less complex compared to other options, making them suitable for a step-down nurse temporarily working in ICU.
A client is postoperative, and a nurse is developing a plan of care. Which of the following interventions should the nurse include in the plan to prevent pulmonary complications?
- A. Perform range-of-motion exercises
- B. Place suction equipment at the bedside
- C. Encourage the use of an incentive spirometer
- D. Administer an expectorant
Correct Answer: C
Rationale: The correct answer is C: Encourage the use of an incentive spirometer. This intervention helps prevent pulmonary complications by promoting deep breathing and preventing atelectasis. A: Range-of-motion exercises do not directly prevent pulmonary complications. B: Placing suction equipment is important but does not prevent pulmonary complications. D: Administering an expectorant helps with mucus clearance but does not prevent pulmonary complications as effectively as using an incentive spirometer.
What information should be included as effective for preventing chronic bronchitis in a community presentation?
- A. Maintenance of ideal weight
- B. Annual influenza immunization
- C. Smoking cessation
- D. Regular moderate exercise
Correct Answer: C
Rationale: The correct answer is C: Smoking cessation. Chronic bronchitis is often caused by smoking. By quitting smoking, individuals can significantly reduce their risk of developing chronic bronchitis. This is the most effective prevention strategy.
A: Maintenance of ideal weight may have some benefits for overall health but is not directly linked to preventing chronic bronchitis.
B: Annual influenza immunization is important for preventing the flu, but it does not directly prevent chronic bronchitis.
D: Regular moderate exercise is beneficial for overall health, but it is not as directly related to preventing chronic bronchitis as smoking cessation.