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Which of the following findings is associated with right-sided heart failure?
- A. Shortness of breath
- B. Nocturnal polyuria
- C. Daytime oliguria
- D. Crackles in the lungs
Correct Answer: B
Rationale: Nocturnal polyuria is linked to right-sided heart failure, where fluid shifts from edematous tissues to the bloodstream at night, increasing urine output as the heart struggles to pump against venous congestion. Shortness of breath and crackles typify left-sided failure, while daytime oliguria isn't specific. Nurses monitor this to assess heart function, guiding fluid management and diuretic use effectively.
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The nurse adapted care to Mr. Gary's cultural diet. This is an example of?
- A. Cultural competence
- B. Trust
- C. Health promotion
- D. Nursing informatics
Correct Answer: A
Rationale: Adapting to cultural diet is cultural competence (A) diversity respect, per definition. Trust (B) bond, promotion (C) well-being, informatics (D) tech not culture-specific. A fits the nurse's sensitivity to Mr. Gary's needs, making it correct.
Roger has been seen agitated, shouting and running. As Nurse Aida approaches, he shouts and swear, calling Aida names. Nurse Aida told Roger 'That is an unacceptable behavior Roger, Stop and go to your room now.' The situation is most likely in what phase of NPR?
- A. Pre Orientation
- B. Orientation
- C. Working
- D. Termination
Correct Answer: C
Rationale: This scenario fits the Working phase (C). Roger's agitation and Aida's response setting boundaries suggest an established relationship where interventions address behaviors. Pre-Orientation (A) is pre-contact, Orientation (B) builds trust, not confrontation, and Termination (D) ends care. In Peplau's Working phase, the nurse actively helps the client manage issues, as Aida does here, making C the likely phase.
These are data that are monitored by using graphic charts or graphs that indicated the progression or fluctuation of client's Temperature and Blood pressure.
- A. Progress notes
- B. Kardex
- C. Flow chart
- D. Flow sheet
Correct Answer: D
Rationale: Flow sheets (D) use graphs to track temperature and BP fluctuations, per charting norms. Progress notes (A) narrate, Kardex (B) summarizes, flow charts (C) diagram processes. D matches graphical monitoring, making it correct.
Which of the following statement best describe fidelity in nursing?
- A. Telling the truth
- B. Keeping promises
- C. Doing good
- D. Avoiding harm
Correct Answer: B
Rationale: Fidelity in nursing is keeping promises (B), per ethics e.g., returning as pledged. Telling truth (A) is veracity, doing good (C) beneficence, avoiding harm (D) nonmaleficence not promise-focused. B best defines fidelity's commitment to trust, a cornerstone of nurse-patient relationships, making it the correct description.
Which of the following statement best describe health policy?
- A. A hospital rule
- B. Rules affecting health care
- C. A patient's choice
- D. A medical procedure
Correct Answer: B
Rationale: Health policy is rules affecting health care (B), per definition e.g., laws on access. Not hospital (A), patient (C), procedure (D) systemic. B best defines policy's governance, making it correct.