Nokea
Which of the following is TRUE about the blood pressure determinants?
- A. Hypervolemia lowers BP
- B. Hypervolemia increases GFR
- C. HCT of 70% might decrease or increase BP
- D. Epinephrine decreases BP
Correct Answer: C
Rationale: HCT 70% e.g., polycythemia can raise BP (viscosity) or lower (poor flow), unlike hypervolemia (raises BP, GFR), or epinephrine (raises). Nurses assess this e.g., anemia for impacts, per dynamics.
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The absence of which pulse may not be a significant finding when a patient is admitted to the hospital?
- A. Apical
- B. Radial
- C. Pedal
- D. Femoral
Correct Answer: C
Rationale: Pedal pulse absence is normal in 10-20% of people and less critical initially.
A nurse provides care to clients of a community clinic that serves a large immigrant population. Which intervention reflects primary prevention for this group?
- A. Screening for tuberculosis
- B. Providing vaccinations
- C. Referring clients with hypertension to a specialist
- D. Teaching clients with diabetes foot care
Correct Answer: B
Rationale: Primary prevention stops illness before it starts, vital for immigrants facing unique risks. Providing vaccinations like measles or flu shots builds immunity, preventing outbreaks in a group often under-vaccinated due to access or prior country norms, a top nursing action in clinics. Screening for tuberculosis is secondary, catching disease early, common in immigrant health but not preventive. Referring hypertension cases or teaching diabetic foot care is tertiary, managing existing conditions, not averting onset. Vaccinations align with primary prevention's proactive stance data shows they cut infectious disease rates in such populations addressing environmental and social vulnerabilities. Nursing leverages this to protect community health, ensuring immigrants, often in crowded settings, dodge preventable illnesses, a practical, impactful step for this clinic's focus.
Which of the following statement is TRUE about palliative care?
- A. Palliative care is given only on Hospice setting
- B. Palliative care is given only to cancer clients
- C. Palliative care improves quality of life
- D. Palliative care is offered only when the client's condition is irreversible
Correct Answer: C
Rationale: Palliative care improves quality of life (C), per its goal managing symptoms, enhancing comfort. It's not hospice-only (A), not cancer-specific (B), and applies beyond irreversible states (D) available at any serious illness stage. C's universal truth aligns with palliative principles, making it correct.
He was called the father of sanitation.
- A. Abraham
- B. Hippocrates
- C. Moses
- D. Willam Halstead
Correct Answer: C
Rationale: Moses, in ancient Hebrew texts, set sanitation laws e.g., waste disposal, quarantine earning the 'father of sanitation' title. Abraham (patriarch), Hippocrates (medicine), and Halstead (surgery) differ. His Leviticus codes predate modern hygiene, influencing public health and nursing's infection control foundations.
Which of the following statement is NOT true about cultural competence in nursing?
- A. Respects diversity
- B. Improves care
- C. Forces assimilation
- D. Adapts to patient needs
Correct Answer: C
Rationale: Cultural competence respects diversity (A), improves care (B), adapts (D) 'forces assimilation' (C) isn't true, opposes respect, per standards. C's coercion contradicts competence, like with Mr. Gary's beliefs, making it untrue.