Nokea
Which of the following statement is NOT true about delegation in nursing?
- A. Assigning tasks
- B. Retains accountability
- C. Only to doctors
- D. Follows scope
Correct Answer: C
Rationale: Delegation assigns tasks (A), retains accountability (B), follows scope (D) 'only to doctors' (C) isn't true, includes aides, per standards. C's restriction misstates delegation's range, like to Mr. Gary's team, making it untrue.
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Which of the following statement best describe alternative therapy?
- A. Used with conventional medicine
- B. Replaces conventional medicine
- C. A diagnostic method
- D. A surgical approach
Correct Answer: B
Rationale: Alternative therapy replaces conventional medicine (B), per definition e.g., herbs over drugs. Not with (A), not diagnostic (C), not surgical (D) standalone. B best defines its substitute role, making it correct.
Which of the following assessment finding is typical of extracellular fluid loss?
- A. Distended jugular veins
- B. Elevated hematocrit level
- C. Rapid thready pulse
- D. Increased serum sodium level
Correct Answer: C
Rationale: Extracellular fluid loss (e.g., dehydration) reduces blood volume, causing a rapid, thready pulse as the heart compensates for hypovolemia. Distended jugular veins suggest fluid overload, not loss. Elevated hematocrit reflects hemoconcentration, but pulse is a more immediate sign. Increased sodium occurs with water loss, not always fluid volume. Nurses monitor pulse to detect early shock, guiding fluid replacement to restore circulation and prevent organ damage.
A nurse obtained a client's pulse and found the rate to be above normal. The nurse documents these findings as:
- A. Tachypnea
- B. Hyperpyrexia
- C. Arrhythmia
- D. Tachycardia
Correct Answer: D
Rationale: Tachycardia is an elevated heart rate; tachypnea is rapid breathing, hyperpyrexia is high fever, and arrhythmia is irregular rhythm.
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.
The master gland controls the thyroid hormone by secreting
- A. Thyroxine
- B. Triiodothyronine
- C. Thyroid stimulating hormone
- D. Calcitonin
Correct Answer: C
Rationale: The pituitary secretes TSH e.g., stimulates thyroid unlike thyroxine, T3 (thyroid products), calcitonin (calcium). Nurses understand e.g., TSH tests for regulation, per endocrine.