Which of the following statement is NOT true about tort law in nursing?
- A. Covers wrongful acts
- B. Includes negligence
- C. Always criminal
- D. May involve compensation
Correct Answer: C
Rationale: Tort law covers wrongs (A), includes negligence (B), may compensate (D) 'always criminal' (C) isn't true, civil not criminal, per law. C's criminality misstates tort's civil focus, like Mr. Gary's potential claim, making it untrue.
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Mr. Gary underwent heart surgery in a specialized hospital. This is an example of?
- A. Primary care
- B. Secondary care
- C. Tertiary care
- D. Health promotion
Correct Answer: C
Rationale: Heart surgery in a specialized hospital is tertiary care (C) advanced, per system. Primary (A) initial, secondary (B) referral, promotion (D) preventive not surgical. C fits high-level care, making it correct.
Which of the following is considered normal adult bladder capacity?
- A. 100-200 ml
- B. 400-500 ml
- C. 50-100 ml
- D. 800-1000 ml
Correct Answer: B
Rationale: Adult bladder capacity is 400-500 ml e.g., typical urge at 300-400. Less (50-200) or more (800-1000) don't fit. Nurses note e.g., catheter output for function, per physiology.
An infant with Tetralogy of Fallot is discharged with a prescription for Lanoxin elixir. The nurse should instruct the mother to:
- A. Administer the medication using a nipple
- B. Administer the medication using the calibrated dropper in the bottle
- C. Administer the medication using a plastic baby spoon
- D. Administer the medication in a baby bottle with 1oz of water
Correct Answer: B
Rationale: Using the calibrated dropper ensures accurate dosing of Lanoxin (digoxin) elixir for an infant with Tetralogy of Fallot, critical due to its narrow therapeutic range and cardiac effects. Nipples, spoons, or dilution in bottles risk under- or overdosing. Nurses teach this method to parents, stressing precision to manage heart defects safely, preventing toxicity or inefficacy.
Which of the following patients is at greatest risk for developing pressure ulcers?
- A. An alert, chronic arthritic patient treated with steroids and aspirin
- B. An 88-year old incontinent patient with gastric cancer who is confined to his bed at home
- C. An apathetic 63-year old COPD patient receiving nasal oxygen via cannula
- D. A confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed
Correct Answer: B
Rationale: Age, immobility, incontinence, and malnutrition heighten pressure ulcer risk.
A client had oral surgery following a motor vehicle accident. The nurse assessing the client finds the skin flushed and warm. Which of the following would be the best method to take the client's body temperature?
- A. Oral
- B. Axillary
- C. Arterial line
- D. Rectal
Correct Answer: B
Rationale: Axillary avoids the oral route post-surgery and is appropriate for a flushed, warm client.