Nokea
Which of the following statement is TRUE about do-not-resuscitate (DNR) orders?
- A. Stops all treatment
- B. Prevents CPR
- C. Only for emergencies
- D. All of the above
Correct Answer: B
Rationale: DNR prevents CPR (B), per definition specific to resuscitation. Not all treatment (A), not emergency-only (C), not all (D) focused order. B truly defines DNR's scope, like Mr. Gary's potential choice, ensuring no CPR if heart stops, making it correct.
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Mr. Gary moved from hospital to rehab with a care plan. This is an example of?
- A. Care transition
- B. Chronic disease management
- C. Health promotion
- D. Nursing informatics
Correct Answer: A
Rationale: Moving from hospital to rehab with a plan is care transition (A) setting shift, per definition. Management (B) ongoing, promotion (C) preventive, informatics (D) tech not transition-specific. A fits care handoff, making it correct.
Which of the following statement best describe health care financing?
- A. Patient-only payment
- B. Funding care services
- C. A one-time fee
- D. A nursing skill
Correct Answer: B
Rationale: Health care financing is funding care services (B), per definition e.g., insurance for Mr. Gary. Not patient-only (A), not one-time (C), not skill (D) system-based. B best defines its role, supporting care access, making it correct.
The nurse is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis?
- A. Visual disturbances, including diplopia
- B. Ascending paralysis and loss of motor function
- C. Cogwheel rigidity and loss of coordination
- D. Progressive weakness that is worse at the day's end
Correct Answer: D
Rationale: Progressive weakness worse at day's end (fatigue) is classic in myasthenia gravis, due to acetylcholine receptor issues diplopia occurs but isn't primary, ascending paralysis fits Guillain-Barré, and rigidity is Parkinson's. Nurses assess this, aiding diagnosis, key for neuromuscular care.
One of the expectations is for nurses to join professional association primarily because of
- A. Promotes advancement and professional growth among its members
- B. Works for raising funds for nurse's benefit
- C. Facilitate and establishes acquaintances
- D. Assist them and securing jobs abroad
Correct Answer: A
Rationale: Professional associations, like the PNA, promote growth e.g., offering training, certifications enhancing skills and standards. Fundraising, networking, or job placement are secondary. This advancement focus, rooted in nursing's professionalization, ensures competence and leadership, critical for career development and patient care quality.
A client with a spinal cord injury suddenly develops a throbbing headache, nasal congestion, and a blood pressure of 210/110 mm Hg. Which action should the nurse perform first?
- A. Administer a prescribed antihypertensive
- B. Check the client's bladder for distention
- C. Place the client in a supine position
- D. Notify the healthcare provider
Correct Answer: B
Rationale: Symptoms (headache, congestion, BP 210/110) indicate autonomic dysreflexia; checking bladder distention (B) identifies the trigger first. Medication (A) or supine (C) is secondary. Notification (D) follows. B is correct. Rationale: Removing the stimulus (e.g., bladder) halts dysreflexia, a priority per SCI protocols, preventing hypertensive crisis.