Nokea
Which of the following statement is TRUE about responsibility?
- A. The nurse can delegate all her tasks
- B. Means the nurse is liable for her actions
- C. The nurse should not accept tasks she's not competent
- D. All of the above
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:
- A. The mottled appearance of the trunk
- B. The presence of conjunctival hemorrhages
- C. Cyanosis of the hands and feet
- D. Respiratory rate of 20-28 per minute
Correct Answer: C
Rationale: A 5-minute Apgar score of 9 typically reflects one point deduction, often for color, with cyanosis of the hands and feet (acrocyanosis) being common in newborns, especially post-C-section, due to initial circulation adjustments. Mottling or hemorrhages don't directly score points off, and a respiratory rate of 20-28 is low (normal is 30-60), potentially docking more points. Nurses recognize acrocyanosis as benign, resolving naturally, and use this score to reassure parents while monitoring transition, ensuring no further intervention is needed.
Which of the following is among an ideal way of collecting a urine specimen for culture and sensitivity?
- A. Use a clean container
- B. Discard the first flow of urine to ensure that the urine is not contaminated
- C. Collect around 30-50 ml of urine
- D. Add preservatives, refrigerate the specimen or add ice according to the agency's protocol
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find:
- A. Cherry-red urine that gradually becomes clearer
- B. Orange-tinged urine containing particles of calculi
- C. Dark red urine that becomes cloudy in appearance
- D. Dark, smoky-colored urine with high specific gravity
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse listened to Mr. Gary to build trust. This is an example of?
- A. Therapeutic communication
- B. Reflective practice
- C. Health promotion
- D. Care transition
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse should recognize that all of the following physical changes of the head and face are associated with the aging client except:
- A. Pronounced wrinkles on the face
- B. Decreased size of the nose and ears
- C. Increased growth of facial hair
- D. Neck wrinkles
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.