Nokea
Which of the following syndromes associated with incomplete lesions of the spinal cord is a result of damage to one-half of the spinal cord?
- A. Brown-Séquard syndrome
- B. posterior cord syndrome
- C. central cord syndrome
- D. cauda equina syndrome
Correct Answer: A
Rationale: Brown-Séquard syndrome is a result of damage to one-half of the spinal cord. The other choices are also incomplete lesions of the spinal cord, but they have different defining characteristics.
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Which of the following statements by an adult child of a client with late-stage Alzheimer's disease indicates a need for further teaching by the nurse?
- A. I should provide a regular schedule for toileting
- B. I should talk to my father less because he can't communicate
- C. I should give my father oral care after every meal and bedtime
- D. I should assist my father with eating and drinking
Correct Answer: B
Rationale: Communication through talking and touching remains important for Alzheimer's clients, even if they can't respond, to provide comfort and connection. The other statements reflect appropriate care.
Which of the following lab values is elevated first after a client has a myocardial infarction?
- A. LDH
- B. troponin
- C. CPK
- D. SGOT
Correct Answer: B
Rationale: Troponin is the earliest and most specific marker to rise after a myocardial infarction, detectable within hours of cardiac injury.
A community health nurse is asked to organize a health promotion project that plans to provide glucose screening. This activity is most beneficial within what realm?
- A. Testing that is performed by volunteers at a local department store and is open to the public
- B. At a professional health fair activity available for selected persons who have been screened as being at risk
- C. Mass-marketing vouchers for free fingersticks at a local drug store, where the pharmacist makes recommendations on the findings
- D. Testing that is performed by a nurse professional, who immediately provides education regarding the findings
Correct Answer: B
Rationale: Glucose screening is most effective for high-risk or symptomatic individuals at a health fair, ensuring targeted and meaningful results.
Which of the following represents a normal serum potassium level?
- A. 1.5 mEq/L
- B. 3.0 mEq/L
- C. 4.0 mEq/L
- D. 6.0 mEq/L
Correct Answer: C
Rationale: Normal serum potassium levels fall in a range of 3.5-5.5 mEq/L. The other choices listed fall below or above this range.
All of the following should be performed when fetal heart monitoring indicates fetal distress except:
- A. increase maternal fluids.
- B. administer oxygen.
- C. decrease maternal fluids.
- D. turn the mother.
Correct Answer: C
Rationale: Decreasing maternal fluids is the only intervention that should not be performed when fetal distress is indicated.