Nokea
You highly suspect that your assigned client has abdominal distention. You most need to do and chart which of the following things?
- A. Have another nurse verify your suspicions.
- B. Measure the abdominal girth at the umbilicus.
- C. Measure abdominal girth at the most distended level.
- D. Ask the client if they are distended.
Correct Answer: C
Rationale: Measuring girth at the most distended level and charting it confirms abdominal distention objectively, critical for tracking. Verification, umbilicus measurement, or client query are less precise. Nurses rely on this for accurate monitoring.
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A client is receiving oxygen therapy via a nasal cannula. What is the appropriate flow rate for this client?
- A. 1-2 liters per minute
- B. 4-6 liters per minute
- C. 8-10 liters per minute
- D. 12-15 liters per minute
Correct Answer: B
Rationale: A flow rate of 4-6 liters per minute (B) is appropriate for nasal cannula oxygen therapy, delivering 36-44% oxygen, suitable for moderate hypoxemia. 1-2 L/min (A) (24-28%) suits mild cases or rest. 8-10 L/min (C) exceeds nasal cannula capacity, causing discomfort. 12-15 L/min (D) is for high-flow systems, not cannulas. This range balances efficacy and tolerance, per respiratory care standards, ensuring adequate oxygenation without nasal irritation.
The nurse is aware that this is considered as the master gland of the body
- A. Hypothalamus
- B. Pituitary gland
- C. Thyroid gland
- D. Pineal gland
Correct Answer: B
Rationale: The pituitary gland master gland e.g., regulates thyroid, adrenals via hormones. Hypothalamus controls it, thyroid/pineal have specific roles. Nurses know e.g., endocrine for systemic effects, per physiology.
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.
Considered as the most accessible and convenient method for temperature taking
- A. Oral
- B. Rectal
- C. Tympanic
- D. Axillary
Correct Answer: A
Rationale: Oral temp is most accessible e.g., quick tongue placement needing minimal prep, unlike rectal (invasive), tympanic (equipment), or axillary (longer). Convenient for alert patients, nurses favor it e.g., clinics for routine ease, per practice standards.
Founder of the PNA
- A. Julita Sotejo
- B. Anastacia Giron Tupas
- C. Eufemia Octaviano
- D. Anesia Dionisio
Correct Answer: B
Rationale: Anastacia Giron-Tupas founded the Philippine Nurses Association in 1922, advancing Filipino nursing's professional status e.g., advocating licensure. Sotejo, Octaviano, and Dionisio contributed differently. Her leadership at PGH and PNA shaped national standards, a key historical milestone in local nursing.