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1. What is the first step when you find an unresponsive adult? A) Start chest compressions B) Check for responsiveness and shout for help C) Open the airway D) Apply the AED Answer: B) Check for responsiveness and shout for help Rationale: You must first establish unresponsiveness by tapping and shouting, then activate the emergency response system. Starting compressions without checking responsiveness is unsafe. 2. What is the correct emergency activation and pulse check sequence for an...

1. A nurse executive is developing the annual operating budget. Which budget type is most appropriate for replacing IV pumps that are 8 years old? A. Operating budget B. Personnel budget C. Capital budget D. Zero-based budget Rationale: Capital budgets are for large, long-term investments with a useful life >1 year and cost exceeding a threshold, like equipment replacement. Operating budgets cover daily operations. 2. The organization is implementing shared governance. What is the pr...

1. A patient with heart failure is prescribed furosemide. Which finding indicates the medication is effective? A. Weight gain of 1 kg overnight B. Increased blood pressure C. Potassium level 5.2 mEq/L D. Decreased crackles in lung bases and weight loss of 1 kg Correct Rationale: Loop diuretics reduce fluid overload. Decreased crackles and weight loss indicate fluid loss. Weight gain shows worsening HF. The correct answer is Decreased crackles in lung bases and weight loss of 1 kg. Other ...

1. Mrs. Johnson is 65, entitled to Part A and enrolled in Part B. She wants to enroll in a Medicare Advantage plan. What does she need to know about Original Medicare? A) She will lose Part A if she joins MA B) Original Medicare includes Part A, Part B, and must include Part D C) If she joins an MA plan, she will continue to pay her Part B premium, plus any MA premium, and she remains enrolled in Part A and B Rationale: Enrollment in MA does not mean you lose Original Medicare entitl...

1. A patient on sertraline develops agitation, hyperthermia, clonus and diaphoresis after starting tramadol, what syndrome should you suspect? A. Anticholinergic toxicity B. Neuroleptic malignant syndrome C. Tardive dyskinesia D. Serotonin syndrome Rationale: Correct answer is D. Serotonin syndrome (in GREEN). SSRIs + tramadol (serotonergic) increase serotonin. Clonus is hallmark of serotonin syndrome vs rigidity in NMS. The other options are incorrect because they do not match the mecha...

1. A high school football player is hit hard in the helmet, loses consciousness for approximately 8 minutes, and when he wakes up he is confused and has amnesia. The player has suffered which grade of concussion? A. Grade I B. Grade II C. Grade III D. Grade IV Rationale: Grade I = confusion, no LOC. Grade II = confusion with amnesia, no LOC. Grade III = LOC <1 minute. Grade IV = LOC >1 minute with prolonged confusion, amnesia, and neurologic deficits. An 8-minute LOC is a...

Q1. Which cellular adaptation is characterized by decrease in cell size due to reduced workload? Case 1 A. Metaplasia B. Atrophy Correct C. Hyperplasia D. Hypertrophy Rationale: Atrophy is reduction in cell size/number due to disuse, denervation, ischemia. Hypertrophy = increase in size. Hyperplasia = increase in number. Metaplasia = reversible change of one adult cell type to another. Q2. Which cellular adaptation is characterized by decrease in cell size due to reduced workloa...

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