Ellakiwale

MULTIPLE CHOICE 1. A nurse is teaching the importance of breast self-examination to a group of 20-year-old women. The nurse is promoting which type of care? a. Primary b. Secondary c. Tertiary d. Restorative ANS: A Primary care is centered on prevention of disease. Secondary and tertiary care is administered after an illness has been diagnosed. Restorative care occurs after a patient is recovering from an acute illness or for those who have chronic illnesses. PTS: 1 DIF: Cognitive Lev...

MULTIPLE CHOICE 1. A nurse is working with a community group promoting healthy aging. What recommendation is best to help prevent osteoarthritis (OA)? a. Avoid contact sports. b. Get plenty of calcium. c. Lose weight if needed. d. Engage in weight-bearing exercise. ANS: C Obesity can lead to OA, and if the client is overweight, losing weight can help prevent OA or reduce symptoms once it occurs. Arthritis can be caused by contact sports, but this is less common than obesity. Calcium an...

MULTIPLE CHOICE 1. One patient has cancer of the bone; another has cancer in the connective tissues of his leg muscles; a third patient has cancer in her vascular tissues. These patients have in common a type of tumor referred to as a A. sarcoma. B. leukemia. C. carcinoma. D. lymphoma. ANS: A Sarcomas are malignant tumors that arise from connective tissues. These tissues can be found in bone, cartilage, muscle, blood, lymphatic, and vascular tissues. DIF: COGNITIVE LEVEL: Unde...

MULTIPLE CHOICE 1. The nurse is assessing a client with a diagnosis of pre-renal acute kidney injury (AKI). Which condition would the nurse expect to find in the client’s recent history? a. Pyelonephritis b. Myocardial infarction c. Bladder cancer d. Kidney stones ANS: B Pre-renal causes of AKI are related to a decrease in perfusion, such as with a myocardial infarction. Pyelonephritis is an intrinsic or intrarenal cause of AKI related to kidney damage. Bladder cancer and kidney ston...

MULTIPLE CHOICE 1. The nurse is preparing an injection of 0.45 mL of medication for a pediatric patient. Which syringe is most appropriate? a. Tuberculin syringe b. Insulin syringe c. 3-mL syringe d. 10-mL syringe ANS: A The tuberculin syringe is calibrated in hundredths of a milliliter and has a capacity of 1 mL. It is used to prepare small amounts of medication such as small, precise doses for infants or young children. It is also used for intradermal and subcutaneous injections. An ...

Question 1 Type: MCSA The nurse is conducting an integumentary assessment on an older adult. Which patient statement would the nurse prioritize as it does not reflect a normal age-related change? 1. “My skin is so thin and gets injured so easily.” 2. “My skin is so greasy even though I wash frequently.” 3. “My nails are growing more slowly.” 4. “I’ve had mostly gray hair since I was in my thirties.” Correct Answer: 2 Rationale 1: Both the epidermis and the dermis thin ...

MULTIPLE CHOICE 1. The nurse is caring for a patient who is a devout Orthodox Jew. The patient is on a patient-controlled analgesia (PCA) pump. What accommodations might the nurse have to make to conform to the patient’s cultural needs? a. Ask the patient whether he will need alternative forms of medication for the Sabbath. b. Ask the patient specific questions because Jews tend to be stoic regarding pain. c. Medicate the patient “around the clock” instead of as needed (“prn”). ...

MULTIPLE CHOICE 1. The nurse is caring for a patient who is comatose and on a ventilator. When she enters the room, she notices that the patient’s trachea has shifted toward the left side of the patient’s neck, and he has become tachycardic. She assesses the patient’s blood pressure and notes that it is 84/38. The nurse calls for help, having recognized that the patient has developed which of the following conditions? a. Hemothorax b. Pneumothorax on the left side c. Pneumothorax on...

Question 1 Type: MCSA The nurse would be most alert for assessment findings of hypovolemic shock in which patient? 1. Patient who had a DVT after a surgical procedure 2 years ago 2. Patient 6 hours postmastectomy 3. Patient with coronary atherosclerosis who takes 81 mg of aspirin daily 4. Patient sustaining a transmural myocardial infarction 2 days ago Correct Answer: 2 Rationale 1: A past history of DVT is not pertinent to hemorrhage, as DVT is caused by a clot. Rationale 2: Postoperat...

Question 1 Type: MCSA A patient is admitted with a large, inflamed leg wound. The nurse explains that the inflammatory response is initiated by chemicals released by which white blood cell type? 1. Monocytes 2. Eosinophils 3. Basophils 4. Neutrophils Correct Answer: 3 Rationale 1: Monocytes arrive at the site of an injury hours or days after the neutrophils and continue to consume large amounts of cellular debris. Rationale 2: The number of eosinophils increases in the presence of para...