Njengamartin399

1. Which of the following is a function of the gastrointestinal (GI) system? A. Hormone regulation B. Nutrient absorption C. Oxygen transport D. Blood filtration Answer: B. Nutrient absorption Rationale: The primary function of the GI system is to break down food and absorb nutrients. Hormone regulation and oxygen transport are functions of other systems (endocrine and circulatory, respectively). ________________________________________ 2. Which organ is primarily responsible for the abs...

Question 1 A nurse is teaching a patient about hypertension. Which of the following statements by the patient indicates a need for further teaching? A. "I will monitor my blood pressure regularly." B. "I can stop taking my medication once my blood pressure is normal." C. "I should reduce my salt intake." D. "I will maintain a healthy weight." Answer: B. "I can stop taking my medication once my blood pressure is normal." Rationale: Patients with hypertension o...

1. A client with chronic obstructive pulmonary disease (COPD) presents with shortness of breath. What is the nurse's priority action? • A. Administer a bronchodilator • B. Position the client supine • C. Apply 6 L/min oxygen via nasal cannula • D. Encourage deep breathing exercises Answer: A. Administer a bronchodilator Rationale: The priority for COPD exacerbations is to improve airway patency, which is achieved through bronchodilation. Supplemental oxygen should be used with c...

1. A nurse is assessing a client’s pain. Which of the following is the most reliable indicator of the existence and intensity of pain? A. Vital signs B. The client’s self-report C. The presence of grimacing D. Physician’s assessment Answer: B - The client’s self-report Rationale: The client’s self-report is the most reliable indicator of pain. Pain is subjective, and only the client can accurately describe the pain they are experiencing. ________________________________________ ...

1. A patient presents with a fever of 103°F (39.4°C). The nurse should assess for which of the following? A) Blood pressure B) Respiratory rate C) Level of consciousness D) All of the above Answer: D) All of the above Rationale: The nurse should assess all vital signs and neurological status to determine the severity and potential underlying cause of the fever. ________________________________________ 2. Which of the following is the most common cause of fever in adults? A) Bacterial ...

1. A patient arrives in the emergency department with chest pain radiating to the left arm. What is the nurse's priority intervention? a) Obtain a 12-lead ECG b) Administer nitroglycerin c) Start an IV line d) Assess vital signs Answer: a) Obtain a 12-lead ECG Rationale: The priority in a patient with chest pain is to assess the cardiac status by obtaining a 12-lead ECG to identify any acute cardiac issues, such as myocardial infarction. ________________________________________ 2. A c...

1. A nurse is performing a mental status examination (MSE) on a patient. Which of the following components should the nurse assess first? A) Mood B) Appearance C) Speech D) Thought process Answer: B) Appearance Rationale: The first component of the mental status examination is assessing the patient’s appearance, as it provides important clues about their overall functioning and mental health. ________________________________________ 2. When assessing a patient’s thought process, whic...

1. Which of the following is a normal physiological change associated with aging? o A) Decreased blood pressure o B) Increased muscle mass o C) Decreased lung capacity o D) Increased metabolism Answer: C) Decreased lung capacity Rationale: Aging typically results in decreased lung capacity due to decreased elasticity and strength of respiratory muscles. 2. When assessing an older adult, which of the following is the most significant factor to consider? o A) Their level of education o B)...

Growth and Development 1. A nurse is assessing a 2-year-old child. Which developmental milestone should the nurse expect to observe? o A) Hops on one foot o B) Can stack six blocks o C) Can say full sentences o D) Is able to jump in place o Answer: B) Can stack six blocks Rationale: At 2 years, children can stack blocks and engage in parallel play. Hopping on one foot and jumping in place typically develop later. 2. Which of the following is a common characteristic of preschool-aged chil...

Question 1 A nurse is teaching a group of women about breast self-examination (BSE). What is the best time for a woman to perform BSE? A) After menstruation B) Before menstruation C) During menstruation D) Any time of the month Answer: A) After menstruation Rationale: Performing BSE after menstruation reduces the likelihood of breast tenderness and swelling, providing a clearer examination. ________________________________________ Question 2 A 45-year-old woman is discussing symptoms o...