Nursing Elites

1. A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?

• A. Reviewing the most recent hospital patient data collected by the local college of nursing
• B. Deciding which of several possible new clinic options would be most effective in better meeting the needs of the local community
• C. Evaluating the results of the most recent community-wide screening program before planning for the next community health program
• D. Giving testimony to the state legislature on a new health and safety bill

Correct answer: A

Rationale: The most easily postponed task among the options provided is reviewing the most recent hospital patient data collected by the local college of nursing. This task focuses on data collection and analysis, which can be delayed without immediate impact on decision-making related to new clinic options, community-wide screening program evaluation, or legislative testimony on health and safety bills.

2. Which sign or reflex is used to diagnose meningitis?

• A. Homan's sign
• B. Brudzinski
• C. Startle
• D. Anterior drawer

Correct answer: B

Rationale: Brudzinski sign is a physical exam finding used to diagnose meningitis. It is elicited by flexing the patient's neck, resulting in involuntary flexion of the hips and knees. This maneuver indicates meningeal irritation, a common feature in meningitis. Homan's sign is used to assess for deep vein thrombosis, Startle is a reflex response to sudden stimuli, and the Anterior drawer test is used to diagnose ligamentous instability in the knee.

3. Identify the etiologic or causal statement component of the following community diagnosis: 'There is an increased risk for undetected testicular cancer among young men related to insufficient knowledge about the disease and the methods for preventing and detecting it at an early stage as demonstrated by high rates of late initiation of treatment.'

• A. Risk for undetected testicular cancer
• B. Young men
• C. Insufficient knowledge about the disease and methods of prevention
• D. High rates of late initiation of treatment

Correct answer: C

Rationale: The etiologic or causal statement in the community diagnosis is the part that explains the cause of the increased risk for undetected testicular cancer among young men. In this scenario, the insufficient knowledge about the disease and methods of prevention is the cause identified as contributing to the high rates of late initiation of treatment. It is important to identify the root cause to develop effective interventions and strategies to address the issue.

4. What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?

• A. Bronchoscopy
• B. Tracheostomy
• C. Thoracentesis
• D. Underwater seal drainage

Correct answer: B

Rationale: Tracheostomy is the process of surgically creating an airway in the front of the neck to aid in breathing or remove secretions from the airway. Bronchoscopy involves visualizing the airways using a scope, not creating an airway. Thoracentesis is the procedure to remove fluid or air from the pleural space around the lungs, not related to creating an airway. Underwater seal drainage is a method used in chest drainage systems to remove air or fluid from the pleural space, not the creation of an airway.

5. During a discussion about partograph, a clinical instructor asked a midwifery student about its components. Which of the following are parts of the partograph? SELECT ALL THAT APPLY

• A. Maternal Wellbeing
• B. Fetal Wellbeing
• C. Fetal Heart Rate
• D. Maternal Vital Signs

Correct answer: D

Rationale: In the partograph, components such as Maternal Wellbeing, Fetal Wellbeing, and Fetal Heart Rate are recorded. Maternal Vital Signs are not typically part of the partograph. Therefore, 'Maternal Vital Signs' is the correct answer as it is not a part of the partograph.

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