Nursing Elites

1. You are preparing a patient for surgery and completing the preoperative checklist. Which of the following is not typically part of the preoperative checklist?

• A. Assessing for allergies
• B. Conducting the Time Out
• C. Ensuring that informed consent is signed
• D. Ensuring that the history and physical examination have been completed

Correct answer: B

Rationale: Conducting the Time Out is a crucial safety step that occurs immediately before the start of the procedure, but it is not usually part of the preoperative checklist. The Time Out involves verifying patient identity, correct procedure, correct site, and addressing any concerns or questions with the surgical team before proceeding. The other options, such as assessing for allergies, ensuring informed consent, and completing the history and physical examination, are typically included in the preoperative checklist to ensure patient safety and readiness for surgery.

2. How does socioeconomic status impact health?

• A. It affects access to resources and health care.
• B. It has no significant impact on health.
• C. It only affects mental health.
• D. It determines genetic predisposition to diseases.

Correct answer: A

Rationale: Socioeconomic status plays a crucial role in health outcomes as it affects access to resources, education, and healthcare services. Individuals with higher socioeconomic status generally have better access to quality healthcare, leading to improved overall health compared to those with lower socioeconomic status.

3. Barriers to a patient’s engagement in self-care include all of the following except:

• A. Mental health issues
• B. Lack of knowledge
• C. High health literacy
• D. Financial issues

Correct answer: C

Rationale: High health literacy is not considered a barrier to patient engagement in self-care. In fact, individuals with high health literacy are more likely to understand health information, make informed decisions, and actively participate in their self-care, which can enhance health outcomes. Mental health issues, lack of knowledge, and financial issues are common barriers that can hinder a patient's ability to engage in self-care practices.

4. After 3 days, the nurse notes that James has chest indrawing and stridor. His mother returned him to the health center immediately. The nurse should:

• A. Change the medication to the second-line antibiotics
• B. Advise the mother to observe the child and continue giving the antibiotics
• C. Give the first dose of antibiotics and refer urgently
• D. Observe the child at the center

Correct answer: C

Rationale: In the scenario described, the presence of chest indrawing and stridor indicates respiratory distress, which requires immediate attention. Giving the first dose of antibiotics and referring urgently is the correct course of action to ensure prompt and appropriate management of the child's condition.

5. Which action demonstrates an effective health communication strategy?

• A. Using medical jargon to explain complex health issues
• B. Distributing printed brochures in the community
• C. Hosting large community health fairs
• D. Using social media platforms for health campaigns

Correct answer: B

Rationale: Distributing printed brochures in the community is an effective health communication strategy as it allows for the dissemination of health information to a broad audience in a tangible and accessible format. Brochures can be distributed widely and provide concise, easy-to-understand information, making them a valuable tool for promoting health awareness and education within the community.

Similar Questions