Nursing Elites

1. Nursing care plans are _______________?

• A. written by CNAs before they provide care
• B. guidelines of care that all nursing team members use
• C. used by nurses but not by nursing assistants
• D. used by nursing assistants but not by nurses

Correct answer: B

Rationale: Nursing care plans are comprehensive documents created by registered nurses to outline individualized care for patients. These plans serve as guidelines for all members of the nursing team, including nursing assistants, to ensure consistent and quality care. Choice A is incorrect as CNAs typically assist in implementing the care plan rather than creating it. Choice C is incorrect as nursing care plans are utilized by all members of the nursing team, not exclusive to only nurses. Choice D is incorrect as nursing assistants also utilize nursing care plans to provide patient care effectively.

2. A healthcare professional is asked to draw blood in the antecubital (AC) space. Which of the following veins are found in the AC?

• A. Cephalic
• B. Median cubital
• C. Basilic
• D. All of the above

Correct answer: D

Rationale: The correct answer is 'All of the above.' All three of these veins - the cephalic, median cubital, and basilic veins - are located in the antecubital space, which is the area in front of the elbow on the arm. The cephalic vein runs along the outer side of the arm, the basilic vein runs along the inner side of the arm, and the median cubital vein is a connecting vein between the cephalic and basilic veins. Therefore, all three veins can be accessed when drawing blood from the antecubital space. Choices A, B, and C are incorrect because each of these veins individually can be found in the antecubital space.

3. Which practice will help reduce the risk of a needlestick injury?

• A. Expose the end of the needle only when ready to enter the room for the procedure
• B. Never recap a needle after use
• C. Keep a sharps container nearby where it can be easily accessed
• D. Exchange needles from a central area rather than passing them between workers

Correct answer: C

Rationale: To reduce the risk of a needlestick injury, it is essential to keep a sharps container nearby where it can be easily accessed. This practice ensures quick and safe disposal of needles after use, minimizing the chances of accidental needlesticks. Recapping needles should be avoided as it increases the risk of injuries. Passing needles between workers should also be avoided to prevent accidental needle pricks during handovers. Therefore, the best practice to prevent needlestick injuries is to maintain a sharps container nearby for safe and immediate disposal of needles.

4. During a class on the aspects of culture, the instructor shares that culture has four basic characteristics. Which statement correctly reflects one of the characteristics of culture?

• A. Static and unchanging
• B. Members sharing similar physical characteristics
• C. Members sharing a common geographic origin and religion
• D. Adapted to specific conditions related to environmental and technical factors

Correct answer: D

Rationale: Culture has four basic characteristics, one of which is that it is adapted to specific conditions related to environmental and technical factors and to the availability of natural resources. The other three characteristics are: (1) learned from birth through the processes of language acquisition and socialization; (2) shared by all members of the cultural group; and (3) dynamic and ever-changing. Culture is not static and unchanging but is dynamic and ever-changing. Members of a culture do not necessarily share similar physical characteristics; that refers to race. Similarly, members of a culture do not necessarily share a common geographic origin and religion; that refers to ethnicity.

5. Your patient who had AIDS/HIV has just died. Should you still use standard precautions as you provide post-mortem care?

• A. Yes, because the virus is still transmissible
• B. Yes, because respect must still be maintained
• C. No, because the virus is no longer transmissible
• D. No, because it is disrespectful

Correct answer: A

Rationale: Yes, you should still use standard precautions even after an HIV/AIDS patient has died. The virus can remain infectious after death, and healthcare workers need to protect themselves from potential exposure. Choice B is incorrect because while respect is important, the primary reason for using standard precautions is to prevent transmission of infectious diseases. Choice C is incorrect as the virus can still be transmissible even after the patient's death. Choice D is incorrect as using standard precautions is a matter of infection control, not a question of respect.

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