Nursing Elites

1. Select a myth or falsehood relating to pain, pain management, and addiction.

• A. Addiction can be accurately predicted.
• B. Withdrawal, drug tolerance, and physical dependence do not indicate addiction.
• C. Pain medications should be avoided in patients with a substance abuse history.
• D. Addiction is signaled by deception and stockpiling by the client.

Correct answer: A

Rationale: The correct answer is A because addiction cannot be accurately predicted. Choices B and C are incorrect. Withdrawal, drug tolerance, and physical dependence are not definitive signs of addiction, and pain medications can be used with patients who have a substance abuse history under careful monitoring. Choice D is incorrect because addiction is not solely signaled by deception and stockpiling; it is a complex condition with various behavioral, physical, and psychological aspects.

2. A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having trouble focusing and has difficulty completing care for his assigned clients. Which of the following interventions is appropriate?

• A. Offer to provide care for his clients while he takes a break
• B. Advise him to complete less time-consuming tasks first
• C. Ask other staff members to take over some of his tasks
• D. Recommend that he take time to plan at the beginning of his shift

Correct answer: D

Rationale: The correct intervention is to recommend that the new nurse takes time to plan at the beginning of his shift. Planning ahead can help improve time management and focus. Option A is not ideal as it does not address the root cause of the issue and may not promote independence. Option B may not be effective if the nurse is struggling with time management in general. Option C involves shifting responsibilities to others without addressing the new nurse's need for improvement in managing his workload, which should be the priority.

3. While caring for a four-year-old female patient who was severely burned in a house fire, how would you determine the extent of this child's burns?

• A. By using the Lund and Browder chart
• B. By using the Rule of Nines
• C. By using the Rule of Tens
• D. By using the Parkland Formula

Correct answer: A

Rationale: The correct answer is A: By using the Lund and Browder chart. The Lund and Browder chart is specifically designed to assess the extent of burns in children accurately, taking into account the variation in body proportions as children grow. This method provides a more precise estimation of the total body surface area affected by burns in pediatric patients. Choices B, C, and D are incorrect. The Rule of Nines is more suitable for adults, not children. The Rule of Tens is not a standard method for assessing burn extent, and the Parkland Formula is used to calculate fluid resuscitation requirements in burn patients, not to determine the extent of burns.

4. When a woman has miscarried in three or more consecutive pregnancies, it is referred to as which type of spontaneous abortion?

• A. Inevitable
• B. Missed
• C. Habitual
• D. Threatened

Correct answer: C

Rationale: The correct answer is C, 'Habitual.' Habitual abortion is defined as three or more consecutive miscarriages, making it the appropriate term for this situation. Choice A, 'Inevitable,' refers to a miscarriage that cannot be prevented. Choice B, 'Missed,' refers to a miscarriage where the fetus has died but has not been expelled. Choice D, 'Threatened,' refers to a situation where there is bleeding in early pregnancy but the cervix remains closed.

5. What is a major benefit of electronic health records (EHRs)?

• A. Increased paperwork
• B. Better coordination of care
• C. Higher risk of data breaches
• D. More manual data entry

Correct answer: B

Rationale: The major benefit of electronic health records (EHRs) is better coordination of care. EHRs allow healthcare providers to access and share patient information more efficiently, leading to improved coordination and continuity of care. Choice A, increased paperwork, is incorrect as EHRs aim to reduce paperwork by digitizing and centralizing health records. Choice C, higher risk of data breaches, is incorrect as EHRs have security measures in place to protect patient data. Choice D, more manual data entry, is incorrect as EHRs aim to automate and streamline data entry processes.

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