Nursing Elites

1. The nurse is caring for a 75-year-old client in congestive heart failure. Which finding suggests that digitalis levels should be reviewed?

• A. Extreme fatigue
• B. Increased appetite
• C. Intense itching
• D. Constipation

Correct answer: A

Rationale: Extreme fatigue can be a sign of digitalis toxicity, especially in older adults, and warrants a review of the client's medication levels and potential adjustment. Increased appetite, intense itching, and constipation are not typically associated with digitalis toxicity and do not directly indicate a need for a review of digitalis levels.

2. When a nurse from the surgical department is reassigned to the pediatric unit, the charge nurse should recognize that the child at highest risk for cardiac arrest and is the least likely to be assigned to this nurse is which child?

• A. Congenital cardiac defects
• B. An acute febrile illness
• C. Prolonged hypoxemia
• D. Severe multiple trauma

Correct answer: C

Rationale: The correct answer is C, 'Prolonged hypoxemia.' Prolonged hypoxemia is a critical condition that requires specialized pediatric care due to the high risk of cardiac arrest. The other choices, such as congenital cardiac defects, acute febrile illness, and severe multiple trauma, may also require attention, but prolonged hypoxemia poses the highest risk for cardiac arrest and demands specialized expertise in managing pediatric patients with this condition.

3. The nurse is caring for a 5-year-old child who has the left leg in skeletal traction. Which of the following activities would be an appropriate diversional activity?

• A. Kicking balloons with the right leg
• B. Playing 'Simon Says'
• C. Playing handheld games
• D. Throwing bean bags

Correct answer: C

Rationale: Playing handheld games is an appropriate diversional activity for a child in skeletal traction because it does not require physical movement of the affected limb. This activity can help keep the child entertained and engaged without risking any harm to the tractioned leg. Choices A, B, and D involve physical movements that could potentially interfere with the skeletal traction or cause discomfort to the child.

4. What title should be given to this role in the occupational health nurse job description? A registered nurse who teaches and prepares nursing students to function as expert clinicians/practitioners, administrators, educators, researchers, or consultants at the work site.

• A. researcher
• B. case manager
• C. health educator
• D. health promotion specialist

Correct answer: C

Rationale: The correct title for the role described in the job description is a health educator. A health educator is responsible for teaching and preparing nursing students for various professional roles. Choice A, researcher, is incorrect because the main focus in the job description is on teaching and preparing students, not conducting research. Choice B, case manager, does not align with the role of teaching and preparing nursing students. Choice D, health promotion specialist, is also not the best fit as the primary focus in the job description is on education and preparation, rather than promoting health within a specific population.

5. Which facilities are capable of performing minor surgeries and some simple laboratory examinations?

• A. Secondary level health care
• B. Intermediate level care
• C. Tertiary level care
• D. Primary health care

Correct answer: A

Rationale: Secondary level health care facilities are equipped to perform minor surgeries and simple laboratory examinations. Intermediate level care (choice B) refers to a level of care between primary and secondary care, focusing on more complex procedures than minor surgeries. Tertiary level care (choice C) is specialized care that includes services like cardiac surgery and neurosurgery. Primary health care (choice D) is the first point of contact for individuals and is not typically equipped for minor surgeries or complex laboratory tests.

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