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1. Which information will the nurse include when teaching a 50-year-old patient who has type 2 diabetes about glyburide (Micronase, DiaBeta, Glynase)?
- A. Glyburide decreases glucagon secretion from the pancreas.
- B. Glyburide stimulates insulin production and release from the pancreas.
- C. Glyburide should be taken even if the morning blood glucose level is low.
- D. Glyburide should not be used for 48 hours after receiving IV contrast media.
Correct answer: B
Rationale: The correct answer is B: Glyburide stimulates insulin production and release from the pancreas. Glyburide belongs to the sulfonylurea class of antidiabetic medications, which work by stimulating the pancreas to produce and release more insulin. This helps to lower blood glucose levels. Choice A is incorrect because glyburide does not decrease glucagon secretion; instead, it acts on insulin. Choice C is incorrect because taking glyburide when blood glucose is low can lead to hypoglycemia. Choice D is incorrect as there is no specific interaction between glyburide and IV contrast media that requires avoiding its use for 48 hours.
2. A new nurse manager is attempting to solve a management issue by using one solution after another until she solves the problem. This would be known as what type of method?
- A. Decision making
- B. Trial and error
- C. Experimentation
- D. Analysis
Correct answer: B
Rationale: The correct answer is B. Trial and error is a method used by new managers to solve problems by trying different solutions until one is successful. In this scenario, the nurse manager is using a trial and error approach by attempting various solutions until the issue is resolved. Choices A, C, and D are incorrect because decision making involves making choices based on available information, experimentation involves testing hypotheses in a controlled setting, and analysis entails examining data and information to gain insights or draw conclusions, none of which directly reflect the iterative process of trial and error.
3. Which of the following should be included in a discussion of advance directives with new nurse graduates?
- A. According to the Patient Self-Determination Act, nurses are required to inform clients of their right to create an advance directive.
- B. The advance directive designates an individual who will make financial decisions for the client if he or she is unable to do so.
- C. A living will designates who will make health-care decisions for an individual in the event the individual is unable or incompetent to make his or her own decisions.
- D. The advance directive designates a health-care surrogate who will make known the client�s wishes regarding medical treatment if the client is unable to do so.
Correct answer: A
Rationale: According to the Patient Self-Determination Act, nurses are required to inform clients of their right to create an advance directive.
4. Which of the following best describes decertification?
- A. Encourage union affiliation
- B. Change union affiliation
- C. Reward union affiliation
- D. Empower union affiliation
Correct answer: B
Rationale: Decertification is the process of removing or changing union affiliation. Choosing option B, 'Change union affiliation,' correctly reflects this definition. Option A, 'Encourage union affiliation,' is incorrect as decertification is not about promoting union membership but rather altering it. Option C, 'Reward union affiliation,' is incorrect as decertification does not involve rewarding union membership. Option D, 'Empower union affiliation,' is incorrect as decertification does not empower union membership but rather modifies or eliminates it.
5. Which of the following best defines the role of a nurse educator?
- A. Provide direct patient care
- B. Conduct research on nursing practices
- C. Develop and implement educational programs for nursing staff
- D. Supervise nursing staff
Correct answer: C
Rationale: The role of a nurse educator primarily involves developing and implementing educational programs for nursing staff. While providing direct patient care and supervising nursing staff are essential functions in healthcare, these tasks are not the primary responsibilities of a nurse educator. Conducting research on nursing practices is typically associated with the role of a nurse researcher, not a nurse educator.
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