Nursing Elites

1. A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet delivered the oxygen tank. Which of the following actions should the nurse take?

• A. Send an oxygen tank from the facility home with the client
• B. Instruct the client's family to contact the insurance provider about the oxygen equipment
• C. Contact social services about the delivery of the oxygen equipment
• D. Notify the provider about the delayed oxygen tank delivery

Correct answer: C

Rationale: The correct action for the nurse to take is to contact social services about the delivery of the oxygen equipment. This ensures that the necessary equipment is delivered to the client's home promptly. Choice A is incorrect because sending an oxygen tank from the facility is not a sustainable solution and may lead to legal and safety issues. Choice B is incorrect as contacting the insurance provider is not the appropriate course of action to address the delayed delivery. Choice D is also incorrect because notifying the provider about the delay may not directly lead to the timely delivery of the oxygen equipment.

2. A patient's serum potassium level is 2.2 mEq/L. Which nursing action is the highest priority for this patient?

• A. Start oxygen at 2 L/min
• B. Initiate cardiac monitoring
• C. Initiate seizure precautions
• D. Keep the patient on bed rest

Correct answer: B

Rationale: The correct answer is to initiate cardiac monitoring. Severe hypokalemia can lead to life-threatening arrhythmias, making cardiac monitoring the priority to detect and manage any cardiac complications. Starting oxygen, seizure precautions, or bed rest are not the immediate priority actions for severe hypokalemia.

3. What are the six levels of consciousness from the most to the least responsive level of consciousness? Number all six using 1 as the most conscious and 6 as the least conscious.

• A. Obtunded, Confused, Lethargic, Comatose, Stuporous, Alert
• B. Confused, Lethargic, Obtunded, Stuporous, Comatose, Alert
• C. Lethargic, Obtunded, Confused, Stuporous, Comatose, Alert
• D. Alert, Confused, Lethargic, Obtunded, Stuporous, Comatose

Correct answer: D

Rationale: The correct order of the six levels of consciousness from most to least responsive is Alert, Confused, Lethargic, Obtunded, Stuporous, Comatose. Choice A is incorrect because it starts with Obtunded, which is less responsive than Alert. Choice B is incorrect as it doesn't follow the correct order. Choice C is incorrect as Lethargic is more responsive than Obtunded. Therefore, the correct answer is D.

4. Which skin disorder most closely resembles and mimics dandruff?

• A. Lice infestation
• B. Scabies
• C. Dermatitis
• D. Acne vulgaris

Correct answer: C

Rationale: Dermatitis can closely resemble and mimic dandruff due to similar symptoms like flaking and itching. Lice infestation (choice A) is characterized by the presence of lice and their eggs attached to the hair shaft, different from dandruff. Scabies (choice B) is a contagious skin condition caused by mites, presenting as burrows, rashes, and intense itching, not typically resembling dandruff. Acne vulgaris (choice D) is a skin condition involving hair follicles and sebaceous glands, manifesting as pimples and inflammation, which is distinct from dandruff.

5. Which of the following is a nursing issue of concern today?

• A. Safe staffing
• B. Low workloads
• C. Increasing professional autonomy
• D. Improving salaries

Correct answer: A

Rationale: The correct answer is A: Safe staffing. Safe staffing is a critical issue in nursing today due to its impact on patient outcomes and nurse well-being. While low workloads (choice B) may seem beneficial, they can also indicate understaffing, leading to burnout and compromising patient care. Increasing professional autonomy (choice C) is generally viewed positively as it empowers nurses, and improving salaries (choice D) is important but may not directly address patient safety concerns related to staffing levels.

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