Nursing Elites

1. After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?

• A. Apply warm blankets & continue oxygen as prescribed
• B. Take the patient's rectal temperature
• C. Page the doctor for further orders
• D. Adjust the thermostat in the room

Correct answer: A

Rationale: When a patient starts shivering uncontrollably after surgery, the priority nursing intervention is to apply warm blankets and continue oxygen as prescribed. Shivering can be a sign of hypothermia, and maintaining the patient's body temperature is crucial for their recovery. This intervention helps prevent further heat loss and supports the patient's comfort and safety. While monitoring temperature, paging the doctor, and adjusting the room temperature may be necessary, addressing the immediate need for warmth and oxygen is the priority in this situation.

2. A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?

• A. Reviewing the most recent hospital patient data collected by the local college of nursing
• B. Deciding which of several possible new clinic options would be most effective in better meeting the needs of the local community
• C. Evaluating the results of the most recent community-wide screening program before planning for the next community health program
• D. Giving testimony to the state legislature on a new health and safety bill

Correct answer: A

Rationale: The most easily postponed task among the options provided is reviewing the most recent hospital patient data collected by the local college of nursing. This task focuses on data collection and analysis, which can be delayed without immediate impact on decision-making related to new clinic options, community-wide screening program evaluation, or legislative testimony on health and safety bills.

3. Which of the following is an example of a social determinant of health?

• A. Genetic predisposition
• B. Personal health behaviors
• C. Biological factors
• D. Economic stability

Correct answer: D

Rationale: Economic stability, like having a stable income, is a crucial social determinant of health that can significantly influence an individual's overall well-being. Access to economic resources can affect a person's ability to afford healthcare, nutritious food, safe housing, and other essentials that are vital for good health outcomes.

4. How do social determinants impact health?

• A. They directly affect health behaviors and outcomes.
• B. They primarily influence genetic predisposition.
• C. They have minimal impact on overall health.
• D. They determine access to health resources.

Correct answer: A

Rationale: Social determinants play a significant role in impacting health by directly influencing health behaviors and outcomes. These determinants include factors such as socioeconomic status, education, neighborhood, and access to healthcare, which shape the conditions in which individuals live, work, and age, ultimately affecting their health status.

5. Which sign or reflex is used to diagnose meningitis?

• A. Homan's sign
• B. Brudzinski
• C. Startle
• D. Anterior drawer

Correct answer: B

Rationale: Brudzinski sign is a physical exam finding used to diagnose meningitis. It is elicited by flexing the patient's neck, resulting in involuntary flexion of the hips and knees. This maneuver indicates meningeal irritation, a common feature in meningitis. Homan's sign is used to assess for deep vein thrombosis, Startle is a reflex response to sudden stimuli, and the Anterior drawer test is used to diagnose ligamentous instability in the knee.

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