Nursing Elites

1. You are preparing a patient for surgery and completing the preoperative checklist. Which of the following is not typically part of the preoperative checklist?

• A. Assessing for allergies
• B. Conducting the Time Out
• C. Ensuring that informed consent is signed
• D. Ensuring that the history and physical examination have been completed

Correct answer: B

Rationale: Conducting the Time Out is a crucial safety step that occurs immediately before the start of the procedure, but it is not usually part of the preoperative checklist. The Time Out involves verifying patient identity, correct procedure, correct site, and addressing any concerns or questions with the surgical team before proceeding. The other options, such as assessing for allergies, ensuring informed consent, and completing the history and physical examination, are typically included in the preoperative checklist to ensure patient safety and readiness for surgery.

2. Which term refers to the personal characteristics and risks of a group within a community?

• A. Aggregate of people
• B. Location in space and time
• C. Social system
• D. Census tract

Correct answer: A

Rationale: An aggregate of people refers to a group within a community that shares common personal characteristics and risks. This term is used to describe a specific dimension of a community focusing on the characteristics and risks of a group rather than geographical or structural aspects (choices B, C, and D). Therefore, the correct answer is 'Aggregate of people.'

3. Which is an example of a policy-level intervention in community health?

• A. Implementing new treatment protocols
• B. Educating individuals about healthy behaviors
• C. Establishing community health clinics
• D. Advocating for legislative changes

Correct answer: D

Rationale: Advocating for legislative changes is a policy-level intervention that can bring about significant improvements in community health. This involves influencing laws and regulations to create a healthier environment for the community as a whole, impacting a larger population than individual-level interventions. Implementing new treatment protocols, educating individuals about healthy behaviors, and establishing community health clinics are important interventions but are more focused on the individual or community level rather than policy-level changes.

4. What is an essential factor for community health planning?

• A. Availability of funding
• B. Understanding the community’s needs
• C. Analyzing health data trends
• D. Ensuring health care access

Correct answer: B

Rationale: Understanding the community’s needs is a critical factor in community health planning. It allows planners to tailor interventions to address specific issues identified within the community, leading to more effective and impactful health initiatives.

5. What procedure is performed prior to a blood transfusion to detect incompatibilities?

• A. Grouping and crossmatching
• B. Complete blood count
• C. D-dimer test
• D. Blood clotting test

Correct answer: A

Rationale: Grouping and crossmatching is the procedure performed prior to a blood transfusion to determine the blood type and identify any potential incompatibilities between the donor and recipient. This process involves testing the recipient's blood for ABO and Rh antigens and crossmatching it with the donor's blood to ensure compatibility and prevent adverse reactions during the transfusion. Complete blood count, D-dimer test, and blood clotting test are other laboratory tests that serve different purposes and are not specifically done to detect incompatibilities prior to blood transfusion.

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