Nursing Elites

1. Which of the following are major veins commonly used in parenteral cannulation?

• A. Basilic vein
• B. Femoral vein
• C. Subclavian vein
• D. Aorta

Correct answer: D

Rationale: The aorta is not a vein; it is the main artery in the body that carries oxygenated blood from the heart to the rest of the body. In parenteral cannulation, major veins like the basilic vein, femoral vein, and subclavian vein are typically used for access. Therefore, the correct answer is the aorta, as it is an artery and not a vein used for cannulation.

2. Which is an effective strategy for addressing health disparities?

• A. Providing universal health coverage
• B. Increasing health care funding
• C. Implementing health education programs
• D. Improving access to health care

Correct answer: D

Rationale: Improving access to health care is a crucial strategy for addressing health disparities because it ensures that all individuals, regardless of their backgrounds or circumstances, have the opportunity to receive the necessary care they need. By enhancing access to healthcare services, underserved populations can overcome barriers to obtaining crucial medical assistance, ultimately reducing health disparities and promoting better health outcomes for everyone.

3. When studying for an epidemiology quiz, what does public health nursing surveillance involve?

• A. Having all carriers transferred to one main facility for care
• B. Gathering data to work toward primary illness prevention
• C. Establishing the incubation period of a disease
• D. Determining the colonization rate of the disease

Correct answer: B

Rationale: Public health nursing surveillance involves the systematic collection, analysis, and interpretation of health-related data for the purpose of preventing and controlling diseases. By gathering data, public health nurses can identify trends, risks, and patterns to implement interventions aimed at preventing illnesses in communities. This process is essential for early detection, timely response, and effective prevention strategies.

4. The public health nurse partners with the American Heart Association to develop NYS public policy priority statements to promote the expansion of the Double Up Food Bucks program. Which area and intervention on the Minnesota Public Health Wheel do these actions most closely align?

• A. Counseling - Blue wedge
• B. Advocacy - Yellow wedge
• C. Outreach - Red wedge
• D. Screening - Red wedge

Correct answer: B

Rationale: In this scenario, the public health nurse is engaging in advocacy by partnering with an organization to influence public policy through the development of public policy priority statements. Advocacy, represented by the yellow wedge on the Minnesota Public Health Wheel, aligns most closely with these actions as it involves working to influence public policy.

5. The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?

• A. Awaken the client every two (2) hours.
• B. Monitor for increased intracranial pressure.
• C. Observe frequently for hypervigilance.
• D. Offer the client food every three (3) to four (4) hours.

Correct answer: A

Rationale: In a client with a mild concussion, it is important to monitor for signs of deterioration, which includes changes in the client's level of consciousness. Waking the client every two hours helps in assessing their neurological status, ensuring they can awaken and respond appropriately. This intervention aids in detecting any worsening symptoms promptly and seeking medical assistance if needed.

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