Nursing Elites

1. While assisting a client from bed to chair, the nurse observes that the client looks pale and is beginning to perspire heavily. The nurse would then do which of the following activities as a reassessment?

• A. Help client into the chair more quickly
• B. Document client's vital signs taken just prior to moving the client
• C. Help client back to bed immediately
• D. Observe client's skin color and take another set of vital signs

Correct answer: D

Rationale: In this scenario, the nurse has observed concerning signs in the client during the transfer process. The appropriate action for reassessment would be to observe the client's skin color and take another set of vital signs. This will provide essential data to evaluate the client's condition more accurately. Options A, B, and C are interventions that do not address the need for reassessment. Moving the client more quickly, documenting previous vital signs, or returning the client to bed do not directly address the need to reassess the client's current condition.

2. When caring for children with a different cultural perspective, what challenge may the nurse recognize?

• A. Children have spiritual needs that are influenced by their stages of development
• B. Children have spiritual needs that are direct reflections of what is occurring in their homes
• C. Religious beliefs rarely affect the parents' perceptions of the illness
• D. Parents are often the decision-makers, and they have no knowledge of their children's spiritual needs

Correct answer: A

Rationale: When caring for children with different cultural perspectives, nurses should acknowledge that children have spiritual needs that are influenced by their stages of development. This understanding is crucial as children, like adults, have varying spiritual needs based on their age and the religious environment within their family. Recognizing and addressing these spiritual needs is essential for providing holistic care. Choices B, C, and D are incorrect as they do not accurately reflect the influence of children's developmental stages on their spiritual needs and the importance of considering these needs in their care.

3. What is the proper personal protective equipment necessary for collecting a sputum specimen?

• A. Gloves and face mask
• B. Level Three Biocontainment uniforms
• C. Eye protection and shoe covers
• D. Splash shield and face mask

Correct answer: A

Rationale: When collecting a sputum specimen, it is crucial to protect against potential airborne droplets that may spread disease. The best personal protective equipment for this task includes gloves and a face mask. Gloves help prevent the spread of contaminants through hand contact, while a face mask protects the respiratory tract from inhaling infectious agents. Choice B, Level Three Biocontainment uniforms, is excessive and unnecessary for routine sputum specimen collection. Choice C, eye protection and shoe covers, does not address the specific risks associated with sputum collection. Choice D, splash shield and face mask, provides additional protection that is not typically required for sputum specimen collection, making it less appropriate than gloves and a face mask.

4. Which body plane divides the body into right and left sides?

• A. Frontal Plane
• B. Medial Plane
• C. Median Plane
• D. Transverse Plane

Correct answer: C

Rationale: The correct answer is the Median Plane, also known as the sagittal plane. It divides the body into right and left sides. The Frontal Plane, or coronal plane, divides the body into front and back sections. The Transverse Plane divides the body into superior (upper) and inferior (lower) sections. Therefore, choices A, B, and D are incorrect as they do not specifically divide the body into right and left sides.

5. Which of the following actions can help prevent a fire in the area where a healthcare professional works?

• A. Using an adaptor when plugging in client equipment
• B. Marking equipment that is not working properly and using it carefully until it can be inspected by maintenance
• C. Notifying visitors or posting signs that indicate oxygen is in use in certain areas
• D. Keeping extra equipment stored in one area with other supplies and materials

Correct answer: C

Rationale: The correct action to help prevent a fire in a healthcare setting is to notify visitors or post signs indicating that oxygen is in use in certain areas. Oxygen is a combustible material, and awareness of its presence is crucial to prevent fire hazards. By informing all individuals in the facility about the use of oxygen through clear signs or notifications, the risk of improper use and potential fire accidents can be minimized. Choice A is incorrect because using an adaptor when plugging in client equipment is not directly related to fire prevention. Choice B is also incorrect as marking faulty equipment and using it until inspection does not directly address fire prevention. Choice D is not a recommended action for fire prevention; storing extra equipment with supplies does not address the specific fire risk associated with oxygen use.

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