Cover the key. Write the first action. Then open the rationale and name why the other choices fail.
Question 1
The nurse is providing education to a patient with chronic obstructive pulmonary disease (COPD) about proper breathing techniques. Which technique should the nurse emphasize?
- A. Deep breathing
- B. Shallow breathing
- C. Pursed-lip breathing
- D. Breath-holding
Show answer and rationale
Correct answer: C — Pursed-lip breathing
The correct answer is C: "Pursed-lip breathing." This technique is commonly recommended for patients with COPD as it helps to slow down breathing, improve oxygen exchange, and reduce shortness of breath. Pursed-lip breathing involves inhaling through the nose for a count of two and exhaling through pursed lips for a count of four. This technique helps keep airways open longer, reduces the work of breathing, and can prevent air trapping in the lungs. Deep breathing, while beneficial in some situations, may cause hyperventilation in patients with COPD. Shallow breathing and breath-holding are not effective and can worsen symptoms in individuals with COPD.
Question 2
.Each is true of fat-soluble vitamins, except one. Which is the exception?
- A. Fairly stable to heat, as in cooking
- B. Contains carbon
- C. Stored in the pancreas
- D. Absorbed in intestine along with fats and lipids in food
Show answer and rationale
Correct answer: C — Stored in the pancreas
The correct answer is C because fat-soluble vitamins are not stored in the pancreas; instead, they are stored in the liver and fatty tissues. Fat-soluble vitamins, including vitamins A, D, E, and K, are absorbed in the intestine along with fats and lipids in food. They require bile for proper absorption. These vitamins are fairly stable to heat, which means they can withstand cooking temperatures without significant degradation. Additionally, being fat-soluble means these vitamins contain carbon and can be dissolved in fats. Therefore, the exception among the given options is the storage location, as fat-soluble vitamins are not stored in the pancreas.
Question 3
Which of the following is not an effect of the drug (Isoflurane)?
- A. Elevated lipid levels
- B. Nausea
- C. Increased blood flow to the brain.
- D. Decreased respiratory function
Show answer and rationale
Correct answer: A — Elevated lipid levels
The correct answer is A: 'Elevated lipid levels.' Isoflurane is a general anesthetic commonly used during surgeries. It does not have a direct effect on lipid levels in the body. Nausea (option B) is a common side effect of Isoflurane, as it can irritate the stomach and cause nausea and vomiting. Increased blood flow to the brain (option C) is a known effect of Isoflurane, as it helps to maintain cerebral perfusion during anesthesia. Decreased respiratory function (option D) is another common effect of Isoflurane, as it can depress the respiratory system. Therefore, option A is the correct answer as it does not align with the effects of Isoflurane.
Question 4
The nurse is caring for a patient with a stroke who has right-sided weakness. Which intervention is most important to include in the plan of care?
- A. Position the patient on the right side.
- B. Perform passive range-of-motion exercises.
- C. Place objects within the patient\'s reach on the left side.
- D. Apply a footboard to the bed.
Show answer and rationale
Correct answer: C — Place objects within the patient\'s reach on the left side.
The correct answer is C: 'Place objects within the patient's reach on the left side.' This is the most important intervention because the patient has right-sided weakness due to the stroke. Placing objects on the left side ensures that the patient can access them independently, promoting autonomy and reducing frustration. Positioning the patient on the right side (option A) may worsen the existing weakness. Passive range-of-motion exercises (option B) are important but do not address immediate needs for independence. Applying a footboard to the bed (option D) is not as crucial as ensuring the patient can reach necessary items for daily activities.
Question 5
.An imbalance of which nutrient may elicit delayed tooth eruption, enlarged tongue, stillbirths, altered craniofacial growth, sensitivity to cold, dry skin, depression, and goiter?
- A. Zinc
- B. Iron
- C. Sodium
- D. Potassium
Show answer and rationale
Correct answer: D — Potassium
The correct answer is D: Potassium. Potassium deficiency can lead to delayed tooth eruption, enlarged tongue (macroglossia), stillbirths, altered craniofacial growth, sensitivity to cold, dry skin, depression, and goiter. Potassium is essential for proper nerve function, muscle control, and overall body growth. Without adequate potassium levels, these symptoms can manifest due to the disruption in various bodily functions. While zinc, iron, and sodium are important nutrients, they do not directly cause the specific symptoms mentioned in the question. Therefore, the imbalance of potassium is the key factor linked to these particular health issues.