1 :

Hint : The NIH focuses on biomedical research, while the Department of Agriculture addresses food & farming issues.

Correct Answers:

  • Agency for Healthcare Research and Quality


Rationale :
The AHRQ collects and analyzes data related to healthcare disparities and services for minority populations, including migrant farmworkers. This agency helps improve healthcare quality and accessibility by identifying barriers and promoting evidence-based solutions.

Distractor Analysis :

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2 :

Hint : Increased pressure = lung rupture = tension pneumothorax.

Correct Answers:

  • Tension pneumothorax.


Rationale :
PEEP increases intrathoracic pressure, which can lead to alveolar overdistension and rupture, increasing the risk of tension pneumothorax.

Distractor Analysis :

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3 :

Hint : Treatment at home.

Correct Answers:

  • A client who has cellulitis and is receiving oral antibiotics every 8 hours.


Rationale :
Clients receiving oral antibiotics can be safely discharged with instructions to continue treatment at home. This decision prioritizes hospital space for clients requiring immediate and intensive care.

Distractor Analysis :

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4 :

Hint : Hypoventilation.

Correct Answers:

  • Respiratory acidosis


Rationale :
A pH below 7.35 indicates acidosis, and an elevated PaCO2 (above 45 mm Hg) suggests a respiratory cause.HCO3 levels are normal, indicating that the kidneys have not yet compensated.

Distractor Analysis :

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5 :

Hint : Treatment at home.

Correct Answers:

  • A client who has cellulitis and is receiving oral antibiotics every 8 hr


Rationale :
Clients with cellulitis on oral antibiotics can safely continue treatment at home, as they are stable and do not require intensive monitoring. Discharging stable patients makes room for critically injured clients who need immediate, life-saving interventions.

Distractor Analysis :

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6 :

Hint : Balance test with eyes open and closed.

Correct Answers:

  • "I will be checking you once with your eyes open and once with them closed."


Rationale :
The Romberg test assesses balance and proprioception by comparing stability with and without visual input. A positive test (increased swaying or falling) suggests issues with proprioception or the vestibular system.

Distractor Analysis :

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7 :

Hint : Close supervision.

Correct Answers:

  • Move the client to a room near the nurses' station


Rationale :
Placing the client near the nurses’ station ensures close monitoring for safety. This action helps prevent falls or injury from confusion and agitation.

Distractor Analysis :

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8 :

Hint : Implied consent principles.

Correct Answers:

  • Proceed with provision of medical care


Rationale :
In an emergency, implied consent allows treatment if delaying could cause harm .Life-saving procedures should never be delayed due to lack of consent.

Distractor Analysis :

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9 :

Hint : For patient complaints, listen first, then address concerns.

Correct Answers:

  • Ask the partner to list specific concerns


Rationale :
Addressing concerns directly ensures the issue is clearly understood. Open communication helps resolve conflicts and improve patient care.

Distractor Analysis :

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10 :

Hint : Document the facts, not the incident report.

Correct Answers:

  • Time the medication was given


Rationale :
The client’s record should include factual information about medication administration. Incident reports should never be documented in the medical record to avoid legal implications.

Distractor Analysis :

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Total Questions: 10

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