A 15 year old male is brought to the ED after being involved in a motor vehicle crash. He is unconscious and was intubated at the scene by emergency personnel. Upon arrival at the ED, the patient's oxygen saturation is 92%, HR is 96 bpm and BP is 150/85. Breath sounds are decreased on the left side of the thorax. The next step is:

Correct Answer: B

Rationale: The correct answer is B: Reassess the position of the endotracheal tube. This is the next step because the patient has decreased breath sounds on the left side, indicating a potential issue with the endotracheal tube placement. Reassessing the position ensures proper oxygenation and ventilation. Immediate needle cricothyroidotomy (A) is not indicated as the patient is already intubated. Chest tube insertion (C) is not the immediate priority as the decreased breath sounds are likely due to endotracheal tube misplacement. Immediate needle thoracentesis (D) is not the correct step as there is no indication of a tension pneumothorax based on the patient's vital signs.

Correct Answer: A

Rationale: The correct answer is A because accepting gifts from residents can create a conflict of interest, compromise professionalism, and potentially lead to ethical concerns. Accepting gifts from residents may blur boundaries and impact the nursing assistant's objectivity and impartiality in providing care. B: Reporting abuse is a professional responsibility. C: Being punctual is a professional behavior. D: Maintaining a positive, pleasant, and tactful demeanor is also a professional behavior.

Correct Answer: A

Rationale: The correct answer is A because using an interpreter ensures accurate communication and understanding between the nursing assistant and the resident. This approach respects the resident's language and cultural differences, promoting effective care. Choice B is incorrect as ignoring the resident impedes communication and does not promote learning. Choice C is incorrect as communicating in a different language in front of the resident may make them feel isolated and excluded. Choice D is incorrect as limiting communication to yes/no questions hinders the resident's ability to express their needs and preferences effectively.

Correct Answer: C

Rationale: The correct answer is C because "3 Rounds" refer to a method of reporting where staff members make scheduled visits to each resident's room to assess their needs, monitor their condition, and provide care. This helps ensure that residents receive timely and individualized care. The other choices are incorrect because A refers to the concept of resident assignment, B is about task lists, and D pertains to care plan meetings, which are not specifically related to the term "3 Rounds."

Correct Answer: A

Rationale: The correct answer is A because transcultural nursing involves understanding and respecting different cultures to provide culturally sensitive care. It focuses on adapting nursing practices to meet the unique needs of diverse populations. Choice B is incorrect as it only refers to the physical act of traveling. Choice C is incorrect as it pertains to a specific population rather than a broad cultural approach. Choice D is incorrect as it does not specifically address the cultural aspect of nursing care.