A 17-year-old female falls from 2 meters and is unresponsive. The first step in treatment is:

Correct Answer: D

Rationale: The correct answer is D because in a trauma scenario, ensuring airway patency and oxygenation is the priority to prevent hypoxia, especially in an unresponsive patient. Administering vasopressors (A) is not the initial step as the focus should be on airway management first. Establishing IV access for drug-assisted intubation (B) is important but not the first step. Seeking the cause of decreased level of consciousness (C) can be done after securing the airway and providing oxygen. Thus, applying oxygen and maintaining the airway (D) is the most critical initial intervention.

Correct Answer: A

Rationale: The correct answer is A because accepting gifts from residents can create a conflict of interest or appear as favoritism. By refusing the gift but thanking the resident, the nursing assistant maintains a professional boundary and ethical practice. Choice B is incorrect as it involves blaming the employer and is unprofessional. Choice C is incorrect as confidentiality does not address the ethical concerns of accepting gifts. Choice D is incorrect since accepting the gift without refusal goes against professional boundaries.

Correct Answer: A

Rationale: The correct answer is A because sharing personal information about residents violates their right to privacy and confidentiality. Residents have the right to keep their personal information confidential. Choice B is correct as it aligns with the residents' right to voice grievances. Choice C respects the resident's right to be informed. Choice D empowers the resident in making choices, respecting their autonomy.

Correct Answer: C

Rationale: The correct conversion of 7:45 p.m. to military time is 1945 hours. In military time, the hours from 1 p.m. to 11 p.m. are simply expressed by adding 12 to the standard time. Therefore, 7 p.m. + 12 = 19, making it 1900 hours. Then, add the minutes, which remain the same, giving us 1945 hours. Choice A is incorrect as it is missing the "1" in front of the "9". Choice B is incorrect as 975 hours would not be a valid military time format. Choice D is incorrect as it combines the incorrect format of choice A with an incorrect hour value.

Correct Answer: A

Rationale: The correct answer is A: Displacement. Laura is displacing her anger from her supervisor onto the resident. This defense mechanism involves redirecting emotions from the original source to a less threatening target. This is evident as Laura is taking out her frustration on the resident, who is an easier target than her supervisor. Regression (B) involves reverting to earlier developmental stages, denial (C) is refusing to acknowledge reality, and rationalization (D) is justifying behaviors with logical reasoning, none of which apply in this scenario.