Correct Answer: A

Rationale: The correct answer is A: uterine contractions resulting in possible miscarriage. Feverfew is known to stimulate uterine contractions, which can potentially lead to miscarriage in pregnant women. This risk is especially concerning during the first trimester when the uterus is more sensitive to such stimulants. Uterine contractions can increase the risk of premature labor and miscarriage. Reduced fetal growth (choice B), insomnia (choice C), and tiredness the following day (choice D) are not directly associated with feverfew use during pregnancy. It is crucial for the nurse to educate the patient about the potential risk of uterine contractions and advise against the use of feverfew during pregnancy to ensure the safety of both the mother and the fetus.

Correct Answer: B

Rationale: The correct answer is B because in a competency examination involving a neurologic assessment, the critical elements are the required criteria that must be incorporated into the assessment to achieve the desired outcome. These elements are essential components that assessors need to include to ensure a thorough and accurate evaluation of the client's neurological status. Choice A is incorrect as critical elements do not necessarily equate to life or death situations. Choice C is incorrect as fundamental strategies unique to complex dynamic care environments are not specifically related to the critical elements of a neurologic assessment. Choice D is incorrect as objective data for client recovery likelihood is not the same as the required criteria for a neurologic assessment.

Correct Answer: B

Rationale: Rationale for B being the correct answer: Continuing education aims to ensure ongoing competence, but states have the autonomy to decide if CEs are mandatory. This statement aligns with the diversity in state requirements. Summary of other choices: A: This choice generalizes the requirement for CEs across all states, which is not accurate as each state has its own regulations. C: The requirement for CEs is not based on working across state lines but on individual state regulations. D: This choice incorrectly implies that continuing education is unnecessary for maintaining competence, which is not the case.

Correct Answer: D

Rationale: The correct answer is D: an aging nursing workforce. This is because as nurses age, many are retiring or reducing their work hours, leading to a shortage of experienced nurses in the workforce. This issue is further exacerbated by the increasing demand for healthcare services due to population growth and aging populations. The other choices are incorrect because: A: Movement of nurses into acute care settings may shift the distribution of nurses but does not directly cause a shortage. B: The use of unlicensed assistive personnel may impact the workload of RNs but is not the primary cause of the nursing shortage. C: While Baby Boomers may have contributed to the overall number of nurses, it does not directly explain the current shortage.

Correct Answer: D

Rationale: The correct answer is D. The Needlestick Safety and Prevention Act (2000) mandates that employers must document how and where a sharps injury occurred, including the brand of device involved. This helps in identifying patterns of injuries and evaluating the effectiveness of safety devices. Choice A is incorrect because the Act does not specifically mention nurses in managerial positions evaluating safe needle devices. Choice B is incorrect as there is no requirement for registered nurses to pass a test after sustaining a needle stick. Choice C is incorrect as the Act sets federal standards for safe needle devices, not leaving it up to individual states to determine.