During primary and secondary survey, the patient injured by blunt trauma should be completely immobilized until:

Correct Answer: D

Rationale: The correct answer is D because before removing immobilization, it is crucial to confirm the absence of a spinal fracture through x-ray. This ensures that any potential spinal injury is not worsened during movement. A is incorrect because the neurologic exam alone is not sufficient to determine spinal stability. B is incorrect as definitive care may not involve immediate removal of immobilization. C is incorrect as the ability to indicate no neck pain does not rule out a spinal fracture.

Correct Answer: C

Rationale: Neurogenic shock is characterized by hypotension and vasodilatation due to loss of sympathetic tone. The narrowed pulse pressure is not a classic characteristic but rather a sign of cardiogenic shock. Neurologic deficit is common in neurogenic shock due to the underlying neurological injury. Therefore, choice C is incorrect as it does not align with the typical features of neurogenic shock.

Correct Answer: C

Rationale: The correct answer is C because in a functional nursing style of care, where tasks are divided among staff members based on their skills, staff members may only focus on their assigned tasks, leading to a potential oversight of changes in a resident's condition. This can result in delayed intervention and negatively impact the resident's health. Choice A is incorrect as it refers to task management, not specifically related to overlooking changes in a resident's condition. Choice B is incorrect because it focuses on training issues, not directly related to monitoring a resident's condition. Choice D is incorrect as it addresses resident preferences and not a negative outcome related to care quality.

Correct Answer: B

Rationale: The correct answer is B: Advance directive. An advance directive is a legal document that allows an individual to specify their medical treatment preferences in case they are unable to communicate their wishes. It includes instructions on life-sustaining treatments, organ donation, and healthcare proxy. Choice A, a will, is a legal document that outlines how a person's assets should be distributed after their death, not medical care preferences. Choice C, CPR, refers to cardiopulmonary resuscitation, a medical emergency procedure, not a legal document. Choice D, power of attorney, grants someone the legal authority to make decisions on behalf of another person, but it is not specific to medical care preferences.

Correct Answer: B

Rationale: The correct answer is B: Assessment. It is the first step in the nursing process because it involves gathering data about the patient's health status and identifying any potential issues. Assessment provides the foundation for the subsequent steps of diagnosis, planning, implementation, and evaluation. Diagnosis (A) comes after assessment to identify the patient's problems. Planning (D) follows diagnosis to set goals and develop a care plan. Evaluation (C) is the final step to assess the outcomes of the care provided. Assessment is crucial as it guides the nurse in making informed decisions and interventions based on the patient's needs.