In which order will the nurse take these steps to prepare NPH 20 units and regular insulin 2 units using the same syringe? (Put a comma and a space between each answer choice [A, B, C, D, E]).

Correct Answer: C

Rationale: The correct order is C. First, rotate the NPH vial to mix the insulin. Then, inject 20 units of air into the NPH vial to prevent a vacuum. Next, inject 2 units of air into the regular insulin vial to maintain pressure. After that, withdraw the regular insulin to avoid contamination. Finally, withdraw 20 units of NPH, ensuring the correct dosage. This order ensures proper mixing, prevents contamination, and maintains accurate dosing. Other choices have incorrect sequences that may result in inaccurate dosing or contamination.

Correct Answer: B

Rationale: The correct answer is B: How many hours of overtime you will work. Interviewers are primarily interested in your clinical competence, ability to work as a team member, and confidence in your skills. Overtime hours are not typically a deciding factor in selecting a new staff member as it relates more to scheduling and workload management, which can be negotiated after hiring. It is important to focus on demonstrating your skills, teamwork, and confidence during the interview to showcase your suitability for the position.

Correct Answer: C

Rationale: The correct answer is C: Variance. Variance represents the difference between budgeted and actual revenue or cost. It is a crucial metric in performance evaluation and budget control. Variance analysis helps identify discrepancies and allows for adjustments to be made. Incorrect choices: A: Budget - This is the overall plan or financial blueprint for revenues and costs, not the difference between budgeted and actual amounts. B: Variable - Refers to costs that change in relation to activity levels, not specifically the difference between budgeted and actual amounts. D: Premiums - Relates to additional payments made, not the comparison between budgeted and actual figures.

Correct Answer: B

Rationale: The correct answer is B: Unfreezing the system. In Lewin's Force-Field Model, unfreezing refers to the process of preparing individuals and systems for change by breaking down existing mindsets and behaviors. Building trust and recognizing the need for change are essential steps in unfreezing. Moving the system to a new level (A) is not specific to the initial stage of change. Refreezing the system (C) occurs after change has been implemented, not before. Institutionalization (D) involves integrating the change into the organization's culture, which is a later stage in the change process.

Correct Answer: C

Rationale: The correct answer is C. Voluntary absenteeism refers to missing work by choice rather than due to circumstances like illness or emergencies. Staying home to run errands or finish housework falls under this category as it is a personal choice unrelated to external factors. A, B, and D are incorrect because staying home for a sick child, a funeral, or due to sickness are examples of involuntary absenteeism, where circumstances beyond the individual's control necessitate their absence from work.

Correct Answer: A

Rationale: The correct answer is A: The hierarchy of authority and responsibility. 1. 'Chain of command' refers to the structure where authority flows downwards and responsibility flows upwards. 2. It establishes the order in which decisions are made and instructions are passed down. 3. It ensures clear communication and accountability within an organization. 4. The other choices are incorrect because B talks about a relationship without authority, C refers to linear authority, and D mentions the tendency of people to perform as expected, which are not related to the concept of chain of command.

Correct Answer: B

Rationale: The correct answer is B because in a functional nursing delivery system, one RN typically administers medications for all clients on a unit. This system allows for efficient distribution of tasks, ensuring that medications are given safely and accurately. A: Incorrect. Functional nursing does not involve each RN coordinating care for a group of clients. C: Incorrect. In this system, care tasks are divided among team members, not each RN providing total care to a group of clients. D: Incorrect. Functional nursing typically does not involve sharing responsibility among different roles like RN, LPN, and unlicensed assistive personnel.

Correct Answer: B

Rationale: The correct answer is B: Balance. This unit manager is displaying the leadership trait of balance by recognizing the importance of taking time off after working hard to improve the unit's performance. This demonstrates an understanding of self-care and the need to maintain a healthy work-life balance. It shows that the manager values personal well-being and is able to prioritize both work responsibilities and personal needs. Choice A: Perseverance is not the best fit here as the situation does not involve overcoming obstacles or persisting through challenges. Choice C: Generosity is not relevant to the scenario as there is no indication of the manager being generous. Choice D: Ability to handle stress is also not the most appropriate choice as the scenario does not directly involve stress management.

Correct Answer: A

Rationale: The correct answer is A. The elevated blood pressure of 144/82 mm Hg indicates dehydration due to vomiting and diarrhea, leading to hypovolemia. This is a compensatory mechanism by the body to maintain perfusion. Option B, urine specific gravity of 1.03, indicates concentrated urine and dehydration, but not as specific as elevated blood pressure. Option C, neck vein distention, is more indicative of heart failure or fluid overload rather than dehydration. Option D, urine specific gravity of 1.01, indicates diluted urine and is not consistent with dehydration. Therefore, based on the symptoms and the compensatory mechanism of the body, an elevated blood pressure is the most likely finding in a client with vomiting and diarrhea.