Correct Answer: C

Rationale: The correct answer is C: Magazine.
To assess a patient's near vision, the nurse would use a near vision chart, such as a magazine, to evaluate the patient's ability to read at a close distance. A magazine provides text of varying font sizes, allowing the nurse to determine the smallest print the patient can comfortably read. The other choices are incorrect because: A: Ophthalmoscope is used to examine the interior structures of the eye, not for near vision assessment. B: Snellen Chart is used for distance vision assessment. D: Penlight is used for pupillary assessment and to examine the eye's external structures, not for near vision evaluation.

Correct Answer: C

Rationale: The correct answer is C: History of Present Illness. This is where the patient's symptoms are documented in detail, including onset, duration, severity, and associated factors. The HPI provides a chronological account of the symptoms leading to the current visit, aiding in diagnosis. Review of Systems (
A) documents symptoms by system, not in detail. Chief Complaint (
B) is a brief statement of the main reason for the visit. Past Medical History (
D) pertains to the patient's medical conditions and treatments, not current symptoms.

Correct Answer: C

Rationale: The correct answer is C: Chief Complaint. The chief complaint is the reason why the client is seeking healthcare services. In this case, the client feeling like an elephant is sitting on his chest is a primary symptom that led him to seek medical attention. Documenting this information under Chief Complaint helps prioritize the client's immediate concerns and guides further assessment and treatment.

Incorrect

Choices:
A: Family History - This section pertains to the client's family health history, not the client's current symptoms.
B: Past Medical History - This section focuses on the client's past medical conditions and treatments, not their current symptoms.
D: Present Illness - While this section may include detailed information about the client's current symptoms, the chief complaint is the specific reason for seeking healthcare services and is typically documented separately.

Correct Answer: C

Rationale: The correct answer is C because concussions in sports and motor vehicle accidents are the leading causes of TBIs in teens. By discussing prevention strategies related to these specific causes, the nurse can effectively educate adolescents on how to reduce their risk of sustaining a TBI.


Choice A is incorrect because while falls are common in the younger population, they are not the leading cause of TBIs in teens.
Choice B is incorrect as gender does not play a significant role in TBI risk among adolescents.
Choice D is incorrect as intentional firearm incidents, rather than accidental ones, are a major risk factor for TBIs.

Correct Answer: A

Rationale: The correct answer is A: Assess the nasolacrimal sac. Excessive tearing in the morning could indicate nasolacrimal duct obstruction. By assessing the nasolacrimal sac, the nurse can check for blockages or inflammation that may be causing the tearing. This assessment helps in identifying the root cause of the issue and guides further intervention.
Inspecting the palpebral conjunctiva (
B) is not the priority in this case, as the main concern is excessive tearing. Testing pupillary reaction to light (
C) and performing the eye positions test (
D) are not relevant to the presenting symptom of tearing.