The critical care nurse is giving end-of-shift report on a client.
The nurse uses the Glasgow Coma Scale (GCS) to assess the level of consciousness (LOC) of a female client and reports to the oncoming nurse that the client has an LOC of 6. What does an LOC score of 6 in a client indicate?

Stupor.

Somnolence.

Normal.

Deep coma.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Stupor refers to a state of near-unconsciousness or insensibility, where the patient can be briefly aroused by vigorous or repeated stimuli.

Choice B rationale

Somnolence refers to a state of strong desire for sleep or sleeping for unusually long periods (drowsiness), but it is not as severe as stupor or coma.

Choice C rationale

Normal consciousness means the patient is awake, alert, and responsive to their environment with no neurological deficits.

Choice D rationale

A score of 6 on the Glasgow Coma Scale indicates deep coma, where the patient has minimal to no response to stimuli, indicating severe brain injury.

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Correct Answer is B

Explanation

Choice A rationale

Irregular bones have complex shapes that do not fit into the other categories (long, short, or flat bones). They include bones such as the vertebrae and facial bones, which have specialized functions but are not primarily responsible for protecting vital organs.

Choice B rationale

Flat bones, such as the sternum, ribs, and skull bones, are designed to protect vital organs. They provide broad surfaces for muscle attachment and serve as protective barriers for organs like the brain, heart, and lungs.

Choice C rationale

Long bones, such as the femur and humerus, are primarily responsible for supporting the weight of the body and facilitating movement. While they contribute to the overall structure of the body, they are not specifically designed for organ protection.

Choice D rationale

Short bones, such as the carpals and tarsals, provide support and stability with limited movement. They are not primarily involved in the protection of vital organs.

A. The largest area of the body without hair is selected. B. Any area that is not normally visible can be used. C. An area matching the color and texture of the skin at the surgical site is selected. D. An area matching the sensory capability of the skin at the surgical site is selected. E. An area matching the sensory capability of the skin at the surgical site is selected.

Correct Answer is C

Explanation

Choice A rationale

The largest area of the body without hair is not selected as it is not necessary for the graft to be hairless. The primary concern is matching the color and texture, not the absence of hair.

Choice B rationale

Any area that is not normally visible is not ideal as visibility is not the primary concern. The donor site needs to match the surgical site in color and texture to ensure a natural appearance.

Choice C rationale

An area matching the color and texture of the skin at the surgical site is selected to ensure the graft blends well with the surrounding skin and appears natural once healed.

Choice D rationale

An area matching the sensory capability of the skin at the surgical site is not typically a concern in graft selection. The focus is on the appearance and integration of the graft.

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The critical care nurse is giving end-of-shift report on a client. The nurse uses the Glasgow Coma Scale (GCS) to assess the level of consciousness (LOC) of a female client and reports to the oncoming nurse that the client has an LOC of 6. What does an LOC score of 6 in a client indicate?

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Naxlex Comprehensive Predictor Exams

A client has sustained traumatic injuries that involve several bone fractures. A fracture of what type of bone may interfere with the protection of the client's vital organs?

Correct Answer is B

Explanation

A client requires a full-thickness graft to cover a chronic wound. How is the donor site selected?

Correct Answer is C

Explanation

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The critical care nurse is giving end-of-shift report on a client. The nurse uses the Glasgow Coma Scale (GCS) to assess the level of consciousness (LOC) of a female client and reports to the oncoming nurse that the client has an LOC of 6. What does an LOC score of 6 in a client indicate?

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The critical care nurse is giving end-of-shift report on a client.
The nurse uses the Glasgow Coma Scale (GCS) to assess the level of consciousness (LOC) of a female client and reports to the oncoming nurse that the client has an LOC of 6. What does an LOC score of 6 in a client indicate?