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Question 1 of 5

A 12-month-old is found to have a moderately elevated blood lead level. Which of the following is the most serious concern for this child?

Correct Answer: C

Rationale: Elevated lead levels primarily cause neurocognitive impairment in children, affecting brain development and leading to learning and behavioral issues. Gastrointestinal bleeding, growth retardation, and liver injury are less common or less severe consequences.

Question 2 of 5

A 15-year-old client with iron deficiency anemia and a ruptured ectopic pregnancy needs a blood transfusion prior to surgery. The client's mother is a Jehovah's Witness and refuses to sign the blood permit. Which nursing action is most appropriate?

Correct Answer: D

Rationale: The nurse must respect the mother's refusal due to religious beliefs and notify the physician to discuss alternatives or legal options, such as court intervention for a minor in a life-threatening situation. Giving blood without permission is unethical and illegal. Coaxing may be coercive, and a 15-year-old typically cannot provide legal consent.

Question 3 of 5

All of the following are common reasons that nurses are reluctant to delegate except:

Correct Answer: C

Rationale: Confidence in subordinates encourages delegation, while lack of confidence, desire for control, or perfectionism are common barriers to delegating tasks. Coordinated Care

Question 4 of 5

A 6-month old has been hospitalized for the treatment of acute diarrhea. Discharge diet includes the use of Isomil instead of Similac formula until the next clinic appointment. Which of the following statements explains the change in infant formula?

Correct Answer: D

Rationale: Isomil is a soy-based formula, used temporarily after diarrheal illness because infants may develop transient lactose intolerance due to mucosal damage. Permanent lactose intolerance is rare, and Isomil is not an oral rehydration formula.

Question 5 of 5

An elderly female is admitted with a fractured right femoral neck. Which assessment finding is expected?

Correct Answer: D

Rationale: The symptoms of this fracture include shortened, adducted, and external rotation. Answer A is incorrect because the patient usually is unable to move the leg due to pain. Answer B is incorrect because the symptom is adduction, not abduction. Answer C is wrong because it's external rotation, not internal rotation.

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