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Questions 148

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Question 1 of 5

A 14-year-old client has been diagnosed with celiac disease after a long history of diarrhea, anemia, and weight loss. What type of diet does the nurse anticipate the client will require?

Correct Answer: D

Rationale: Celiac disease requires a gluten-free diet (
D) to prevent intestinal damage. Other diets (A, B,
C) are not specific to celiac.

Question 2 of 5

The nurse is teaching a client with a new diagnosis of heart failure about sodium restriction. Which of the following foods should the client avoid?

Correct Answer: B

Rationale: canned soups are high in sodium, which should be limited in heart failure to prevent fluid retention

Question 3 of 5

A client has a rate-responsive permanent pacemaker in his upper chest. The nurse understands rate-responsive to mean which of the following?

Correct Answer: D

Rationale: A rate-responsive pacemaker increases the pacing rate when sensors detect increased activity (
D), mimicking normal heart rate response. Other options (A, B,
C) describe different pacemaker functions.

Question 4 of 5

A camp nurse is applying sunscreen to a group of children enrolled in swim classes. Chemical sunscreens are most effective when applied:

Correct Answer: D

Rationale: Chemical sunscreens require 30 minutes to absorb into the skin and provide effective UV protection.

Question 5 of 5

Prior to drawing blood for blood gas analysis, the nurse conducts the modified Allen test to ensure there is adequate collateral circulation. The nurse asks the client to extend the wrist over a rolled towel and make a fist. Place the following steps (Roman numerals) in order from first to last.

Order the Items

Source Container

Ask the client to open and close the hand until the skin blanches.
Palpate the ulnar and radial pulses and apply pressure to both arteries.
Observe the hand for color.
Release the ulnar artery while maintaining pressure on the radial artery.

Correct Answer: A,B,D,C

Rationale: Modified Allen test sequence: Blanch hand (I), compress arteries (II), release ulnar artery (IV), observe color return (III) to confirm collateral circulation.

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