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Question 1 of 5

A 14-year-old girl is brought to the emergency room because she is difficult to arouse. She is 5 feet, 8 inches tall and weighs 80 pounds. What additional findings would the nurse expect to be present?

Correct Answer: B

Rationale: Severe underweight (suggesting anorexia nervosa) often causes amenorrhea due to hormonal disruption. Tachycardia, wheezing, or acne are less specific.

Question 2 of 5

A 4-year-old client is unable to go to sleep at night in the hospital. Which nursing intervention best promotes sleep for the child?

Correct Answer: C

Rationale: Following familiar bedtime rituals helps preschoolers feel secure and promotes sleep. The other options may increase anxiety or overstimulation, hindering sleep. Basic Care and Comfort

Question 3 of 5

When teaching a client with coronary artery disease about nutrition, the nurse should emphasize

Correct Answer: C

Rationale: avoiding very heavy meals. Eating large, heavy meals can pull blood away from the heart for digestion, which is dangerous for the client with coronary artery disease.

Question 4 of 5

A nurse is caring for a patient with bipolar disorder who is experiencing a depressive episode. Which of the following interventions is most appropriate?

Correct Answer: C

Rationale: Allowing rest and sleep supports recovery during a depressive episode, as energy is low. Group activities or stimulation may overwhelm, and expression should be encouraged.

Question 5 of 5

A client is unconscious following a tonic-clonic seizure. What should the nurse do first?

Correct Answer: C

Rationale: Place the client in a side-lying position to maintain an open airway and prevent aspiration.

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