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Questions 149

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Question 1 of 5

A 16-year-old girl presents with peptic ulcers, constipation, low self-esteem, irregular menstrual cycle, and dental erosion. Her weight has fluctuated between 96 and 128 pounds over the past year. The nurse suspects the girl is suffering from

Correct Answer: B

Rationale: Bulimia nervosa is characterized by binge-purge cycles, leading to dental erosion, peptic ulcers, irregular menses, and weight fluctuations.

Question 2 of 5

After a cardiac catheterization procedure, the nurse should ask the client to remain in which position?

Correct Answer: C

Rationale: The supine position with a small pillow under the head promotes comfort and prevents bleeding from the catheter insertion site (usually femoral) after cardiac catheterization.

Question 3 of 5

A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with an acute exacerbation. The nurse notes that the client has a respiratory rate of 28 breaths per minute, is using accessory muscles, and has oxygen saturation of 88% on 2 L/min of oxygen via nasal cannula. Which of the following actions should the nurse take FIRST?

Correct Answer: C

Rationale: positioning in high Fowler’s facilitates breathing and improves oxygenation immediately; other actions may follow based on further assessment

Question 4 of 5

The nurse is working on a neurological unit. If the following events occur simultaneously, which would receive RN priority?

Correct Answer: A

Rationale: Sudden weakness in a client with a cerebral aneurysm suggests possible rupture or neurological deterioration, a life-threatening emergency requiring immediate attention.

Question 5 of 5

A client is admitted with a diagnosis of myxedema. An initial assessment of the client would reveal the symptoms of:

Correct Answer: B

Rationale: Myxedema (severe hypothyroidism) presents with weight gain, lethargy, slowed speech, and decreased respiratory rate due to metabolic slowing.

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