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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

Which statement is incorrect regarding the Federal Nursing Home Reform Act from the Omnibus Budget Reconciliation Act of 1987 (OBRA '87)?

Correct Answer: D

Rationale: OBRA '87 does not include the right to organize hospital personnel into a union. Other rights are part of the act.

Question 3 of 5

The nurse is teaching the mother of a child with cystic fibrosis how to do chest percussion. The nurse should tell the mother to:

Correct Answer: D

Rationale: Cupped hands during chest percussion create a vibration that helps loosen mucus in cystic fibrosis without causing injury.

Question 4 of 5

The nurse must administer in one syringe a combined dose of two different insulins from two vials. Place the steps (Roman numerals) in the correct order.

Order the Items

Source Container

Cleanse tops of vials.
Inject air into vial 1.
Withdraw medication from vial 1.
Change needles.
Withdraw medication from vial 2.
Inject air into vial 2.

Correct Answer: A,B,F,C,E

Rationale: The correct order is: Cleanse vials (I), inject air into vial 1 (II), inject air into vial 2 (VI), withdraw from vial 1 (III), withdraw from vial 2 (V). Changing needles (IV) is not standard.

Question 5 of 5

Prochlorperazine maleate (Compazine) 10 mg IM has been ordered for a client. The client is also to receive Stadol 2 mg IM. Before administering these medications, the nurse should

Correct Answer: C

Rationale: Compazine should be considered incompatible in a syringe with all other medications

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