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Question 1 of 5

A 25 year-old client, unresponsive after a motor vehicle accident, is being transferred from the hospital to a long term care facility. To which staff member should the charge nurse assign the client?

Correct Answer: D

Rationale: The RN is responsible for teaching and assessment associated with discharge and these activities cannot be delegated to the others listed.

Question 2 of 5

A client with dumping syndrome should ___ while a client with GERD should ___

Correct Answer: B

Rationale: Lying down after eating slows gastric emptying, reducing dumping syndrome symptoms. Sitting up prevents acid reflux in GERD. The other combinations are incorrect for these conditions. Basic Care and Comfort

Question 3 of 5

The intent of the Patient Self Determination Act (PSDA) of 1990 is to:

Correct Answer: B

Rationale: The PSDA promotes advance decision-making for medical care, encouraging clients to plan before a crisis. It does not set a federal standard or focus solely on legal control or education. Coordinated Care

Question 4 of 5

A client's vision is to be evaluated using the Ishihara exam. The nurse recognizes that the client will be checked for:

Correct Answer: C

Rationale: The Ishihara exam tests for color blindness by assessing color perception. It does not evaluate macular degeneration, astigmatism, or glaucoma.

Question 5 of 5

Which of the following findings is most typical of a client with a fractured hip?

Correct Answer: A

Rationale: Pain in the hip and leg is the most typical symptom of a hip fracture. Diminished sensation, absent pulses, or disalignment may occur but are less common.

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