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Questions 149

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Question 1 of 5

A 52-year-old female had a hysterectomy 3 days ago and is recovering on the post-op floor. She is scheduled for an oral pain medication every 4 hours. She received her scheduled dose 1 hour ago but pushes the call light and complains of unrelenting and severe pain. The nurse should first

Correct Answer: D

Rationale: Severe, unrelenting pain post-hysterectomy suggests a complication (e.g., bleeding, infection). Notifying the physician for evaluation is the priority.

Question 2 of 5

The nurse is performing a neurological assessment on a client. She asks the client to smile, close both eyes, and frown. Which cranial nerve (CN) is the nurse testing?

Correct Answer: B

Rationale: Cranial nerve VII (facial) controls facial movements like smiling, frowning, and closing eyes.

Question 3 of 5

Heparin has been ordered for a client with pulmonary embolis. Which statement, if made by the graduate nurse, indicates a lack of understanding of the medication?

Correct Answer: D

Rationale: Aspirating during heparin injection is incorrect, as it increases the risk of hematoma formation in subcutaneous administration.

Question 4 of 5

The nurse is caring for a client receiving peritoneal dialysis. Which of the following assessment findings would require an intervention by the nurse?

Correct Answer: C

Rationale: indicates peritonitis, also will see nausea and vomiting, anorexia, abdominal pain, tenderness, rigidity

Question 5 of 5

The nurse is caring for an infant admitted from the delivery room. Which finding should be reported?

Correct Answer: D

Rationale: Absent femoral pulses suggest coarctation of the aorta, a critical condition.

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