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Questions 149

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Question 1 of 5

A 52-year-old female with mitral valve stenosis is admitted to the floor. She asks the nurse why she got this condition because it does not run in her family. The nurse explains most cases of mitral stenosis are due to a history of

Correct Answer: C

Rationale: Rheumatic fever is the primary cause of mitral valve stenosis, leading to valve scarring years later.

Question 2 of 5

The nurse is inserting an intravenous line into the right arm and has identified a potential insertion site. Place the steps (indicated in Roman numerals) of venipuncture in the proper sequential order.

Order the Items

Source Container

Palpate vein.
Cleanse skin
Apply tourniquet.
Perform venipuncture.

Correct Answer: C,A,B,D

Rationale: Venipuncture sequence: Apply tourniquet (III), palpate vein (I), cleanse skin (II), perform venipuncture (IV).

Question 3 of 5

The charge nurse is making assignments for the day shift. One of the nurses is 5 months pregnant. Which of the following clients is the most appropriate assignment for this expectant nurse?

Correct Answer: C

Rationale: Pneumonia is less likely to pose a risk to a pregnant nurse compared to shingles, measles (both vaccine-preventable and highly contagious), or C. difficile (requiring strict contact precautions).

Question 4 of 5

The nurse is preparing a client for discharge following the removal of a cataract. The nurse should tell the client to:

Correct Answer: B

Rationale: Avoiding bending over prevents increased intraocular pressure post-cataract surgery.

Question 5 of 5

Which activity is suitable for a client who suffered an uncomplicated myocardial infarction (MI) 2 days ago?

Correct Answer: A

Rationale: Sitting in a chair for short periods is appropriate 2 days post-MI to promote circulation and prevent complications, while ambulation is too strenuous.

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