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Extract:


Question 1 of 5

A 74 year-old male is admitted due to inability to void. He has a history of an enlarged prostate and has not voided in 14 hours. When assessing for bladder distension, the best method for the nurse to use is to assess for

Correct Answer: C

Rationale: Rounded swelling above the pubis. Swelling above the pubis is representative of a distended bladder in the male client.

Extract:

A 45-year-old patient is overweight and would like to start a jogging program.


Question 2 of 5

When the nurse was informed, the most appropriate advised would be:

Correct Answer: C

Rationale: A physical examination ensures safety before starting an exercise program, especially for an overweight patient.

Extract:

Which of the following activities will be appropriate on the patient who was 7 - days post above-the-knee amputation?


Question 3 of 5

Muscle exercises

Correct Answer: A

Rationale: Muscle exercises promote strength and circulation, aiding recovery post-amputation.

Extract:

Ms. Wilson is a 45-year-old female presents to the clinic with unexplained weight loss, anxiety, heat intolerance and palpitations. Exams reveal mild systolic hypertension, exophthalmos, lid lag, non-pitting leg edema, and a diffusely enlarged painless thyroid gland. Lab results showed depressed TSH and borderline T3 and T4. Hyperthyroidism was confirmed.


Question 4 of 5

As a result of low levels of T3 and T4, the nurse should expect Ms. Wilson to exhibit:

Correct Answer: C

Rationale: Decreased production of thyroid hormones lowers metabolism, which leads to intolerance to cold. However, the question seems to misalign with the hyperthyroidism diagnosis; in hyperthyroidism, T3 and T4 are elevated, but the answer choices suggest hypothyroidism. Given the options, cold intolerance is the correct choice for low T3/T4.

Extract:


Question 5 of 5

The nurse is caring for clients on the neurology unit. What would be the MOST appropriate action for the nurse to take after noting that a client suddenly developed a fixed and dilated pupil?

Correct Answer: D

Rationale: A fixed and dilated pupil is a neurological emergency, often indicating increased intracranial pressure (ICP) or brain herniation. Immediate physician notification is critical for timely intervention. Reassessing in five minutes delays care, checking visual acuity is irrelevant, and lowering the bed could worsen ICP.

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