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Questions 148

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Question 1 of 5

A client admitted to the psychiatric unit claims to be the Pope and insists that he will not be kept away from his subjects. The most likely explanation for the client's delusion is:

Correct Answer: C

Rationale: Delusions of grandeur, such as claiming to be the Pope, often stem from low self-esteem, compensating with an inflated sense of identity.

Question 2 of 5

The nurse is precepting a student nurse in the ICU. Which statement regarding student nurses is correct? Select all that apply.

Correct Answer: B,D,E

Rationale: Student nurses can assist with tasks like repositioning (
B), provide care under supervision (
D), and discuss cases in educational settings without identifiers (E). They cannot administer medications independently (
A) or determine interventions (
C).

Question 3 of 5

A 5-year-old child is hospitalized for correction of congenital hip dysplasia. During the assessment of the child, the nurse can expect to find the presence of:

Correct Answer: D

Rationale: Trendelenburg sign is associated with congenital hip dysplasia, where the pelvis tilts downward on the unaffected side when the child stands on the affected leg, indicating hip instability.

Question 4 of 5

Lidocaine is a medication frequently ordered for the client experiencing:

Correct Answer: B

Rationale: Lidocaine is used to treat ventricular tachycardia by stabilizing cardiac membranes.

Question 5 of 5

The nurse is assessing a client with suspected myasthenia gravis. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: ptosis and diplopia are common signs of myasthenia gravis due to muscle weakness in the eyes

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