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Question 1 of 5

A client has returned from having a bronchoscopy. Before offering the client sips of water, the nurse should assess the client's:

Correct Answer: C

Rationale: Assessing the gag reflex ensures the client can swallow safely post-bronchoscopy due to local anesthesia.

Question 2 of 5

A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:

Correct Answer: B

Rationale: Swaddling helps reduce irritability and overstimulation in newborns with narcotic abstinence syndrome.

Question 3 of 5

Which client should be assigned to the nursing assistant?

Correct Answer: C

Rationale: The elderly client with a thyroidectomy 4 days ago is stable and suitable for routine care by a nursing assistant.

Question 4 of 5

A woman comes to a community health clinic and expresses concern she may have been exposed to HIV. The community nurse draws blood for an ELISA test, which comes back as positive. The nurse should

Correct Answer: B

Rationale: A positive ELISA requires confirmation with a Western blot test to diagnose HIV, ensuring accuracy and reducing false positives.

Question 5 of 5

A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

Correct Answer: C

Rationale: A goiter associated with hyperthyroidism may cause exophthalmos (bulging eyes) due to increased thyroid hormone levels.

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