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Questions 164

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Question 1 of 5

A client is being admitted with a diagnosis of active shingles with a disseminated rash. Which room assignment is most appropriate for this client?

Correct Answer: B

Rationale: Disseminated shingles in immunocompromised clients requires contact and airborne precautions due to varicella-zoster virus transmission risk. A private room with negative airflow prevents spread. Droplet or standard precautions are insufficient, and positive airflow is inappropriate.

Question 2 of 5

A client with myxedema should be prescribed which diet?

Correct Answer: B

Rationale: Myxedema (hypothyroidism) slows metabolism, so a high-carbohydrate diet provides energy to support metabolic needs.

Question 3 of 5

The unit secretary notifies the nurse that 4 clients called the nurses' station reporting pain. Which client should the nurse assess first?

Correct Answer: A

Rationale: Shoulder pain radiating down the arm post-amputation suggests a possible cardiac event (e.g., angina), a life-threatening condition requiring immediate assessment. Other pains, while severe, are more likely related to known conditions.

Question 4 of 5

An elderly client has a 17-mm induration after a tuberculin skin test. Based on this result, which statement is most accurate?

Correct Answer: B

Rationale: A 17-mm induration in an elderly client indicates TB infection, as the threshold is ≥10 mm for high-risk groups. It doesn't confirm active disease, which requires further testing (e.g., chest X-ray). False positives are possible but not assumed based on age alone. Isolation isn't required without active disease.

Question 5 of 5

The nurse is observing a 3-year-old client for expected developmental milestones. It would require follow-up if the client cannot

Correct Answer: B

Rationale: Copying a square is expected by age 4-5, not 3, indicating a fine motor delay requiring follow-up. Catching a ball, eating with a spoon, and hopping are age-appropriate or slightly advanced for a 3-year-old.

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