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Questions 148

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Question 1 of 5

A client is complaining of chest pain. Nursing assessment reveals a BP of 78/40, shortness of breath, and third-degree AV block on the heart monitor. What medication would the nurse prepare for initial administration?

Correct Answer: A

Rationale: Third-degree AV block with hypotension (BP 78/40) requires atropine to increase heart rate by blocking vagal activity, improving cardiac output.

Question 2 of 5

The nurse has just received the change of shift report. Which client should the nurse assess first?

Correct Answer: B

Rationale: A suspected subdural hematoma is a medical emergency due to potential brain compression, requiring immediate assessment to prevent deterioration.

Question 3 of 5

A client diagnosed with tuberculosis asks the nurse when he can return to work. The nurse should tell the client that:

Correct Answer: A

Rationale: Three negative sputum cultures indicate the client is no longer contagious, allowing safe return to work after tuberculosis treatment.

Question 4 of 5

The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

Correct Answer: A

Rationale: A tracheotomy set is kept at the bedside post-thyroidectomy due to the risk of airway obstruction from swelling or hematoma.

Question 5 of 5

A woman is receiving outpatient treatment at a mental health center. She starts crying and tells the nurse her husband has filed for divorce. The best response from the nurse is

Correct Answer: D

Rationale: An open-ended response like 'Tell me what happened' encourages the client to express feelings, fostering therapeutic communication.

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