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Question 1 of 5

A client suspected of having Alzheimer's disease is evaluated using the Mini-Mental State Examination. At the beginning of the evaluation, the examiner names three objects. Later in the evaluation, he asks the client to name the same three objects. The examiner is testing the client's:

Correct Answer: C

Rationale: Recalling three objects tests short-term memory (recall), a key component assessed in the Mini-Mental State Examination for Alzheimer's.

Question 2 of 5

Following eruption of the primary teeth, the mother can promote chewing by giving the toddler:

Correct Answer: C

Rationale: Cereal pieces are soft, safe, and promote chewing without the choking risk posed by hot dogs, carrots, or sticky raisins in toddlers.

Question 3 of 5

An 80-year-old man with a decubitus ulcer has just been admitted to the floor. Upon assessment of the wound, the nurse notes that an area of skin under the wound extends and creates another opening in the skin 4 centimeters away. She would chart this as

Correct Answer: A

Rationale: Tunneling is a narrow channel extending from a wound, creating another skin opening, as described. Undermining involves a wider area under intact skin, dehiscence is wound separation, and evisceration is organ protrusion.

Question 4 of 5

In order to ensure adequate protein intake during pregnancy, how many additional grams of protein should the woman ingest daily during the second half of the pregnancy? Report your answer using a whole number.

Correct Answer: 25

Rationale: Pregnant women need an additional 25 grams of protein daily in the second half of pregnancy to support fetal growth and maternal health.

Question 5 of 5

A client has immune thrombocytopenic purpura. The client's platelet count is 19,000. Which initial treatment does the nurse expect?

Correct Answer: B

Rationale: For ITP with a platelet count of 19,000, immunosuppressive therapy (
B), like corticosteroids, is typically initial to increase platelet production. Splenectomy (
A) is later, observation (
C) is risky, and platelets (
D) are less effective.

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