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Questions 149

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Question 1 of 5

A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

Correct Answer: D

Rationale: Contractions 5 minutes apart indicate the onset of active labor, prompting further evaluation.

Question 2 of 5

Twenty micrograms (g) are equal to how many milligrams? Record your answer using a decimal number.

Correct Answer: 0.02

Rationale: 1 mg = 1,000 g, so 20 /1,000 = 0.02 mg.

Question 3 of 5

An RN delegates patient assignments to an LPN and nursing assistant. Later, the RN overhears a nursing assistant arguing with a patient regarding a late breakfast tray. The nursing assistant begins to raise his voice as the disagreement continues. The best action from the RN is

Correct Answer: A

Rationale: Addressing the nursing assistant privately de-escalates the situation, provides coaching, and maintains professionalism without immediate escalation.

Question 4 of 5

Which instruction should be given to the client who is fitted for a behind-the-ear hearing aid?

Correct Answer: A

Rationale: Regular cleaning of the hearing aid mold prevents wax buildup and ensures proper function.

Question 5 of 5

The nurse is caring for a client who is postoperative day 2 following a cholecystectomy. The client reports nausea and has not had a bowel movement since surgery. Which of the following actions should the nurse take FIRST?

Correct Answer: D

Rationale: assessment of bowel sounds is the first step to determine if there is a postoperative ileus or other complication

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