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Question 1 of 5

A client was admitted with a diagnosis of pneumonia. When auscultating the client's breath sounds, the nurse hears inspiratory crackles in the right base. Temperature is 102.3 degrees Fahrenheit orally. What other finding would the nurse expect?

Correct Answer: C

Rationale: Mental confusion. Crackles suggest pneumonia, which is likely to be accompanied by mental confusion related to hypoxia.

Question 2 of 5

A 9-year old is admitted with suspected rheumatic fever. Which finding is suggestive of Sydenham's chorea?

Correct Answer: A

Rationale: Sydenham's chorea, a manifestation—of rheumatic fever, causes irregular movements and facial grimacing. Other options describe rheumatoid arthritis or other conditions.

Question 3 of 5

The nurse is caring for a man who has radiation pellets in his mouth for mouth cancer. The nurse discovers one of the pellets in the sheets. What should the nurse do initially?

Correct Answer: B

Rationale: Using forceps to place the pellet in a lead-lined container minimizes radiation exposure safely. Checking the mouth, client handling, or calling first delays containment.

Question 4 of 5

The major electrolytes in the extracellular fluid are:

Correct Answer: C

Rationale: Sodium and chloride are the major electrolytes in the extracellular fluid, maintaining fluid balance and nerve function. The other options include electrolytes more prevalent in intracellular fluid or less dominant in extracellular fluid. Physiological Adaptation

Question 5 of 5

The client with a cataract has decreased vision due to:

Correct Answer: C

Rationale: Cataracts result from crystalline protein deposits on the lens, causing opacity and vision loss. Other options affect different eye structures.

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