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Questions 149

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Question 1 of 5

A client with COPD is in respiratory failure. Which of the following results would be the most sensitive indicator that the client requires a mechanical ventilator?

Correct Answer: C

Rationale: A pH of 7.23 indicates severe respiratory acidosis due to CO2 retention, a sensitive indicator for mechanical ventilation need in COPD. PCO2 and HCO3 are less immediate, and SaO2 is not critical.

Question 2 of 5

A 52-year-old client is undergoing menopause. Which of the following physical sign or symptom is often attributed to decreased estrogen production associated with menopause?

Correct Answer: C

Rationale: Decreased estrogen in menopause often leads to increased fat deposits on hips and abdomen (
C). Weight loss (
A), excessive sleeping (
B), and increased metabolic rate (
D) are not typical.

Question 3 of 5

The nurse recognizes which of the following as a Category A biological agent that may be used in terroristic acts?

Correct Answer: B

Rationale: Smallpox is a Category A bioterrorism agent due to its high mortality and transmissibility. Others are Category B or C.

Question 4 of 5

Which client is at greatest risk for complications following abdominal surgery?

Correct Answer: A

Rationale: Obesity and diabetes increase the risk of surgical complications like infection and poor wound healing.

Question 5 of 5

Which of the following is a core measure set developed by the Joint Commission?

Correct Answer: D

Rationale: Heart failure is a Joint Commission core measure set, focusing on improving care quality for common conditions. The others are not core measures.

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