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Questions 164

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Extract:


Question 1 of 5

A housekeeping employee tells the staff nurse of having a headache and asks for acetaminophen. How should the nurse respond?

Correct Answer: D

Rationale: Nurses cannot dispense medications without a prescription (A,
B). Checking blood pressure (
C) is irrelevant. Referring to a provider (
D) ensures proper evaluation and treatment.

Question 2 of 5

The nurse has attended a staff education program about obtaining blood specimens from newborns via heel stick. Which of the following statements by the nurse would require follow-up?

Correct Answer: B

Rationale: The center of the heel (
B) should be avoided to prevent bone injury; lateral or medial aspects are used. Sucking (
A), wiping the first drop (
C), and warming (
D) are correct.

Question 3 of 5

The nurse is preparing to administer IV furosemide to a client with chronic kidney disease. The nurse should administer the medication slowly to prevent

Correct Answer: B

Rationale: Rapid IV furosemide can cause ototoxicity (
B) in CKD patients due to drug accumulation. Oliguria (
A) is already present, and furosemide does not typically cause bradycardia (
C) or hypertension (
D).

Question 4 of 5

The nurse recognizes that it is acceptable for which pair of clients to be assigned to share a semi-private room?

Correct Answer: D

Rationale: Clients with gastroenteritis and chemotherapy-induced diarrhea (
D) have similar non-airborne conditions, making them suitable roommates. Pneumonia (
B) and fever of unknown origin (
C) pose infection risks. Anemia and anorexia (
A) are unrelated but not optimal.

Question 5 of 5

A 31-year-old client is admitted to the psychiatric unit after cutting both wrists with a kitchen knife. The client has a diagnosis of borderline personality disorder. The most therapeutic approach by the nurse is one that is:

Correct Answer: C

Rationale: A firm and consistent approach provides structure and boundaries, which are therapeutic for clients with borderline personality disorder who often test limits.

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