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Questions 149

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Question 1 of 5

A med-surg nurse is floating to the post-op floor for a few days. The float nurse sees one of the regular post-op nurses taking medication from the med cart and ingesting several pills. The float nurse should immediately

Correct Answer: B

Rationale: Reporting to the nursing supervisor ensures prompt investigation and intervention for suspected medication diversion, maintaining patient safety.

Question 2 of 5

A mother tells the nurse that her daughter has become quite a collector, filling her room with Beanie babies, dolls, and stuffed animals. The nurse recognizes that the child is developing:

Correct Answer: C

Rationale: Collecting items reflects concrete operational thinking, where children (ages 7-11) organize and categorize objects systematically, per Piaget's stages.

Question 3 of 5

A client with AIDS has a viral load of 200 copies per ml. The nurse should interpret this finding as:

Correct Answer: C

Rationale: A viral load of 200 copies/ml is low, indicating effective treatment and minimal circulating virus.

Question 4 of 5

A woman has undergone a mastectomy of her right breast and has been brought to the recovery unit. The nurse explains that the client should

Correct Answer: A

Rationale: Elevating the arm on a pillow reduces lymphedema risk post-mastectomy by promoting lymphatic drainage.

Question 5 of 5

A home health nurse is making preparations for morning visits. Which one of the following clients should the nurse visit first?

Correct Answer: B

Rationale: Nighttime dyspnea suggests acute heart failure exacerbation, requiring priority.

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