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Questions 148

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Question 1 of 5

A neurological consult has been ordered for a pediatric client with suspected absence seizures. The client with absence seizures can be expected to have:

Correct Answer: D

Rationale: Absence seizures cause brief lapses in consciousness, often appearing as staring spells, without motor symptoms.

Question 2 of 5

The nurse is caring for a 27-year-old client in active labor. After reviewing the fetal heart tone strip shown, the nurse should take which action first?

Correct Answer: A

Rationale: Repositioning the client is the first step to improve fetal oxygenation if the fetal heart tone strip shows distress, as it is non-invasive and may resolve the issue.

Question 3 of 5

A client is admitted with a diagnosis of duodenal ulcer. A common complaint of the client with a duodenal ulcer is:

Correct Answer: A

Rationale: Duodenal ulcers typically cause epigastric pain that is relieved by eating due to buffering of gastric acid.

Question 4 of 5

Prior to drawing blood for blood gas analysis, the nurse conducts the modified Allen test to ensure there is adequate collateral circulation. The nurse asks the client to extend the wrist over a rolled towel and make a fist. Place the following steps (Roman numerals) in order from first to last.

Order the Items

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Ask the client to open and close the hand until the skin blanches.
Palpate the ulnar and radial pulses and apply pressure to both arteries.
Observe the hand for color.
Release the ulnar artery while maintaining pressure on the radial artery.

Correct Answer: A,B,D,C

Rationale: Modified Allen test sequence: Blanch hand (I), compress arteries (II), release ulnar artery (IV), observe color return (III) to confirm collateral circulation.

Question 5 of 5

The nurse is assessing a client with suspected meningitis. Which of the following findings would the nurse expect?

Correct Answer: A

Rationale: positive Kernig’s sign (pain and resistance on leg extension) is a classic finding in meningitis

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