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Questions 149

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Question 1 of 5

A nurse graduated from nursing school 3 years ago. He worked at one hospital on the telemetry unit for 6 months. He then transferred to the cardiac care unit (CCU) at a teaching hospital, and has been working there for 2.5 years. According to the novice-expert model of nursing, he is considered

Correct Answer: C

Rationale: Per Benner’s model, a nurse with 2-3 years of focused experience (2.5 years in CCU) is competent, demonstrating efficiency and coordinated care.

Question 2 of 5

The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?

Correct Answer: C

Rationale: This menu provides balanced nutrients, including protein, vitamins, and calcium, essential for pregnancy.

Question 3 of 5

The nurse should be particularly alert for which one of the following problems in a client with barbiturate overdose?

Correct Answer: C

Rationale: Barbiturate overdose primarily causes respiratory depression, leading to apnea, which is life-threatening and requires immediate intervention.

Question 4 of 5

The nurse is teaching a new breastfeeding mother about breast care, but the mother has engorgement and asks if she should quit breastfeeding. Which information should the nurse include? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Continue nursing (
A), massaging breasts (
B), using pain relievers (
D), and noting engorgement resolution in 24-48 hours (E) manage engorgement. Hot compresses (
C) may worsen swelling.

Question 5 of 5

A client with hyperkalemia is admitted to the telemetry unit. Which of the following would require notification of the health care provider? Select all that apply.

Correct Answer: A, B

Rationale: Spiked T waves and bradycardia (heart rate 53) are signs of severe hyperkalemia, requiring immediate provider notification. Normal heart rate, food refusal, and adequate urinary output (30 cc/hr) are not urgent.

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