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Extract:


Question 1 of 5

A nurse is caring for a patient with a new colostomy. Which of the following statements indicates the patient needs further teaching?

Correct Answer: B

Rationale: Saying 'I can eat whatever I want' indicates a misunderstanding, as dietary restrictions (e.g., avoiding gas-forming foods) are needed to manage colostomy output. Other statements reflect correct care.

Extract:

Arteriosclerosis:


Question 2 of 5

Arteriosclerosis:

Correct Answer: A

Rationale: Arteriosclerosis involves hardening of arteries due to calcium plaques and loss of elasticity.

Extract:


Question 3 of 5

The parents of a 7 year-old tell the nurse their child has started to 'tattle' on siblings. In interpreting this new behavior, how should the nurse explain the child's actions to the parents?

Correct Answer: A

Rationale: The ethical sense and feelings of justice are developing. At age 7, children develop a sense of justice and fairness.

Question 4 of 5

The nurse has taken the vital signs of a 95-year-old client: oral temperature = 98.6°F; pulse = 84 with a regular irregularity; respirations = 18; blood pressure = 140/86. Which nursing assessment(s) should be done first to obtain more data?

Correct Answer: A

Rationale: A regular irregularity in pulse suggests an arrhythmia, requiring an apical pulse for one minute to confirm and assess severity.

Extract:

A 20-year-old female attending college is found unconscious in her dorm room. She has a fever and a noticeable rash.


Question 5 of 5

Which of the following tests is most likely to be performed first?

Correct Answer: C

Rationale: Fever and rash with unconsciousness suggest infection, making blood cultures the priority to identify the cause.

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