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Extract:


Question 1 of 5

A nurse is caring for a pregnant patient in her third trimester. Which of the following findings should be reported immediately?

Correct Answer: C

Rationale: Severe headache and visual disturbances suggest preeclampsia, a medical emergency. Mild edema, heartburn, and frequent urination are normal in late pregnancy.

Question 2 of 5

The nurse is admitting a 3-year-old child who is thought to have meningococcal meningitis. What type of room assignment is most appropriate?

Correct Answer: C

Rationale: Meningococcal meningitis is highly contagious, requiring droplet isolation in an isolation room to prevent spread, unlike private or semi-private rooms.

Question 3 of 5

Which of the following terms refers to soft-tissue injury caused by blunt force?

Correct Answer: A

Rationale: A contusion is a soft-tissue injury from blunt force, causing swelling and discoloration without breaking the skin. Strains and sprains involve ligaments or muscles, and dislocation affects joints. Physiological Adaptation

Question 4 of 5

Following a small-bowel resection, a client develops fever and anemia. The surface surrounding the surgical wound is warm to the touch and necrotizing fasciitis is suspected. Another manifestation that would most suggest necrotizing fasciitis is:

Correct Answer: C

Rationale: Severe pressurelike pain out of proportion to visible signs distinguishes necrotizing fasciitis from cellulitis. Erythema, leukocytosis, and swelling are present in both cellulitis and necrotizing fasciitis.

Extract:

Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia.


Question 5 of 5

Which of the following nursing interventions would be contraindicated to the patient with Leukemia?

Correct Answer: A

Rationale: Rectal temperatures risk rectal injury and infection in neutropenic patients.

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