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Extract:


Question 1 of 5

A nurse's aide who had a tuberculosis test planted two days ago has a reddened area 15-mm in diameter. The aide asks the nurse what this means. The nurse understands that the test result is:

Correct Answer: D

Rationale: Redness alone without induration is not significant; a positive TB test requires a raised area ≥10 mm, indicating this is negative.

Extract:

Thrombosis in DIC is most likely to affect:


Question 2 of 5

Thrombosis in DIC is most likely to affect:

Correct Answer: D

Rationale: DIC causes microthrombi in small vessels like cutaneous capillaries.

Extract:


Question 3 of 5

A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of:

Correct Answer: C

Rationale: Irregular menses in a middle-aged woman suggests perimenopause, a transitional phase with hormonal changes lasting about five years. Menopause is the permanent cessation of menses, and postmenopause follows it. Health Promotion and Maintenance

Question 4 of 5

A client complains of pain and itching from herpes zoster. Which of the following provides temporary relief?

Correct Answer: B

Rationale: Blowing cool air can soothe the pain and itching of herpes zoster by reducing skin irritation without exacerbating the condition.

Question 5 of 5

When using restraints for an agitated/aggressive patient, which of the following statements should NOT influence the nurse's actions during this intervention?

Correct Answer: C

Rationale: The need for restraints is based on the patient’s behavior and safety risk, not their voluntary/involuntary status. Institutional policies (
A), competence (B, requiring guardian consent if incompetent), and the care plan (D, ensuring least restrictive measures) all guide restraint use.

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