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Question 1 of 5

A nurse who is evaluating a developmentally challenged 2 year-old should stress which goal when talking to the child's mother?

Correct Answer: C

Rationale: Promoting the child's optimal development. The primary goal is to promote the child's optimum development.

Question 2 of 5

An adult is admitted in severe hypovolemic shock following an auto accident. A transfusion is ordered. What type of blood is given when the client's blood type is not known?

Correct Answer: B

Rationale: O negative is the universal donor, safe for emergency transfusions when the blood type is unknown, minimizing reaction risk.

Question 3 of 5

The nurse is providing home care to an elderly woman who had a cerebrovascular accident several weeks ago. All of the following need to be done. Which should the nurse plan to do first?

Correct Answer: A

Rationale: Auscultating lung fields assesses respiratory status, a priority post-CVA to detect complications like pneumonia or atelectasis. Hygienic care, ambulation, and ROM are secondary.

Question 4 of 5

The charge nurse in a long-term care facility is making assignments. When assigning personnel to care for residents, which principle is important?

Correct Answer: B

Rationale: Consistency with caregivers reduces anxiety and improves trust for confused clients, enhancing care quality. Daily rotation, gender restrictions, or caregiver choice are less effective.

Question 5 of 5

The nurse answers a call light on a client not assigned to the nurse. The client, who was just admitted from the emergency department, requests a cup of coffee. What is the appropriate intervention?

Correct Answer: D

Rationale: Suggesting water (
D) is safe until dietary orders are confirmed. Coffee (A,
C) may be contraindicated, and waiting (
B) doesn't address the request.

Similar Questions

The nurse is talking with the parents of a 4-year-old client. The parents are concerned because the client was previously toilet trained but has started wetting the bed again while hospitalized. Which of the following responses would be most appropriate for the nurse to make?
The nurse is reinforcing skin care guidelines for a client who is receiving external radiation therapy. Which of the following statements by the client would indicate a correct understanding of the teaching?
A client receiving end-of-life care is no longer able to make decisions. The client's appointed medical power of attorney (MPOA) is considering placement of a percutaneous enterogastric feeding tube. The MPOA asks the nurse, 'What would you do if this was your family member?' How should the nurse respond?
The nurse caring for a terminally ill client asks if the client has an advance directive. The client states, 'I already have a power of attorney.' What is the best response by the nurse?
The nurse is caring for a newborn with patent ductus arteriosus. Which finding would be consistent with the condition?

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