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Questions 149

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Extract:


Question 1 of 5

A pregnant woman undergoes a 40-minute nonstress test for evaluation of the fetal heart rate (FHR) and accelerations. Which of the following test results is normal (reactive)?

Correct Answer: C

Rationale: A reactive nonstress test requires at least two accelerations of FHR by 15 bpm for 15 seconds within 20-40 minutes. No accelerations (
C) is considered normal (reactive) if other criteria are met, but typically, accelerations are expected. Options A, B, D do not meet standard reactive criteria.

Question 2 of 5

The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born. The best explanation of the weight loss is:

Correct Answer: D

Rationale: A weight loss of up to 10% in the first week is normal due to the passage of meconium and adjustment to feeding.

Question 3 of 5

The nurse is performing a physical assessment on a newly admitted client. The last step in the physical assessment is:

Correct Answer: D

Rationale: Palpation is the last step in a physical assessment, following inspection, auscultation, and percussion, to avoid altering findings with touch.

Question 4 of 5

The nurse is observing a student nurse administer an otic medication to an adult client. The nurse knows the student nurse requires additional teaching when which of the following actions is observed?

Correct Answer: A

Rationale: Otic medication requires a side-lying or sitting position, not prone, to ensure proper ear canal access and medication delivery.

Question 5 of 5

A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?

Correct Answer: A

Rationale: Pancreatic cancer often leads to malnutrition due to impaired digestion and absorption, making alteration in nutrition the primary concern.

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