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Questions 164

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Extract:


Question 1 of 5

A woman comes into the labor suite stating that her water has broken and she is in labor. Which symptoms point to the possible presence of placenta previa?

Correct Answer: C

Rationale: Placenta previa typically presents with bright red, painless vaginal bleeding due to the placenta covering the cervix, distinguishing it from abruptio placentae or other conditions.

Extract:

Laboratory reference ranges
Hematocrit
Male: 42%-52%
(0.42-0.52)

Female: 37%-47%
(0.37-0.47)
Hemoglobin
Male: 14-18 g/dL
(140-180 g/L)

Female: 12-16 g/dL
(120-160 g/L)


Question 2 of 5

The nurse is reviewing the chart of a client who has a traumatic below-the-knee amputation. Which client should the nurse see first?

Correct Answer: A

Rationale: Stinging and inability to move toes in a new cast suggest compartment syndrome, a surgical emergency. Phantom limb pain and normal hematocrit/enoxaparin are less urgent.

Extract:


Question 3 of 5

What information would be most important for the nurse to obtain from a client with suspected bladder cancer who reports blood in the urine but no associated pain?

Correct Answer: C

Rationale:
Tobacco use is the strongest risk factor for bladder cancer, strongly linked to painless hematuria. Chemical exposure is relevant but less common, family history is weak, and diet is not a primary factor.

Extract:

Medication administration record
Allergies: None
Medications Time
Haloperidol: 5 mg PO, twice a day 0900, 2100
Hydrochlorothiazide: 25 mg PO, daily 0900
Omeprazole: 20 mg PO, daily 0900
Acetaminophen: 650 mg PO, PRN Every 6 hours


Question 4 of 5

The nurse on the inpatient psychiatric unit is preparing to administer 9 AM medications to a client. On assessment, the client is exhibiting signs of neuroleptic malignant syndrome. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Neuroleptic malignant syndrome is a life-threatening reaction to antipsychotics like haloperidol, requiring immediate cessation and provider notification. Acetaminophen, continuing medications, or holding hydroxyzine do not address the emergency.

Extract:


Question 5 of 5

What is the primary goal of family education?

Correct Answer: B

Rationale: Improving quality of life is the primary goal of family education.

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