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Questions 149

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Extract:


Question 1 of 5

A young male client who has recently become a quadriplegic makes a sexually inappropriate comment to the nurse. Which of the following statements by the nurse would be most appropriate?

Correct Answer: A

Rationale: Addressing the inappropriate comment directly sets clear boundaries while maintaining professionalism.

Question 2 of 5

The nurse is caring for a 10-year-old client who states, 'I am really good at soccer because I practice every day.' According to Erikson's eight stages of development, which psychosocial crisis does this statement reflect?

Correct Answer: B

Rationale: A 10-year-old’s pride in skill development reflects industry vs. inferiority, typical of school-age children striving for competence.

Question 3 of 5

The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?

Correct Answer: B

Rationale: Disalignment is a hallmark sign of a hip fracture due to bone displacement.

Question 4 of 5

A child with a known peanut allergy is eating lunch at summer camp and develops an anaphylactic reaction from accidentally ingesting peanut butter-flavored cookies. The nurse's first intervention should be to

Correct Answer: C

Rationale: In an anaphylactic reaction, the priority is to stop further allergen exposure. Verifying the child has stopped eating and has no cookies in their mouth prevents additional allergen ingestion, which is critical before administering epinephrine or other interventions.

Question 5 of 5

The client is admitted with a BP of 210/100. Her doctor orders furosemide (Lasix) 40 mg IV stat. How should the nurse administer the prescribed furosemide to this client?

Correct Answer: A

Rationale: Furosemide IV is given slowly over 1-2 minutes to prevent ototoxicity and hypotension.

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