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Questions 148

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Question 1 of 5

All of the following are modifiable risk factors for coronary artery disease (CAD) EXCEPT

Correct Answer: D

Rationale: Family history is a non-modifiable risk factor for CAD. Stress, obesity, and smoking can be modified through lifestyle changes.

Question 2 of 5

A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is to:

Correct Answer: A

Rationale: Blood pressure monitoring is critical post-adrenalectomy, as the adrenal gland regulates blood pressure through hormone production, and surgery may cause instability.

Question 3 of 5

A nurse must teach a client how to do wound care and dressing changes prior to discharge. Which of the following are barriers to learning? Select all that apply.

Correct Answer: B,C,F

Rationale: Barriers to learning include fear (
B), which can hinder concentration; illiteracy (
C), which affects understanding written instructions; and hearing impairment (F), which impedes verbal communication. Age 55 (
A), weakness (
D), and asking questions (E) are not barriers.

Question 4 of 5

A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client's cervix is 5cm dilated with 75% effacement. Based on the nurse's assessment the client is in which phase of labor?

Correct Answer: A

Rationale: A cervix dilated to 5 cm with 75% effacement indicates the active phase of labor.

Question 5 of 5

The physician has ordered nitroglycerin buccal tablets for a client with stable angina. The nurse knows that nitroglycerin:

Correct Answer: B

Rationale: Nitroglycerin dilates coronary blood vessels, improving blood flow to the myocardium and relieving angina.

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