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Questions 149

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Question 1 of 5

All of the following are parts of the middle ear EXCEPT the

Correct Answer: A

Rationale: The middle ear includes the incus, stapes, and malleus (ossicles). The pinna is part of the outer ear.

Question 2 of 5

The blood alcohol concentration of a client admitted following a motor vehicle accident is 460 mg/dL. The nurse should give priority to monitoring the client for:

Correct Answer: B

Rationale: A blood alcohol concentration of 460 mg/dL (0.46%) is life-threatening, with respiratory depression being the priority due to its potential to cause death.

Question 3 of 5

The nurse is assessing a client with a history of diabetes mellitus who is admitted with diabetic ketoacidosis (DKA). Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: fruity breath odor is a classic sign of DKA due to the presence of acetone

Question 4 of 5

An RN is working with an LPN to care for a group of clients. Which client would the RN most likely assign to the LPN?

Correct Answer: D

Rationale: The client requiring dressing changes is stable and within the LPN's scope of practice, whereas the other clients require advanced monitoring or interventions suitable for an RN.

Question 5 of 5

The nurse is assisting a client to adjust crutches to the proper measurement. With the client in standing position, where should the tips of the crutches be placed?

Correct Answer: B

Rationale: Crutch tips should be 4-6 inches to the side and 4-6 inches in front of the feet (
B) for stability and balance.

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