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Question 1 of 5

An 18-year-old girl is admitted to the hospital with a depressed skull fracture as a result of a car accident. If the nurse were to observe a rising pulse rate and lowering blood pressure, the nurse would suspect that the client:

Correct Answer: B

Rationale: Rising pulse rate and lowering blood pressure are indicative of hypovolemia, which is consistent with an internal injury causing blood loss.

Question 2 of 5

The nurse is caring for a client with a diagnosis of gestational diabetes. Which laboratory test is most appropriate to monitor?

Correct Answer: C

Rationale: Hemoglobin A1c reflects long-term glucose control and fasting blood glucose monitors daily management in gestational diabetes. Both tests are appropriate to ensure optimal maternal and fetal outcomes.

Question 3 of 5

The nurse is caring for a client who is recovering from a fractured femur. Which diet selection would be best for this client?

Correct Answer: D

Rationale: A diet for fracture recovery needs protein, calcium, and vitamin C. Mandarin orange salad (vitamin
C), broiled chicken (protein), and milk (calcium) (
D) are optimal. Other options are less nutrient-dense.

Question 4 of 5

The physician has ordered aerosol treatments, chest percussion, and postural drainage for a client with cystic fibrosis. The nurse recognizes that the combination of therapies is to:

Correct Answer: C

Rationale: These therapies aim to dilate airways (aerosols), mobilize mucus (percussion), and clear secretions (postural drainage) to improve breathing in cystic fibrosis.

Question 5 of 5

The nurse is caring for a client with a diagnosis of gestational diabetes. Which symptom is most likely to be present?

Correct Answer: C

Rationale: Gestational diabetes causes maternal polyuria (from hyperglycemia) and fetal macrosomia (from fetal hyperinsulinemia). Both are common symptoms affecting mother and fetus.

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