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Question 1 of 5

An adult is admitted for a neurological workup and is scheduled for a spinal tap. When preparing the client for the procedure, the nurse should position the client in which position?

Correct Answer: B

Rationale: The lateral position with knees to chest maximizes spinal flexion, opening vertebral spaces for safe lumbar puncture needle insertion.

Question 2 of 5

The nurse is assessing the client's vital signs and notes that the client is breathing very noisily. The nurse describes this pattern of breathing as:

Correct Answer: D

Rationale: Stertorous breathing is loud, snoring-like, often due to airway obstruction. Hyperpnea is deep breathing, Cheyne-Stokes is cyclic, and orthopnea is positional dyspnea.

Question 3 of 5

An IV is infusing at 30 gtt/min. If the drop factor is 20 gtt/mL, what would this rate of flow equal in mL/h?

Correct Answer: D

Rationale: (30 gtt/min ÷ 20 gtt/mL) × 60 min/h = 90 mL/h. Other options are incorrect calculations.

Question 4 of 5

Which finding in a neonate suggests hypothermia?

Correct Answer: A

Rationale: Neonates who are hypothermic typically develop bradycardia. Hypoglycemia, not hyperglycemia, and metabolic acidosis, not metabolic alkalosis, are also seen in neonates with hypothermia. Neonates typically don't shiver.

Question 5 of 5

A client with ulcerative colitis is taking Azulfidine (Sulfasalazine). Which of the following instructions should be included in the nurse's teaching?

Correct Answer: C

Rationale: Azulfidine is a maintenance medication for ulcerative colitis, and clients should continue taking it even during remission to prevent flare-ups.

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