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Questions 149

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Question 1 of 5

An elderly client is returned to her room after an open reduction and internal fixation of the left femoral head after a fracture. It is MOST important for the nursing care plan to include that the client

Correct Answer: D

Rationale: prevents respiratory complications due to immobility following surgery

Question 2 of 5

A 70-year-old male who is recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggestive of unilateral neglect?

Correct Answer: A

Rationale: Unilateral neglect involves ignoring one side, such as shaving only one side of the face.

Question 3 of 5

Cardiac muscles follow a certain order of electrical conduction in order for the heart to contract. What is the correct sequence of electrical impulse?

Order the Items

Source Container

bundle of His
atrioventricular node
bundle branches
sinoatrial node
Purkinje fibers

Correct Answer: D,B,A,C,E

Rationale: Cardiac conduction: sinoatrial node (
D), atrioventricular node (
B), bundle of His (
A), bundle branches (
C), Purkinje fibers (E).

Question 4 of 5

The nurse has just received the shift report and is preparing to make rounds. Which client should be seen first?

Correct Answer: C

Rationale: The client with shortness of breath is at highest risk for respiratory distress and requires immediate assessment.

Question 5 of 5

The nurse is caring for a client with a retained placenta following a noneventful vaginal birth of a full-term infant. The nurse understands which of the following is true regarding a retained placenta?

Correct Answer: C

Rationale: Removing retained placental fragments reduces infection and hemorrhage risks. Imaging is not typically used, nitroglycerin is rare, and the uterus may feel boggy, not firm.

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