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Questions 148

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Question 1 of 5

An elderly female is admitted with a fractured right femoral neck. Which clinical manifestation would the nurse expect to find?

Correct Answer: D

Rationale: A femoral neck fracture typically causes shortening of the affected leg due to muscle contraction pulling the bone fragments together, along with external rotation and limited movement.

Question 2 of 5

Following procurement of organs from a standard criteria donor (donor younger than 50 years who suffered brain death), within what time period should the heart and lungs be transplanted?

Correct Answer: A

Rationale: Heart and lungs have a short ischemic tolerance, requiring transplantation within 4-6 hours (
A) to ensure viability. Longer periods (B, C,
D) risk organ failure.

Question 3 of 5

The nurse recognizes all of the following as part of the Cushing reflex triad EXCEPT

Correct Answer: A

Rationale: Cushing reflex (response to increased intracranial pressure) includes hypertension, bradycardia, and irregular respirations. Cardiac arrhythmia is not part of the triad.

Question 4 of 5

The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

Correct Answer: A

Rationale: Applying the new tie before removing the old one ensures the tracheotomy tube remains secure, preventing accidental dislodgement.

Question 5 of 5

A client requires long-term use of corticosteroids. The nurse explains which of the following is associated with chronic corticosteroid therapy?

Correct Answer: D

Rationale: Chronic corticosteroid use causes osteoporosis due to bone density loss. Weight gain (not inability), not fever or hypotension, is more common.

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