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Questions 149

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Question 1 of 5

An RN delegates patient assignments to an LPN and nursing assistant. Later, the RN overhears a nursing assistant arguing with a patient regarding a late breakfast tray. The nursing assistant begins to raise his voice as the disagreement continues. The best action from the RN is

Correct Answer: A

Rationale: Addressing the nursing assistant privately de-escalates the situation, provides coaching, and maintains professionalism without immediate escalation.

Question 2 of 5

The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client's platelet count currently is 80,000. It will be most important to teach the client and family about:

Correct Answer: A

Rationale: With a platelet count of 80,000, the client is at risk for bleeding, so teaching bleeding precautions is critical to prevent complications.

Question 3 of 5

Which instruction should be given to the client who is fitted for a behind-the-ear hearing aid?

Correct Answer: A

Rationale: Regular cleaning of the hearing aid mold prevents wax buildup and ensures proper function.

Question 4 of 5

The nurse is working with an unlicensed assistive personnel (UAP). In planning the morning's care, which tasks can the nurse delegate to the UAP? Select all that apply.

Correct Answer: A, C

Rationale: Feeding and assisting a stable client to the commode are within the UAP’s scope, while starting an IV, checking an apical pulse, and ambulating a post-surgical client require nursing judgment.

Question 5 of 5

Which type of leukemia is more common in older adults?

Correct Answer: C

Rationale: Chronic lymphocytic leukemia (CLL) is most common in older adults, typically diagnosed in those over 60, due to its indolent nature and prevalence in this age group.

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