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Questions 149

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Extract:


Question 1 of 5

During her yearly exam, a woman's blood pressure is recorded as 146/90. She tells the nurse that her mother and grandmother had hypertension, so it likely runs in her family. Which of the following is the nurse's best response?

Correct Answer: D

Rationale: A BP of 146/90 indicates stage 1 hypertension (systolic 130-139 or diastolic 80-89). Lifestyle changes and possible medication are recommended, especially with a family history.

Question 2 of 5

The nurse is caring for the client following a cerebral vascular accident. Which portion of the brain is responsible for taste, smell, and hearing?

Correct Answer: C

Rationale: The temporal lobe processes taste, smell, and hearing, critical sensory functions.

Question 3 of 5

A 28-year-old woman with Guillain-Barre syndrome has been intubated and is on mechanical ventilation due to ascending paralysis. She has become increasingly worried and upset as the day has gone on. What would be the best response by the nurse to help the woman cope?

Correct Answer: D

Rationale: Acknowledging the client’s worry, offering support, and encouraging family presence promote emotional coping and reduce isolation. Other responses dismiss the client’s feelings or limit support.

Question 4 of 5

Which of the following statements is true regarding language development of young children?

Correct Answer: A

Rationale: Infants can distinguish speech sounds from other noises early on, a critical step in language development, unlike the other options, which are incorrect.

Question 5 of 5

Which information obtained from the mother of a child with cerebral palsy correlates to the diagnosis?

Correct Answer: B

Rationale: Meningitis in infancy can cause neurological damage, correlating with cerebral palsy.

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