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Questions 149

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Question 1 of 5

During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

Correct Answer: A

Rationale: Fetal heart tones loudest in the upper-right quadrant suggest a breech presentation, with the fetus's heart higher in the uterus.

Question 2 of 5

A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to:

Correct Answer: B

Rationale: A nasogastric tube decompresses the stomach, preventing nausea and aspiration post-laryngectomy.

Question 3 of 5

A diagnosis of multiple sclerosis is often delayed because of the varied symptoms experienced by those affected with the disease. Which symptom is most common in those with multiple sclerosis?

Correct Answer: B

Rationale: Double vision (diplopia) is a common early symptom of multiple sclerosis due to demyelination affecting cranial nerves, particularly the optic and oculomotor nerves.

Question 4 of 5

A 42-year-old female has thrombocytopenia with a platelet count of 75,000. The nurse should

Correct Answer: A

Rationale: Thrombocytopenia (platelets <150,000) increases bleeding risk. Monitoring for bleeding (e.g., bruising, petechiae) is the priority.

Question 5 of 5

A new graduate nurse has an argument with a coworker regarding how the medication cart should be organized. The nurse asks his coworker to step into the break room to discuss their disagreement. This is an example of what type of conflict management?

Correct Answer: B

Rationale: Confronting involves directly addressing conflict through discussion, as the nurse does by initiating a private conversation.

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