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Question 1 of 5

Following femoral catheterization for percutaneous coronary intervention (PCI), the client has increasing pain in the catheterization site, and the nurse notes visible edema and induration surrounding the site. The nurse suspects a hematoma and notifies the physician. Which of the following interventions does the nurse anticipate? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Hematoma management includes applying pressure (
A), marking edema (
B), monitoring hemoglobin/hematocrit (
C), and maintaining bedrest (
D). Clotting factors (E) are not typically needed.

Question 2 of 5

A 10-year-old girl has been diagnosed with scabies. There are three other children and two adults living in the household. The nurse can best educate caregivers by stating,

Correct Answer: B

Rationale: Scabies is highly contagious via skin-to-skin contact or shared items. All household members should be treated simultaneously to prevent reinfestation, regardless of symptoms.

Question 3 of 5

The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

Correct Answer: C

Rationale: Halo traction is used for cervical fractures and can be maintained post-discharge for stabilization.

Question 4 of 5

The nurse is auscultating the apical pulse over the PMI (point of maximum impact). Which heart sounds would be audible?

Correct Answer: D

Rationale: S1 (mitral/tricuspid closure) and S2 (aortic/pulmonic closure) are normally audible at the PMI. S3 and S4 are less common and indicate pathology.

Question 5 of 5

A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?

Correct Answer: C

Rationale: Prior radiation therapy, especially for Hodgkin's disease, is a known risk factor for developing leukemia due to DNA damage in bone marrow cells.

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