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Extract:

Ipsilateral pupil:


Question 1 of 5

Ipsilateral pupil:

Correct Answer: A

Rationale: Ipsilateral pupil dilation often occurs in conditions like brain herniation affecting the same side.

Extract:


Question 2 of 5

A 14-year-old girl is brought to the emergency room because she is difficult to arouse. She is 5 feet, 8 inches tall and weighs 80 pounds. What additional findings would the nurse expect to be present?

Correct Answer: B

Rationale: Severe underweight (suggesting anorexia nervosa) often causes amenorrhea due to hormonal disruption. Tachycardia, wheezing, or acne are less specific.

Extract:

Flaccid:


Question 3 of 5

Flaccid:

Correct Answer: A

Rationale: Flaccid refers to weak, limp muscles without tone.

Extract:

You're performing an otoscopic examination on a 6-year-old child who comes to the nurse's office with an earache and a fever.


Question 4 of 5

In which direction should you pull his auricle to straighten the ear canal?

Correct Answer: C

Rationale: Pulling the auricle up and back straightens the ear canal in children over 3.

Extract:

Mr. Holland is a 55-year-old male patient who has a long history of ETOH abuse. He presently undergoes evaluation tests for suspected liver cirrhosis.


Question 5 of 5

The nurse understands that a liver biopsy may be contraindicated in certain situations. Therefore, it is important for the nurse to assess the patient for:

Correct Answer: C

Rationale: Prolonged prothrombin time indicates bleeding risk, a contraindication for liver biopsy.

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