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Questions 148

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Question 1 of 5

Prior to drawing blood for blood gas analysis, the nurse conducts the modified Allen test to ensure there is adequate collateral circulation. The nurse asks the client to extend the wrist over a rolled towel and make a fist. Place the following steps (Roman numerals) in order from first to last.

Correct Answer: A,B,D,C

Rationale: Modified Allen test sequence: Blanch hand (I), compress arteries (II), release ulnar artery (IV), observe color return (III) to confirm collateral circulation.

Question 2 of 5

A camp nurse is applying sunscreen to a group of children enrolled in swim classes. Chemical sunscreens are most effective when applied:

Correct Answer: D

Rationale: Chemical sunscreens require 30 minutes to absorb into the skin and provide effective UV protection.

Question 3 of 5

The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority?

Correct Answer: B

Rationale: The vital signs indicate shock, so contacting the physician for immediate intervention is the priority.

Question 4 of 5

An 88-year-old client fractured a hip after a fall in her home. Because of her peripheral vascular disease and asthma, surgery is not an option. The client tells the nurse she does not know how she is going to get better. Which response by the nurse is best?

Correct Answer: C

Rationale: This response encourages the client to express her concerns, allowing the nurse to address specific fears and provide tailored support.

Question 5 of 5

Ideally, the first dose of what vaccine is given at birth?

Correct Answer: D

Rationale: The hepatitis B vaccine is recommended at birth to prevent perinatal transmission and establish early immunity.

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