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Questions 148

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Question 1 of 5

The body part that would most likely display jaundice in the dark-skinned individual is the:

Correct Answer: A

Rationale: The conjunctiva of the eye is the most reliable site to assess jaundice in dark-skinned individuals, as it is less affected by skin pigmentation.

Question 2 of 5

The nurse is caring for a 42-year-old client who has a do not resuscitate (DNR) order on the chart. The client tells the nurse, 'I've changed my mind about the DNR. I would like to cancel that and be given whatever care is needed to keep me alive.' Which response by the nurse is correct?

Correct Answer: A

Rationale: A DNR can be revoked by the client at any time. Notifying the provider ensures the change is documented and followed.

Question 3 of 5

The RN is making assignments for the day. Which one of the following duties can be assigned to the unlicensed assistive personnel?

Correct Answer: B

Rationale: Unlicensed assistive personnel can perform routine catheter care, a non-invasive task within their scope.

Question 4 of 5

A client has a rate-responsive permanent pacemaker in his upper chest. The nurse understands rate-responsive to mean which of the following?

Correct Answer: D

Rationale: A rate-responsive pacemaker increases the pacing rate when sensors detect increased activity (
D), mimicking normal heart rate response. Other options (A, B,
C) describe different pacemaker functions.

Question 5 of 5

A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

Correct Answer: A

Rationale: A Protime of 120 seconds indicates excessive anticoagulation, increasing the risk of bleeding, so assessing for abnormal bleeding is the most important intervention.

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