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Question 1 of 5

The charge nurse in a cardiac ICU is precepting a student nurse. Which action by the student nurse requires immediate intervention by the charge nurse?

Correct Answer: B

Rationale: Lifting the urinary catheter bag above the bladder risks backflow of urine, increasing infection risk, and requires immediate intervention.

Question 2 of 5

The nurse is performing an assessment of an elderly client with a total hip repair. Based on this assessment, the nurse decides to medicate the client with an analgesic. Which finding most likely prompted the nurse to decide to administer the analgesic?

Correct Answer: D

Rationale: Grimacing during care indicates pain, prompting the nurse to administer an analgesic.

Question 3 of 5

The client with preeclampsia is admitted to the unit with an order for magnesium sulfate IV. Which action by the nurse indicates a lack of understanding of magnesium sulfate?

Correct Answer: A

Rationale: Avoiding blood pressure checks in one arm is unrelated to magnesium sulfate; the other actions align with monitoring and managing side effects.

Question 4 of 5

A client who has been diagnosed with lung cancer is starting a smoking-cessation program. Which of the following drugs would the nurse expect to be included in the program's plan?

Correct Answer: A

Rationale: Bupropion SR (Zyban) is commonly used in smoking cessation programs to reduce nicotine cravings and withdrawal symptoms.

Question 5 of 5

When assisting a client with range-of-motion exercises, which movements should be carried out on the client's elbows? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Elbow range-of-motion includes flexion (
B), extension (E), supination (
A), and pronation (
D). Circumduction (
C) is not possible at the elbow, and hyperextension (F) is not a standard motion for this joint.

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