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Question 1 of 5

The client with a closed head injury is admitted to the neurointensive care department following a motor-vehicle accident. Which goal is an appropriate short-term goal for the client?

Correct Answer: C

Rationale: Maintaining ICP <15 mm Hg is a critical short-term goal in head injury to prevent brain damage, per neuro ICU standards.

Question 2 of 5

The client is admitted with rule-out leukemia. Which assessment data support the diagnosis of leukemia?

Correct Answer: C

Rationale: Petechiae indicate thrombocytopenia, common in leukemia due to bone marrow suppression.

Question 3 of 5

The unlicensed assistive personnel (UAP) notifies the nurse the client diagnosed with chronic obstructive pulmonary disease is complaining of shortness of breath and would like his oxygen level increased. Which intervention should the nurse implement?

Correct Answer: C

Rationale: A pulse oximeter reading assesses oxygenation status, guiding whether oxygen adjustment is needed.

Question 4 of 5

The nurse at the Family Planning Clinic is preparing a discussion for students attending a community college about contraception and methods to prevent pregnancy. Which information should the nurse include in the presentation?

Correct Answer: A

Rationale: Condoms prevent STDs, a key public health message for students. Annual exams are recommended but secondary, hormonal delivery methods are specific, and not all contraception requires prescriptions (e.g., condoms).

Question 5 of 5

The client approaches the nurse about a weight-loss program. Which complementary therapy should the nurse suggest to assist the client's plan?

Correct Answer: C

Rationale: Hatha yoga promotes physical activity and mindfulness, supporting weight loss. Music therapy, hypnotherapy, and Alexander technique are less directly linked to weight management.

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