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Questions 164

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Question 1 of 5

The nurse approaches a 4-year-old boy to administer a medication. The child has no identification armband. Which action is most appropriate?

Correct Answer: D

Rationale: Verifying the child's identity with adults at the bedside ensures safety, as children may not reliably confirm their own identity, and room/bed numbers are not sufficient for identification.

Question 2 of 5

A culture is taken of a lesion suspected of being herpes. The nurse knows that the specimen:

Correct Answer: A

Rationale: Herpes culture specimens should be packed on ice to preserve the virus for accurate laboratory testing.

Question 3 of 5

A nurse is asked to float to the telemetry unit because the unit is short-staffed. The nurse is not familiar with this client population and is concerned about providing safe client care. What is the best action by the nurse?

Correct Answer: A

Rationale: Accepting the assignment and clarifying required skills ensures safe care with support, addressing concerns proactively. Refusing or deferring may disrupt staffing, and reading policies delays care.

Question 4 of 5

An adult who had a cerebrovascular accident (CVA) with expressive aphasia has started saying some words. The client's family is quite upset because the words are mostly profanity. They tell the nurse that the client usually does not use profanity. How should the nurse respond to the family?

Correct Answer: B

Rationale: Profanity in early expressive aphasia post-CVA is common due to disinhibition in damaged brain areas; reassuring the family that other words will follow is appropriate.

Question 5 of 5

The nurse is reinforcing instructions to a postpartum client about cord care for the newborn. Which client statement indicates a need for further teaching?

Correct Answer: D

Rationale: Securing the diaper over the cord traps moisture, increasing infection risk. The cord turning black, falling off naturally, and sponge baths are correct cord care practices.

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