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Question 1 of 5

The nurse has just received the change of shift report. Which client should the nurse assess first?

Correct Answer: B

Rationale: A suspected subdural hematoma is a medical emergency due to potential brain compression, requiring immediate assessment to prevent deterioration.

Question 2 of 5

A client is admitted for an CAT scan. The nurse should question the client regarding:

Correct Answer: A

Rationale: Pregnancy is a contraindication for a CAT scan due to radiation risks to the fetus.

Question 3 of 5

A client with cancer is to undergo an intravenous pyelogram. The nurse should:

Correct Answer: B

Rationale: Voiding immediately before an IVP ensures the bladder is empty, improving visualization of the urinary tract.

Question 4 of 5

A nurse must teach a client how to do wound care and dressing changes prior to discharge. Which of the following are barriers to learning? Select all that apply.

Correct Answer: B,C,F

Rationale: Barriers to learning include fear (
B), which can hinder concentration; illiteracy (
C), which affects understanding written instructions; and hearing impairment (F), which impedes verbal communication. Age 55 (
A), weakness (
D), and asking questions (E) are not barriers.

Question 5 of 5

The RN is making assignments on a 12-bed unit. Staff consists of one RN and two certified nursing assistants. Which client should be self-assigned?

Correct Answer: B

Rationale: New-onset hemoptysis in a chest trauma client indicates potential serious complications (e.g., pulmonary hemorrhage) requiring RN assessment and intervention.

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