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Questions 149

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Question 1 of 5

The nurse in the ER has received report of four clients en route to the emergency department. Which client should the nurse see first? A client with:

Correct Answer: A

Rationale: Third-degree burns to the face and neck with singed nasal hairs suggest airway burns, a life-threatening condition requiring immediate airway assessment and management.

Question 2 of 5

Which of the following is a core measure set developed by the Joint Commission?

Correct Answer: D

Rationale: Heart failure is a Joint Commission core measure set, focusing on improving care quality for common conditions. The others are not core measures.

Question 3 of 5

A nursing instructor is preparing a lesson on the dangers of using drugs and alcohol during pregnancy. She would include which of the following as a primary disability associated with children diagnosed with fetal alcohol syndrome?

Correct Answer: A

Rationale: Fetal alcohol syndrome causes primary disabilities like poor motor skills due to neurological damage. Promiscuity, dependency, and depression are not primary effects.

Question 4 of 5

A client with a head injury has an intracranial pressure (ICP) monitor in place. Cerebral perfusion pressure calculations are ordered. If the client's ICP is 22 and the mean pressure reading is 70, what is the client's cerebral perfusion pressure?

Correct Answer: D

Rationale: Cerebral perfusion pressure (CPP) = Mean Arterial Pressure (MAP) - ICP. Given MAP = 70 and ICP = 22, CPP = 70 - 22 = 48. Thus, the answer is 48.

Question 5 of 5

The nurse is teaching the parents of a client with iron deficiency anemia about administering a liquid oral iron supplement. Which statement by the parents indicates that teaching was successful?

Correct Answer: A

Rationale: Using a straw minimizes tooth staining from liquid iron. Iron is best absorbed on an empty stomach, and milk can decrease absorption.

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