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Extract:


Question 1 of 5

The nurse is assessing a child admitted who has a fractured humerus. The family says the child fell. Which piece of information would cause the nurse to suspect child abuse?

Correct Answer: C

Rationale: Small round burns suggest cigarette burns, a specific sign of abuse. Frequent ER visits or bruising are concerning but less definitive; hand-holding is normal.

Question 2 of 5

The nurse is assessing a client with a history of heart failure. Which of the following findings would indicate worsening heart failure?

Correct Answer: A

Rationale: Weight gain of 2 kg in 24 hours indicates fluid retention, a sign of worsening heart failure due to decreased cardiac output. Normal blood pressure (
B), heart rate (
C), and clear lungs (
D) do not suggest decompensation.

Extract:

Which of the following clinical conditions exacerbates electrolyte excretion?


Question 3 of 5

Nasogastric feedings

Correct Answer: B

Rationale: Surgical drains remove fluid and electrolytes, exacerbating excretion.

Extract:


Question 4 of 5

Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?

Correct Answer: B

Rationale: Transferring into and out of a wheelchair is essential for a paraplegic to perform ADLs independently, as it enables mobility and access to other tasks. Shaving and brushing teeth (
A) and maneuvering the wheelchair (
C) are less critical, and meal preparation (
D) is not directly hindered by paraplegia.

Question 5 of 5

Convert 4 ounces to an equivalent amount in tablespoons.

Correct Answer: B

Rationale: 1 ounce = 2 tablespoons, so 4 ounces × 2 = 8 Tbsp. Other options are incorrect conversions.

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