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Questions 227

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Extract:


Question 1 of 5

The nurse is assessing a client with a suspected fracture of the radius. Which of the following findings would support this diagnosis?

Correct Answer: A

Rationale: A radius fracture typically causes swelling and deformity at the wrist due to bone disruption. Shoulder pain (
B) suggests a proximal injury, leg numbness (
C) is unrelated, and fever/stiffness (
D) indicate infection or arthritis.

Extract:

B.C underwent skin grafting. Vital signs are BP 124/68; HR 100 bpm; RR 24; T 37.7 °C.


Question 2 of 5

Potential complication that can be possibly developed will be:

Correct Answer: A

Rationale: Infection, such as sepsis, is a serious complication of skin grafting due to the risk of microbial invasion at the graft site.

Extract:


Question 3 of 5

A 17-year-old female was raped by a young man in her neighborhood. She is in the Emergency Department for evaluation and tests. After the procedure is completed, a rape crisis counselor (nurse specialist) talks to the client in a conference room regarding the rape. Implementing counseling by the nurse specialist for the raped victim represents:

Correct Answer: B

Rationale: Counseling by a rape crisis nurse specialist is a form of crisis intervention, providing immediate support to address the trauma. It is not merely assessment, empathy, or intrusion. Coordinated Care

Question 4 of 5

An 8-year-old client is returned to the recovery room after a bronchoscopy. The nurse should position the client

Correct Answer: A

Rationale: Semi-Fowler’s position (30°–45° elevation) promotes lung expansion and reduces the risk of airway obstruction or aspiration post-bronchoscopy. Prone (
B) limits respiratory assessment, neck extension (
C) risks airway obstruction, and supine (
D) is less optimal for breathing.

Question 5 of 5

A nurse is caring for a patient with diabetes mellitus who is scheduled for surgery. Which of the following is the most important preoperative assessment?

Correct Answer: A

Rationale: Blood glucose control is critical preoperatively in diabetes to prevent complications like wound infections or ketoacidosis. Electrolytes, CBC, and urinalysis are important but secondary, as glucose directly impacts surgical outcomes.

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