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Questions 149

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Question 1 of 5

The nurse is assessing a client with an altered level of consciousness. One of the first signs of altered level of consciousness is:

Correct Answer: C

Rationale: Restlessness is often an early sign of altered consciousness, indicating neurological changes before more severe symptoms appear.

Question 2 of 5

Damage to the VII cranial nerve results in:

Correct Answer: C

Rationale: The VII cranial nerve (facial nerve) controls facial muscles; damage causes facial paralysis, affecting eye movement (e.g., inability to close the eye).

Question 3 of 5

Which laboratory test would be the least effective in making the diagnosis of a myocardial infarction?

Correct Answer: A

Rationale: AST is less specific for myocardial infarction than troponin, CK-MB, or myoglobin.

Question 4 of 5

A client with bipolar disorder is taking lithium to control symptoms. Which of the following statements indicates the need for further education?

Correct Answer: B

Rationale: Lithium requires ongoing monitoring (B is incorrect), as levels and side effects need regular checks. Thyroid tests (
A), avoiding ibuprofen (
C), and hydration (
D) are correct.

Question 5 of 5

A 20-year-old male has recently been diagnosed with schizophrenia. The nurse knows which of the following are classic signs and symptoms of this disorder? Select all that apply.

Correct Answer: A,C,D

Rationale: Schizophrenia symptoms include social withdrawal, auditory hallucinations, and disorganized speech. Agitation may occur but is less specific, and obsession with hygiene is not typical.

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