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Questions 148

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Question 1 of 5

The nurse is assessing the client recently returned from surgery. The nurse is aware that the best way to assess pain is to:

Correct Answer: B

Rationale: A pain scale provides a reliable, subjective measure of pain.

Question 2 of 5

The mother calls the clinic to report that her newborn has a rash on his forehead and face. Which action is most appropriate?

Correct Answer: B

Rationale: Newborn rashes, such as erythema toxicum, are common and typically resolve spontaneously within weeks, requiring no immediate intervention.

Question 3 of 5

A mother brings her two-year-old boy to the pediatrician’s office. Which of the following symptoms would suggest to the nurse that the child has strabismus?

Correct Answer: C

Rationale: visual axes are not parallel so the brain receives two images

Question 4 of 5

The nurse is teaching the parents of an infant with osteogenesis imperfecta. The nurse should explain the need for:

Correct Answer: B

Rationale: Osteogenesis imperfecta causes brittle bones, so careful handling is critical to prevent fractures in infants with this condition.

Question 5 of 5

The nurse is caring for a client with end-stage kidney disease. The client says, 'I have decided that I don't want any more dialysis or treatments. This is just prolonging the inevitable.' The nurse responds, 'You have every right to do so. I will notify the nephrologist of your wishes.' Which ethical principle is being demonstrated by the nurse?

Correct Answer: C

Rationale: Respecting the client’s decision to refuse treatment demonstrates autonomy, prioritizing their right to self-determination.

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