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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 nurse is assigned to care for the client with a Steinmen pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

Correct Answer: A

Rationale: Sterile technique is appropriate for pin care; assisting maintains the sterile field.

Question 3 of 5

Which selection would provide the most calcium for the client who is 4 months pregnant?

Correct Answer: C

Rationale: Yogurt is a rich source of calcium, essential for fetal bone development during pregnancy.

Question 4 of 5

The nurse should carefully monitor the client for which common dysrhythmia that can occur during suctioning?

Correct Answer: A

Rationale: Suctioning can stimulate the vagus nerve, leading to bradycardia due to parasympathetic activation, especially in clients with tracheostomies or endotracheal tubes.

Question 5 of 5

The '5 A's' of smoking cessation intervention begin with which of the following?

Correct Answer: B

Rationale: The 5 A's begin with Ask (
B), identifying tobacco use at every visit, followed by Advise, Assess, Assist, and Arrange.

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