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Questions 158

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Question 1 of 5

The nurse is caring for a child with a diagnosis of possible hydrocephalus. Which assessment data on the admission history would be the most objective?

Correct Answer: C

Rationale: Head measurement (e.g., head circumference) is the most objective for hydrocephalus, directly assessing skull enlargement. Anorexia (
A), vomiting (
B), and temperature (
D) are subjective or less specific.

Question 2 of 5

The client is admitted with a suspected stroke. Which diagnostic test is most likely to confirm the diagnosis?

Correct Answer: B

Rationale: A CT scan is the initial test to confirm a stroke, distinguishing ischemic from hemorrhagic types. EEG is for seizures, lumbar puncture is for infections, and ECG assesses cardiac status.

Question 3 of 5

After a liver biopsy, the best position for the client is:

Correct Answer: D

Rationale: The right lateral position applies pressure on the liver to prevent bleeding post-biopsy.

Question 4 of 5

The physician has ordered a homocysteine blood level on a client.

Correct Answer: A

Rationale: Homocysteine levels rise with vitamin B12 deficiency, as B12 is needed for its metabolism. Deficiencies in vitamins C (
B), A (
C), and E (
D) do not significantly affect homocysteine.

Question 5 of 5

Which of the following is the best indicator of the diagnosis of HIV?

Correct Answer: C

Rationale: The Western blot is the confirmatory test for HIV diagnosis, detecting specific antibodies with high specificity. ELISA is a screening test, while WBC and CBC are non-specific and not diagnostic for HIV.

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