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Question 1 of 5

The nurse is caring for a client with a diagnosis of chorioamnionitis. Which diagnostic test is most likely to be ordered?

Correct Answer: C

Rationale: Chorioamnionitis requires a complete blood count to assess for infection (e.g. elevated white blood cells) and amniotic fluid analysis to confirm infection. Both tests are commonly ordered.

Question 2 of 5

A client with an inguinal hernia asks the nurse why he should have surgery when he has had a hernia for years. The nurse understands that surgery is recommended to:

Correct Answer: A

Rationale: Surgery for an inguinal hernia is recommended to prevent strangulation, where the herniated bowel becomes trapped, leading to ischemia. The other options are not primary concerns.

Question 3 of 5

Which of the following statements describes Piaget's stage of concrete operations?

Correct Answer: C

Rationale: Piaget's concrete operations stage (ages 7-11) involves logical, coherent thinking about concrete events, not abstract concepts. Perspective-taking improves but is secondary to logical thought.

Question 4 of 5

Which food selection would provide the most calcium for a client who is four months pregnant?

Correct Answer: C

Rationale: Yogurt is a rich source of calcium essential for fetal bone development during pregnancy. One cup provides approximately 300-400 mg of calcium significantly more than oatmeal bran muffins or oranges.

Question 5 of 5

The nurse is caring for a client with a history of a tracheoesophageal fistula. The nurse should:

Correct Answer: D

Rationale: A tracheoesophageal fistula risks aspiration, requiring restricted oral intake until surgically repaired. Positioning, suctioning, and feedings are secondary or contraindicated.

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