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Questions 164

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Question 1 of 5

The nurse is caring for a client with a suspected stroke who is scheduled for a CT scan of the head. Which of the following assessments would be a priority for the nurse to make prior to the CT scan?

Correct Answer: D

Rationale: Allergies to contrast media are critical to assess before a CT scan to prevent anaphylaxis. Asthma, glucose, and vital signs are important but secondary to contrast safety.

Question 2 of 5

Which type of accidental poisoning would the nurse expect to occur in children under age 6?

Correct Answer: A

Rationale: Oral ingestion. Young children are most likely to ingest toxic substances due to their exploratory behavior.

Question 3 of 5

The nurse is responsible for teaching the client regarding dietary choices to provide needed magnesium. Which food is a good source of magnesium?

Correct Answer: B

Rationale: Spinach is a rich source of magnesium, found in green leafy vegetables, nuts, and whole grains. Apple , liver , and squash have lower magnesium content.

Question 4 of 5

The nurse is preparing to suction a client who has a tracheostomy tube. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A,C,E

Rationale: Pre-oxygenation, sterile technique, and suction on withdrawal prevent hypoxia and infection. Suctioning should be limited to 10-15 seconds, and saline instillation is not routinely recommended.

Question 5 of 5

On initial examination of a 15 month-old child with suspected otitis media, which group of findings would the registered nurse (RN) anticipate?

Correct Answer: B

Rationale: Irritability, rhinorrhea, and bulging tympanic membrane. These findings are characteristic of otitis media, indicating infection and inflammation of the middle ear.

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