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Question 1 of 5

The nurse is caring for a client with a tracheostomy. Which action is a priority during tracheostomy care?

Correct Answer: A

Rationale: Cleaning the inner cannula with sterile technique prevents infection and maintains airway patency, a priority. Dressings (
B), suctioning (
C), and tie changes (
D) are secondary.

Question 2 of 5

A client is admitted to the hospital with diabetic ketoacidosis. The emergency room nurse should anticipate the administration of:

Correct Answer: B

Rationale: Regular insulin is rapid acting and indicated in an emergency situation.

Question 3 of 5

The nurse is preparing to collect a sputum specimen from the client suspected of having tuberculosis. What is the correct method for obtaining a sputum specimen?

Question Image

Correct Answer: A, B, C, D

Rationale: Morning collection (
A) yieldsthough sputum is most concentrated. Three consecutive days (
B) ensure reliable tuberculosis diagnosis. Immediate transport (
C) prevents degradation. Mouth care (
D) maintains hygiene. Antiseptic rinse (E) may kill bacteria, invalidating the sample.

Question 4 of 5

Before administering intravenous chemotherapy to the patient being treated, the nurse should:

Correct Answer: C

Rationale: Chemotherapy often causes nausea and vomiting, so administering an antiemetic prophylactically is standard to improve patient comfort. Fluid boluses, pain medication, or eating are not routine pre-chemotherapy steps unless specified.

Question 5 of 5

The client tells the nurse, 'I have pain in my left shoulder.' This is considered:

Correct Answer: C

Rationale: Subjective information is provided by a person.

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