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Questions 149

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Question 1 of 5

The nurse is caring for a group of clients who are experiencing pain. Which client is the priority for the nurse to see first?

Correct Answer: C

Rationale: Severe chest pain from an acute MI is life-threatening, making this client the priority for immediate assessment and intervention.

Question 2 of 5

A child with a known peanut allergy is eating lunch at summer camp and develops an anaphylactic reaction from accidentally ingesting peanut butter-flavored cookies. The nurse's first intervention should be to

Correct Answer: C

Rationale: In an anaphylactic reaction, the priority is to stop further allergen exposure. Verifying the child has stopped eating and has no cookies in their mouth prevents additional allergen ingestion, which is critical before administering epinephrine or other interventions.

Question 3 of 5

The nurse is caring for a postpartum client. Which of the following assessment findings would be a reason for concern during the client's postpartum stay?

Correct Answer: C

Rationale: Vaginal discharge should progress from rubra to serosa to alba. Reverting to rubra suggests possible retained placental fragments or bleeding, a cause for concern.

Question 4 of 5

A nurse is preparing to administer a MMR vaccine to a 35-year-old male. The nurse should

Correct Answer: D

Rationale: MMR is an intramuscular vaccine, requiring a 90-degree angle injection (typically deltoid). Dorsogluteal is not preferred, and pinching is for subcutaneous injections.

Question 5 of 5

A client with Parkinson's disease is scheduled for stereotactic surgery. Which finding indicates that the surgery had its intended effect?

Correct Answer: A

Rationale: Stereotactic surgery, such as deep brain stimulation, aims to reduce motor symptoms like intractable tremors in Parkinson's disease. It does not directly affect dopamine or serotonin production, and medication is often still required post-surgery.

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