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Question 1 of 5

The nurse is caring for a newborn with patent ductus arteriosus. Which finding would be consistent with the condition?

Correct Answer: C

Rationale: Patent ductus arteriosus causes a loud, machine-like murmur (
C) due to continuous blood flow. Other murmurs (A, B,
D) are associated with different cardiac conditions.

Question 2 of 5

A 31-year-old client is admitted to the psychiatric unit after cutting both wrists with a kitchen knife. The client has a diagnosis of borderline personality disorder. The most therapeutic approach by the nurse is one that is:

Correct Answer: C

Rationale: A firm and consistent approach provides structure and boundaries, which are therapeutic for clients with borderline personality disorder who often test limits.

Question 3 of 5

The nurse is caring for a client with heart failure who develops a persistent, dry cough after starting enalapril. Which of the following new prescriptions would the nurse anticipate for this client?

Correct Answer: D

Rationale: A dry cough is a common side effect of ACE inhibitors like enalapril, so switching to an ARB like valsartan (
D) is anticipated. Alprazolam (
A), guaifenesin (
B), and lisinopril (C, another ACE inhibitor) are inappropriate.

Question 4 of 5

The nurse is caring for a client with benign prostatic hypertrophy (BPH). Which of the following assessments would the nurse anticipate finding?

Correct Answer: C

Rationale: Frequent urination. BPH causes overflow incontinence with frequent urination in small amounts due to bladder obstruction.

Question 5 of 5

A client receiving end-of-life care is no longer able to make decisions. The client's appointed medical power of attorney (MPOA) is considering placement of a percutaneous enterogastric feeding tube. The MPOA asks the nurse, 'What would you do if this was your family member?' How should the nurse respond?

Correct Answer: C

Rationale: Exploring pros and cons (
C) empowers the MPOA to make an informed decision. Personal opinions (
A), chaplain referral (
B), or family meetings (
D) are less direct.

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The nurse in a same-day surgery unit assigns the unlicensed assistive personnel (UAP) to provide a hernia patient with a lunch tray. Which statement by the nurse is most appropriate?
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