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Questions 149

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Extract:


Question 1 of 5

The nurse is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning which of the following diagnostic tests?

Correct Answer: B

Rationale: A barium enema is contraindicated in acute diverticulitis due to the risk of perforation and peritonitis.

Question 2 of 5

The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born. The best explanation of the weight loss is:

Correct Answer: D

Rationale: A weight loss of up to 10% in the first week is normal due to the passage of meconium and adjustment to feeding.

Question 3 of 5

The nurse is caring for a child with a diagnosis of possible hydrocephalus. Which assessment data on the admission history would be the most objective?

Correct Answer: C

Rationale: Head measurement (e.g., head circumference) is the most objective, quantifiable data for assessing hydrocephalus, unlike subjective symptoms like anorexia or vomiting.

Question 4 of 5

The physician has ordered Dilantin (phenytoin) 100 mg intravenously for a client with generalized tonic clonic seizures. The nurse should administer the medication:

Correct Answer: C

Rationale: Phenytoin should be administered slowly over 2-3 minutes to prevent cardiovascular complications such as hypotension and arrhythmias.

Question 5 of 5

An RN is supervising a team of LPNs on the med-surg floor. All of the following tasks can be delegated to a competent LPN EXCEPT

Correct Answer: D

Rationale: Admissions assessments require RN judgment and are outside LPN scope. Sputum collection, catheterization, and inhaler administration are within LPN scope.

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