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Question 1 of 5

The nurse is caring for a preschool-aged child admitted with a diagnosis of suspected child abuse. During painful procedures, the child remains quiet and watchful. When planning the care of a victim of child abuse, the nurse should give priority to:

Correct Answer: B

Rationale: Assigning a consistent caregiver will best meet the child's need for safety and security. Playtime will be therapeutic for the child, but it does not have to be with same-age children, so answer A is incorrect. Answer C is too threatening to the child who has been abused, so it is incorrect. Answer D does not allow the child the chance to respond in an expected way, so it is incorrect.

Question 2 of 5

The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:

Correct Answer: C

Rationale: Cyanosis of the hands and feet (acrocyanosis) is common in newborns and may result in a 1-point deduction from a perfect Apgar score of 10.

Question 3 of 5

The nurse is caring for a client with a history of multiple sclerosis. Which of the following interventions should the nurse prioritize?

Correct Answer: B

Rationale: A cool environment prevents symptom exacerbation in multiple sclerosis, as heat worsens neurological symptoms. High-intensity exercise (
A) may cause fatigue, muscle relaxants (
C) depend on symptoms, and fluid restriction (
D) is inappropriate.

Question 4 of 5

The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?

Correct Answer: B

Rationale: Directly asking about potential abuse (e.g., grabbing) is appropriate to investigate suspected elder abuse, as bilateral arm bruises suggest gripping. Less specific questions may not elicit critical information. Psychosocial Integrity

Question 5 of 5

Convert 8 pounds, 8 ounces to an equivalent amount in kilograms.

Correct Answer: B

Rationale: 8 pounds + 8 ounces (0.5 pounds) = 8.5 pounds. 8.5 ÷ 2.2 pounds/kg = 3.8636 kg, rounded to 3.86 kg. Other options are incorrect.

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