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Questions 148

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Question 1 of 5

The nurse is caring for an 11-year-old patient being treated for a fractured right femur with balanced suspension traction with a Thomas splint and Pearson attachment. The nurse notes that the patient’s left leg is externally rotated. The nurse should

Correct Answer: A

Rationale: holds hip in neutral position and leg in normal alignment, entire weight of leg cannot be held by props placed below knee

Question 2 of 5

The physician has ordered a blood test for H. pylori. The nurse should prepare the client by:

Correct Answer: B

Rationale: A blood test for H. pylori requires no special preparation, such as fasting or administration of substances.

Question 3 of 5

The nurse is caring for a client whose native language is Korean; he speaks only a few words of English. The health care provider has determined that the client needs to undergo a coronary artery bypass graft. Which is the appropriate action by the nurse?

Correct Answer: D

Rationale: A licensed translator ensures accurate communication and informed consent, adhering to ethical and legal standards.

Question 4 of 5

The charge nurse notices another nurse on the floor reading the chart of a client who is not under her care. When confronted, the nurse says, 'This client is my neighbor, and I'm just concerned about him.' Which is the correct response by the charge nurse?

Correct Answer: C

Rationale: Accessing a chart without a care-related purpose violates HIPAA and patient privacy, regardless of personal relationships.

Question 5 of 5

The nurse is caring for a client who is having surgery the next morning. The client says, 'I'm really scared about surgery. I've never been put to sleep before and I'm afraid I might not wake up.' Which response by the nurse is the most therapeutic?

Correct Answer: C

Rationale: Acknowledging fear as normal and inviting the client to express feelings is therapeutic, fostering trust and emotional support.

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