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Extract:


Question 1 of 5

The nurse is caring for an adult male who is diagnosed with probable appendicitis. Which assessment finding is most consistent with the diagnosis?

Correct Answer: C

Rationale: Nausea and vomiting are typically seen in persons who have appendicitis. The pain of appendicitis is in the right lower quadrant, not the right upper quadrant. The white blood cell count is elevated in the person with appendicitis. The temperature of a person with appendicitis is likely to be a low-grade fever, not a high fever.

Question 2 of 5

The nurse is talking with a client who has just had an ECG. The client says to the nurse, 'The doctor said I had a sinus rhythm. What does that mean?' Which response to the client is best?

Correct Answer: B

Rationale: Sinus rhythm originates from the sinoatrial node, the heart's normal pacemaker, indicating a healthy rhythm. This explanation is accurate and educational without causing alarm or implying unnecessary monitoring.

Question 3 of 5

A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?

Correct Answer: D

Rationale: Subdural hematoma and cerebral edema initially cause a decreased level of consciousness (e.g., confusion, stupor) due to increased intracranial pressure (ICP). Unequal pupils (
A), decerebrate posturing (
B), and seizures (
C) are later signs of severe ICP or brainstem damage.

Extract:

Polyuria:


Question 4 of 5

Polyuria:

Correct Answer: B

Rationale: Polyuria is excessive or frequent urination, often seen in diabetes.

Extract:


Question 5 of 5

A victim of domestic violence states, 'If I were better, I would not have been beat.' Which feeling best describes what the victim may be experiencing?

Correct Answer: C

Rationale: Self-blame. Victims often internalize blame, believing their behavior causes the abuse, which is a common misconception.

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