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Questions 149

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Question 1 of 5

The nurse is making assignments for the day. The staff consists of an RN, an LPN, and a nursing assistant. Which client could the nursing assistant care for?

Correct Answer: A

Rationale: Alzheimer's patients require basic care, suitable for a nursing assistant.

Question 2 of 5

A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:

Correct Answer: C

Rationale: Post-tonsillectomy, the risk of bleeding and aspiration is a priority due to the surgical site in the throat.

Question 3 of 5

The nurse finds that a client receiving digoxin (Lanoxin) 0.25 mg orally has an apical pulse of 54. Which of the following should the nurse do first?

Correct Answer: A

Rationale: An apical pulse of 54 is below the safe threshold (typically 60) for digoxin, indicating potential toxicity. Withholding the dose and notifying the provider is the priority.

Question 4 of 5

The charge nurse on a surgical unit incorporates an authoritative style of leadership. Which characteristics describe this style of leadership? Select all that apply.

Correct Answer: B, D

Rationale: Authoritative leadership involves top-down communication and can use coercion to motivate, focusing on control rather than collaboration or support.

Question 5 of 5

Which laboratory finding would indicate a 62-year-old male client is at risk for ventricular dysrhythmia?

Correct Answer: A

Rationale: Low magnesium (0.8 mEq/L; normal 1.5-2.5 mEq/L) increases the risk of ventricular dysrhythmias. Other values are within normal ranges.

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