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Questions 149

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Extract:


Question 1 of 5

The nurse is preparing to transfer a client from the ED to the orthopedic unit. She knows that adhering to the hospital policy for client handoffs best ensures which of the following?

Correct Answer: C

Rationale: Proper handoffs ensure continuity of care by transferring critical information accurately between care teams.

Question 2 of 5

A nurse performing a newborn assessment would expect what respiratory rate and heart rate as a normal finding?

Correct Answer: C

Rationale: Newborns have a respiratory rate of 30-60 breaths/min and heart rate of 120-160 beats/min. Option C (RR 46, HR 153) is within normal ranges.

Question 3 of 5

The nurse is caring for a client scheduled for removal of the pituitary gland. The nurse should be particularly alert for:

Correct Answer: D

Rationale: Oliguria may indicate diabetes insipidus, a common complication after pituitary surgery due to antidiuretic hormone deficiency.

Question 4 of 5

Which of the following examples represents parallel play?

Correct Answer: B

Rationale: Parallel play involves children playing side by side with similar toys but without direct interaction, as described in the scenario with Jimmy and Mary.

Question 5 of 5

A nurse has received report on the day's clients. In planning morning rounds, which client is the priority to see?

Correct Answer: D

Rationale: Shortness of breath indicates a potential respiratory or cardiac issue, making this client the priority for immediate assessment.

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