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Questions 149

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Question 1 of 5

The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:

Correct Answer: B

Rationale: Suspected falsification of records warrants a formal reprimand and investigation, but immediate termination or legal action requires further evidence.

Question 2 of 5

A client with a C4 spinal cord injury has been placed in traction with cervical tongs. Nursing care should include:

Correct Answer: D

Rationale: Sterile pin care is essential to prevent infection at the site of cervical tongs, while altering traction or bed position could compromise spinal alignment.

Question 3 of 5

A nurse is teaching a group of teenagers the correct technique for applying a condom. Which point would the nurse include in the teaching plan?

Correct Answer: B

Rationale: The condom should be unrolled completely over the erect penis to ensure proper fit and protection. Condoms are single-use, petroleum jelly damages latex, and water isn't used.

Question 4 of 5

A client is being assessed for neutropenia. The client's total white blood cell count is 5200 with 45% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)? Record your answer using a whole number.

Correct Answer: 2600

Rationale: ANC = WBC X (Neutrophils% + Bands%) = 5200 X (0.45 + 0.05) = 5200 X 0.5 = 2600.

Question 5 of 5

A nurse has been hired by a company to educate employees on health risks. Which of the following may suggest substance abuse by certain employees in the workplace? Select all that apply.

Correct Answer: A,C

Rationale: Frequent call-ins, tardiness, and poor performance evaluations are behavioral indicators of potential substance abuse. Taking allocated breaks, socializing after work, or eating alone are not typically associated with substance abuse.

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