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Questions 164

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Question 1 of 5

The nurse is teaching a client with cardiac disease about the anatomy and physiology of the heart. Which is the correct pathway of blood flow through the heart?

Correct Answer: C

Rationale: Right atrium, right ventricle, left atrium, left ventricle. This is the correct pathway of blood flow through the heart.

Question 2 of 5

A nurse is collecting data on a 58-year-old client with blurred vision and reduced visual fields. The nurse finds which manifestation most concerning?

Correct Answer: B

Rationale: Extreme eye pain (
B) suggests acute conditions like glaucoma, requiring urgent attention. Difficulty in dim light (
A), peripheral vision loss (
C), and cataracts (
D) are less acute.

Question 3 of 5

The nurse is reviewing a nutritional plan for a 6-month-old who has recently been started on solid foods. Which of the following recommendations has the highest priority in the plan?

Correct Answer: C

Rationale: Introducing new foods 5-7 days apart (
C) prevents allergic reactions by identifying triggers, making it the priority. Cost (
A), finger foods (
B), and cow's milk (D, not recommended before 12 months) are secondary.

Question 4 of 5

The nurse is assessing a young child at a clinic visit for a mild respiratory infection. Koplik spots are noted on the oral mucous membranes. The nurse should then assess which area of the body?

Correct Answer: A

Rationale: The skin. A characteristic sign of rubeola is Koplik spots (small red spots with a bluish white center). These are found on the buccal mucosa about 2 days before and after the onset of the measles rash.

Question 5 of 5

A nurse on an orthopedic unit is caring for four clients with a casted extremity. Which client does the nurse prioritize to see first?

Correct Answer: A

Rationale: Tingling (
A) suggests neurovascular compromise, requiring urgent assessment. Itching (
B), moderate pain (
C), and throbbing (
D) are less critical.

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