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Questions 149

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Extract:


Question 1 of 5

The nurse is working with mothers and newborns. When educating a new mother about security measures to protect her infant, which of the following should the nurse include?

Correct Answer: C

Rationale: Notifying the nurse about anyone removing the infant (
C) enhances security. Unattended time (
A), hospital attire (
B), or ID alone (
D) are not sufficient safeguards.

Question 2 of 5

While reading the progress notes on a client with cancer, the nurse notes a TNM classification of T1, N1, M0. What does this classification indicate?

Correct Answer: D

Rationale: T1 indicates a small tumor, N1 indicates regional lymph node involvement, and M0 indicates no distant metastasis. This matches choice D.

Question 3 of 5

A client with B negative blood requires a blood transfusion during surgery. If no B negative blood is available, the client should be transfused with:

Correct Answer: C

Rationale: O negative blood is the universal donor type, safe for transfusion in emergencies when B negative blood is unavailable.

Question 4 of 5

Where is the best site for examining for the presence of petechiae in an African American client?

Correct Answer: C

Rationale: The earlobes are a reliable site to assess petechiae in dark-skinned individuals, as they are less pigmented and allow easier visualization of small hemorrhages.

Question 5 of 5

The nurse is asked by the nurse aide, 'Are peptic ulcers really caused by stress?' The nurse would be correct in replying with the following:

Correct Answer: D

Rationale: Peptic ulcers are primarily caused by H. pylori infection, though stress can contribute to other types of ulcers.

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