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Extract:

The nurse might expect a patient with multiple sclerosis to complain about the most common initial symptom which is:


Question 1 of 5

The nurse might expect a patient with multiple sclerosis to complain about the most common initial symptom which is:

Correct Answer: D

Rationale: Visual disturbances, such as optic neuritis, are a common initial symptom of multiple sclerosis.

Extract:


Question 2 of 5

A nurse is caring for a newborn who is 2 hours old. Which of the following findings should be reported to the healthcare provider?

Correct Answer: B

Rationale: Jaundice within 24 hours of birth is pathologic, indicating possible hemolytic disease or liver issues, requiring reporting. Heart rate, respiratory rate, and temperature are normal for a newborn.

Question 3 of 5

A client diagnosed with Borderline Personality Disorder frequently attempts to burn herself. The best intervention to facilitate behavior change is:

Correct Answer: B

Rationale: The challenge when intervening with clients who might harm themselves is to maintain client safety while facilitating behavior change. Enlisting the client to identify the triggers for self-harm makes the client an active participant in treatment.

Extract:

During the second phase of bum recovery, the nurse anticipates that the client will exhibit


Question 4 of 5

high serum potassium level.

Correct Answer: B

Rationale: An increased urinary output is a sign of adequate hydration during the second phase of burn recovery.

Extract:


Question 5 of 5

A patient is prescribed warfarin (Coumadin) for atrial fibrillation. Which of the following lab values should the nurse monitor to determine the effectiveness of the medication?

Correct Answer: C

Rationale: Warfarin’s anticoagulant effect is monitored via PT/INR, which assesses clotting time and therapeutic range for atrial fibrillation (typically INR 2.0–3.0). Platelet count, hemoglobin, and aPTT are not primary indicators for warfarin.

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