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Question 1 of 5

The nurse recognizes which of the following as a Category A biological agent that may be used in terroristic acts?

Correct Answer: B

Rationale: Smallpox is a Category A bioterrorism agent due to its high mortality and transmissibility. Others are Category B or C.

Question 2 of 5

A nurse is giving instructions to parents of a child who had a tonsillectomy. Which instruction is the most important?

Correct Answer: C

Rationale: Avoiding straws prevents suction that could dislodge clots and cause bleeding, a critical post-tonsillectomy precaution.

Question 3 of 5

A client hospitalized with renal calculi complains of severe pain in the right flank. In addition to complaints of pain, the nurse can expect to see changes in the client's vital signs that include:

Correct Answer: B

Rationale: Severe pain from renal calculi can cause increased blood pressure due to sympathetic nervous system activation and stress response.

Question 4 of 5

A client is receiving a blood transfusion following surgery. In the event of a transfusion reaction, any unused blood should be:

Correct Answer: D

Rationale: Unused blood must be returned to the blood bank for analysis in case of a transfusion reaction.

Question 5 of 5

The nurse receives an order to administer 1,500 mL D5W IV over 12 hours. The drop factor is 15 drops/1 mL. The IV flow rate should be set at how many drops per minute? Round to the nearest whole number.

Correct Answer: 31

Rationale: Flow rate (drops/min) = (volume × drop factor) ÷ time. Calculation: (1,500 mL × 15 drops/mL) ÷ (12 × 60) = 22,500 ÷ 720 ≈ 31 drops/min.

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