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Questions 227

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Extract:


Question 1 of 5

The nursing team includes two RNs, one LPN/LVN, and one nursing assistant. The nurse should consider the assignments appropriate if the nursing assistant is assigned to care for

Correct Answer: A

Rationale: Nursing assistants handle standard, unchanging procedures like feeding a stable Alzheimer’s client. Burning on urination (
B) requires RN assessment, tube feeding (
C) is for LPNs, and Cheyne-Stokes respirations (
D) indicate an unstable patient needing RN care.

Extract:

Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia.


Question 2 of 5

Incidence of Leukemia is higher in children. Pathophysiology of infection in Leukemia is due primarily to:

Correct Answer: C

Rationale: Elevated WBC with impaired function (neutropenia) predisposes to infections in leukemia.

Extract:


Question 3 of 5

The nurse is assessing a client with a history of heart failure. Which of the following findings would indicate worsening heart failure?

Correct Answer: A

Rationale: Weight gain of 2 kg in 24 hours indicates fluid retention, a sign of worsening heart failure due to decreased cardiac output. Normal blood pressure (
B), heart rate (
C), and clear lungs (
D) do not suggest decompensation.

Question 4 of 5

The nurse in the outpatient clinic teaches the mother of a 10-year-old boy with asthma how to prevent future asthmatic attacks. The nurse would be MOST concerned if the mother made which of the following statements?

Correct Answer: B

Rationale: Raking leaves exposes the child to inhaled allergens (pollen, dust), a primary asthma trigger, increasing attack risk. Playing the tuba (
A), after-school activities (
C), and walking (
D) are generally safe unless exercise-induced asthma is present, which is not specified.

Question 5 of 5

The nurse should teach parents of small children that the most common type of first-degree burn is:

Correct Answer: D

Rationale: Sunburn is the most common first-degree burn in children due to frequent sun exposure without adequate protection. Education on sunscreen use is critical. Safety and Infection Control

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