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Questions 164

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Extract:


Question 1 of 5

The parent of a child treated for injuries consistent with suspected child abuse has been told that a report will be made to Child Protective Services (CPS). The parent says angrily to the nurse, 'I don’t know why this is being reported. I told the health care provider (HCP) that it was an accident.' What is the best response by the nurse?

Correct Answer: C

Rationale: Explaining that reporting is legally mandated for child safety is factual and nonjudgmental. Deferring to CPS, questioning the parent, or doubting their explanation may escalate tension or avoid responsibility.

Question 2 of 5

Which of the following is a common complaint of the client with end-stage renal failure?

Correct Answer: B

Rationale: Itching is common in end-stage renal failure due to uremia and phosphate accumulation. Weight loss , tinnitus , and bruising are less specific.

Question 3 of 5

An adult is being discharged on a low-sodium, low-fat diet. Which menu, if selected by the client, indicates an understanding of the diet?

Correct Answer: B

Rationale:
Tossed salad, baked skinless chicken, and applesauce are low in sodium and fat, aligning with the prescribed diet.

Question 4 of 5

While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate attention?

Correct Answer: A

Rationale: Respiratory rate of 42. An elevated respiratory rate indicates potential airway obstruction, requiring urgent intervention.

Question 5 of 5

A nurse assigns a task to unlicensed assistive personnel. They state, 'We can’t do that.' Which is the best initial response for the nurse to make?

Correct Answer: A

Rationale: Asking the reason clarifies whether the refusal is due to scope, training, or other issues, promoting collaboration. Performing the task, ignoring, or lecturing avoids addressing the root cause.

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