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Extract:


Question 1 of 5

The wife of a man who is comatose following a head injury asks the nurse if she should visit him since he is unresponsive. How should the nurse reply initially?

Correct Answer: C

Rationale: Presence of loved ones may provide comfort and stimulate awareness in comatose patients, supporting family involvement. Other responses discourage visitation.

Question 2 of 5

A client's vision is to be evaluated using the Ishihara exam. The nurse recognizes that the client will be checked for:

Correct Answer: C

Rationale: The Ishihara exam tests for color blindness by assessing color perception. It does not evaluate macular degeneration, astigmatism, or glaucoma.

Question 3 of 5

The nurse is caring for a person who is admitted with progressive amyotrophic lateral sclerosis (ALS). What nursing care measure should the nurse expect to be ordered for this client?

Correct Answer: D

Rationale: ALS causes respiratory muscle weakness; chest PT helps clear secretions, preventing pneumonia. Dressings, fluids, or catheters are not primary.

Extract:

A client has been on antibiotics for 72 hours for cystitis.


Question 4 of 5

Which report from the client requires priority attention by the nurse?

Correct Answer: C

Rationale: Rashes and breathing problems are signs of a delayed allergic reaction to antibiotics, requiring urgent attention.

Extract:


Question 5 of 5

The nurse is admitting a 3-year-old child who is thought to have meningococcal meningitis. What type of room assignment is most appropriate?

Correct Answer: C

Rationale: Meningococcal meningitis is highly contagious, requiring droplet isolation in an isolation room to prevent spread, unlike private or semi-private rooms.

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