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Questions 149

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Question 1 of 5

When applying the leads for a 12-lead electrocardiogram, the nurse places V1 and V2 at the fourth intercostal space to the right and left of the sternum. Which of the remaining leads is placed at the fifth intercostal space on the left midclavicular line?

Correct Answer: B

Rationale: Lead V4 (
B) is placed at the fifth intercostal space on the left midclavicular line in a 12-lead ECG.

Question 2 of 5

The nurse is performing discharge instruction to a client with an implantable defibrillator. What discharge instruction is essential?

Correct Answer: C

Rationale: Using a cell phone on the opposite side of the defibrillator reduces electromagnetic interference with the device.

Question 3 of 5

The nurse is caring for a client with a basal cell epithelioma. The primary cause of basal cell epithelioma is:

Correct Answer: A

Rationale: Basal cell epithelioma is primarily caused by prolonged sun exposure.

Question 4 of 5

The home health nurse is scheduled to visit four clients. Which client should she visit first?

Correct Answer: A

Rationale: The AIDS client with fever and cough may have an acute infection like pneumonia, requiring urgent assessment.

Question 5 of 5

The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

Correct Answer: C

Rationale: A heart rate of 60 bpm in a 6-month-old is too low (normal is 80-160 bpm), indicating possible digitalis toxicity, which should be reported.

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