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Question 1 of 5

When counseling parents of a child who has recently been diagnosed with hemophilia, what must the nurse know about the offspring of a normal father and a carrier mother?

Correct Answer: D

Rationale: There is a 25% chance a daughter will be a carrier. Hemophilia A is sex-linked recessive, with a 25% chance of a carrier female per pregnancy.

Question 2 of 5

An elderly female is admitted with a fractured right femoral neck. Which assessment finding is expected?

Correct Answer: D

Rationale: The symptoms of this fracture include shortened, adducted, and external rotation. Answer A is incorrect because the patient usually is unable to move the leg due to pain. Answer B is incorrect because the symptom is adduction, not abduction. Answer C is wrong because it's external rotation, not internal rotation.

Question 3 of 5

The nurse is caring for a client who is scheduled for a cardiac stress test tomorrow. Prior to the stress test, the nurse should:

Correct Answer: B

Rationale: Caffeine can affect heart rate and test results, so it should be avoided before a stress test.

Question 4 of 5

In taking the history of a pregnant woman, which of the following would the nurse recognize as the primary contraindication for breast feeding?

Correct Answer: D

Rationale: Use of cocaine on weekends. Cocaine use is harmful to the breastfed infant, even with intermittent use.

Question 5 of 5

The nurse is caring for a client who had a laparoscopic cholecystectomy 3 days ago. The client's WBC count has increased over the past 2 days. Which assessment finding is most concerning?

Correct Answer: D

Rationale: A stiff abdomen with rebound tenderness suggests peritonitis, a life-threatening complication post-cholecystectomy, requiring immediate intervention. Shoulder pain is common due to referred pain, drainage and incision redness suggest localized infection, and a cough may indicate a respiratory issue, but peritonitis is most urgent.

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