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Question 1 of 5

When walking past a client's room, the nurse hears 1 unlicensed assistive personnel (UAP) talking to another UAP. Which statement requires follow-up intervention?

Correct Answer: B

Rationale: Only the RN and PN can delegate to UAPs. One UAP cannot delegate a task to another UAP. The RN or PN is legally accountable for the nursing care.

Question 2 of 5

The nurse is speaking with the parent of a toddler who believes the child has a hearing deficit. Which findings support this suspected diagnosis? Select all that apply.

Correct Answer: A,C,E

Rationale: Signs of hearing deficit in a toddler include withdrawn behavior , monotone speech , and loud speech due to inability to modulate voice. Inintelligible speech at 12 months is normal, and attentiveness suggests intact hearing.

Question 3 of 5

The most common complication following a myocardial infarction is:

Correct Answer: B

Rationale: Cardiac dysrhythmias are the most common complication post-myocardial infarction due to ischemic changes affecting the heart's electrical conduction.

Question 4 of 5

A client comes to the emergency department with diplopia and recent onset of nausea. Which statement by the client would indicate to the nurse that this is an emergency?

Correct Answer: D

Rationale: A severe headache described as the worst ever with diplopia and nausea suggests a possible subarachnoid hemorrhage or aneurysm, requiring emergency evaluation. Other statements (A, B,
C) are less specific.

Question 5 of 5

A young adult has been diagnosed with Type 1 diabetes mellitus. The client asks how his condition differs from that of his grandmother who has Type 2 diabetes mellitus. What should the nurse include when replying?

Correct Answer: A

Rationale: Type 1 diabetes involves autoimmune destruction of pancreatic beta cells, causing insulin deficiency; Type 2 involves insulin resistance. Insulin may be used in Type 2, and diet or progression are not defining factors.

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