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Questions 149

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Extract:


Question 1 of 5

Which cephalic presentation is most common during delivery of a neonate?

Correct Answer: A

Rationale: Vertex presentation (
A), with the head flexed and occiput leading, is the most common (95%) during delivery.

Question 2 of 5

The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

Correct Answer: B

Rationale: Mental confusion in diabetes insipidus may indicate severe dehydration or electrolyte imbalance, so checking vital signs is the priority to assess stability.

Question 3 of 5

The nurse working in the emergency department realizes that it would be contraindicated to induce vomiting if someone had ingested which of the following?

Correct Answer: D

Rationale: Inducing vomiting after ingesting gasoline (a caustic substance) can cause aspiration or esophageal damage. Vomiting is safer for non-caustic substances like ibuprofen, aspirin, or vitamins.

Question 4 of 5

A child who ingested 18 500-mg acetaminophen tablets 30 minutes ago is seen in the ED. Which of these orders should the nurse do first?

Correct Answer: A

Rationale: Activated charcoal is the priority within 1 hour of acetaminophen overdose to reduce absorption, followed by acetylcysteine to prevent liver damage.

Question 5 of 5

A client admitted with hepatic encephalopathy continues to attempt ambulation without assistance despite repeated instruction. Which intervention should the nurse take to promote safety?

Correct Answer: D

Rationale: Moving the client closer to the nurses’ station allows frequent monitoring, promoting safety without restraints or sedation, which are less appropriate.

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