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Question 1 of 5

Which of the following ethnic groups has the highest risk of developing diabetes mellitus type 2 and should be routinely screened for diabetes?

Correct Answer: A

Rationale: Hispanics (
A) have the highest risk for type 2 diabetes due to genetic and socioeconomic factors, requiring routine screening.

Question 2 of 5

A dexamethasone-suppression test has been ordered for a client with severe depression. The purpose of the dexamethasone suppression test is to:

Correct Answer: B

Rationale: The dexamethasone suppression test assesses cortisol suppression to evaluate hypothalamic-pituitary-adrenal axis dysfunction, aiding in diagnosing severe depression.

Question 3 of 5

During the change of shift, the oncoming nurse notes a discrepancy in the number of percocette listed and the number present in the narcotic drawer. The nurse's first action should be to:

Correct Answer: B

Rationale: A narcotic discrepancy requires reporting to the supervisor for investigation.

Question 4 of 5

An elderly client is diagnosed with ovarian cancer. She has surgery followed by chemotherapy with a fluorouracil (Adrucil) IV. What should the nurse do if she notices crystals in the IV medication?

Correct Answer: A

Rationale: Crystals in IV fluorouracil indicate precipitation; the solution should be discarded to prevent administration errors.

Question 5 of 5

A newborn is diagnosed with congenital syphilis. Classic signs of congenital syphilis are:

Correct Answer: B

Rationale: Congenital syphilis presents with rhinitis (‘snuffles'), maculopapular rash, and hepatosplenomegaly due to systemic infection.

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The nurse is preparing a client with acquired immunodeficiency syndrome (AIDS) for discharge home. Which of the following statements by the client indicates a need for further teaching by the nurse?
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The nurse is caring for a first-time mother who is asking how to help her baby sleep through the night as the baby gets older. Which recommendation should the nurse tell the mother?

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