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Extract:


Question 1 of 5

Which of the following injuries, if demonstrated by a client entering the Emergency Department, is the highest priority?

Correct Answer: C

Rationale: A stab wound to the chest is the highest priority due to potential for pneumothorax or mediastinal shift, which can be life-threatening. The ABC (airway, breathing, circulation) principle prioritizes this injury. Physiological Adaptation

Question 2 of 5

A client is being admitted with a diagnosis of possible pancreatitis. Which of the following is the best support for this diagnosis?

Correct Answer: C

Rationale: The client's amylase level is elevated above the normal level of 200 U/L. This measurement is the most accurate indicator of pancreatitis and the most objective and specific. The answers in A, B, and D are also clinical manifestations of pancreatitis, but are not as specific as the laboratory value, so they are incorrect choices.

Extract:

The nurse is assigned to a patient newly diagnosed with active tuberculosis.


Question 3 of 5

Which of these interventions would be a priority for the nurse to implement?

Correct Answer: D

Rationale: A negative pressure room and masks prevent airborne transmission of tuberculosis, a priority for infection control.

Extract:


Question 4 of 5

The nurse is preparing to perform a physical examination on an 8 month-old who is sitting contentedly on his mother's lap. Which of the following should the nurse do first?

Correct Answer: C

Rationale: Auscultate heart and lungs. Performing this during a quiet moment ensures clear sound detection.

Extract:

Which of the following is considered a sequela of a staphylococcal infection that may result to glomerulonephritis?


Question 5 of 5

Infected burn wound

Correct Answer: B

Rationale: Impetigo is a bacterial infection of the skin caused by streptococci or staphylococci. Group A hemolytic streptococci can cause rheumatic fever and glomerulonephritis.

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