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Question 1 of 5

While assessing the vital signs in children, the nurse should know that the apical heart rate is preferred until the radial pulse can be accurately assessed at about what age?

Correct Answer: B

Rationale: 2 years of age. A child should be at least 2 years of age to use the radial pulse to assess heart rate.

Question 2 of 5

The physician has recommended that the client increase the amount of dietary iron. The nurse knows that the client understands the recommendation when the client selects which foods?

Correct Answer: C

Rationale: Roast beef is high in iron, suitable for increasing dietary iron. Other options lack significant iron sources.

Question 3 of 5

A client who has congestive heart failure is being admitted. How should the nurse position this client?

Correct Answer: C

Rationale: Semi-sitting (Fowler's position) reduces cardiac workload and improves breathing in congestive heart failure by decreasing venous return.

Question 4 of 5

The nurse working on a medical-surgical unit receives change-of-shift report on several clients. Which client should the nurse see first?

Correct Answer: D

Rationale: A fever of 100.9 F post-arteriovenous graft suggests possible infection, requiring immediate assessment. Cramping and minor bleeding are expected post-polypectomy, urinary hesitancy is common post-hernia repair, and straining is less urgent.

Question 5 of 5

The nurse is caring for a client who had surgery yesterday. When administering omeprazole, the client asks 'What is that for? I don't take it at home.' Which reply by the nurse is most appropriate?

Correct Answer: B

Rationale: Omeprazole is a proton pump inhibitor used postoperatively to prevent stress ulcers due to surgical stress. It does not affect gastric emptying , prevent infections , or assume GERD without a diagnosis.

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