Extract:

Question 1 of 5

You are providing care to a permanently disabled Iraqi war veteran who is 28 years of age. When he returned home from the war at the age of years of age 2 years ago he was deemed permanently disabled by both the Veterans Administration (VA) and the Social Security Administration. He receives a substantial monthly service connected disability check from the Veterans Administration and he has no spouse or legal dependents. Which type of governmental health insurance is he now entitled to?

Correct Answer: B

Rationale: Individuals deemed permanently disabled by the Social Security Administration for at least 24 months are eligible for Medicare, regardless of age . The veteran is also eligible for VA healthcare, but option A incorrectly states 'only' VA services. Medicaid eligibility depends on income and state criteria, which are not confirmed here.

Question 2 of 5

Which of these clients is at greatest risk for falls?

A. A 77 year old female client in a client room that has low glare floors. B. An 87 year old female client in a client room that has low glare floors. C. A 27 year old sedated male client. D. A 37 year old male client with impaired renal perfusion.

Correct Answer: B

Rationale: An 87-year-old female is at the greatest risk for falls due to age-related factors like decreased mobility, balance issues, and potential comorbidities, compared to younger or less impaired clients.

Question 3 of 5

A client with a history of schizophrenia is admitted with auditory hallucinations. The nurse should prioritize which of the following interventions?

A. Provide a quiet environment. B. Administer haloperidol as prescribed. C. Encourage group therapy immediately. D. Restrict the client to their room.

Correct Answer: A, B

Rationale: A quiet environment and haloperidol reduce stimulation and manage hallucinations.

Question 4 of 5

A 10-year-old child has the following blood glucose readings during a 24-hour period. Which reading requires the most immediate intervention?

A. 50 mg/dL. B. 100 mg/dL. C. 150 mg/dL. D. 200 mg/dL.

Correct Answer: A

Rationale: A blood glucose of 50 mg/dL indicates hypoglycemia, requiring immediate intervention to prevent neurological complications.

Question 5 of 5

After going through the necessary procedures for collecting physical evidence after a rape, a client is crying and talking about what happened to her. The nurse should:

A. Advise the client to try to forget about what happened B. Recommend that the client be thankful for the fact that she's alive C. Question the client about what she could have done to deter the attack D. Listen to the client's descriptions about what occurred

Correct Answer: D

Rationale: Listening to the client's descriptions provides emotional support and validates her experience, which is therapeutic post-trauma. Other responses may minimize or blame the client.