The nurse is assessing the mental status of a client admitted with possible organic brain disorder. Which of these questions will best assess the functioning of the client's recent memory?

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Question 1 of 5

The nurse is assessing the mental status of a client admitted with possible organic brain disorder. Which of these questions will best assess the functioning of the client's recent memory?

Correct Answer: C

Rationale: I am going to say the names of three things and I want you to repeat them after me: blue, ball, pen' best assesses recent memory. Immediate recall tests short-term memory function, per neurological assessment. A tests orientation, B attention, and D general knowledge. C targets the deficit.

Question 2 of 5

The most common reason for an Apgar score of 8 and 9 in a newborn is an abnormality of what parameter?

Correct Answer: D

Rationale: Color is the most common reason for an Apgar of 8 or 9. Acrocyanosis (blue extremities) is typical in newborns, deducting 1 point, per neonatal assessment. Heart rate , tone , and cry are usually normal. D reflects this frequent finding.

Question 3 of 5

During the initial physical assessment on a client who is a Vietnamese immigrant, the nurse notices small, circular, ecchymotic areas on the client's knees. The best action for the nurse to take is to

Correct Answer: A

Rationale: Asking the client for more information is best. Circular ecchymoses may reflect coin rubbing (cao gio), a Vietnamese healing practice, per transcultural nursing. Family is secondary, reporting premature, and documenting incomplete. A ensures cultural understanding.

Question 4 of 5

When caring for a client with a post-right thoracotomy who has undergone an upper lobectomy, the nurse focuses on pain management to promote

Correct Answer: B

Rationale: Pain management promotes deep breathing and coughing post-thoracotomy. These prevent atelectasis and pneumonia, per surgical nursing. Relaxation , healing , and motion benefit but breathing is the priority risk reduction.

Question 5 of 5

The parents of a toddler who is being treated for pesticide poisoning ask: 'Why is activated charcoal used? What does it do?' What is the nurse's best response?

Correct Answer: A

Rationale: Activated charcoal decreases the body's absorption of the poison from the stomach' is best. It adsorbs toxins, preventing systemic uptake, per poison control standards. B oversimplifies, C and D are vague. A explains clearly and accurately.

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