Extract:

Question 1 of 5

The nurse supervises the care of a patient with a temporary radioactive cervical implant. Which action by unlicensed assistive personnel (UAP), if observed by the nurse, would require immediate intervention?

A. The UAP stands by the patient's bed for 60 minutes talking with the patient.B. The UAP gives the patient a saline mouthwash to use for oral care.C. The UAP places the patient's bedding in the laundry container inside the clients room.D. The UAP flushes the toilet twice after emptying the patient's bedpan.

Correct Answer: A

Rationale: This action requires immediate intervention because of the potential radiation exposure to the UAP. A temporary radioactive cervical implant involves placing a radioactive source in or near the patient's cervix. Prolonged close contact increases the risk of radiation exposure.

Question 2 of 5

The nurse is assessing a client who is diagnosed with heart failure and reports slight limitation of physical activity, is comfortable at rest but ordinary physical activity causes symptoms. What heart failure classification does this patient fall under?

A. Class IIB. Class IVC. Class ID. Class IlI

Correct Answer: A

Rationale: Class II heart failure, per NYHA classification, involves slight limitation in physical activity with symptoms during ordinary activity, but comfort at rest.

Question 3 of 5

A client with uterine cancer is being treated with internal radiation therapy (brachytherapy). What is the nurse's PRIORITY action when caring for this client?

A. Wear a dosimeter badge and lead apron when providing direct patient care.B. Avoid placing a radiation sign at the entrance of the room for patient privacyC. Alert family members that they should restrict their visiting to 60 minutes at a time.D. Explain to the patient that she will continue to emit radiation for months after the implant is removed.

Correct Answer: A

Rationale: Wearing a dosimeter badge and lead apron minimizes radiation exposure, prioritizing nurse safety during brachytherapy care.

Question 4 of 5

A client with the rhythm below has been admitted into the cardiac icu. What assessment finding does the nurse expect to find in this client?

A. HypertensionB. IndigestionC. EupneaD. Irregular palpitations

Correct Answer: D

Rationale: The rhythm, likely atrial fibrillation, causes an irregularly irregular pulse, often perceived as palpitations, a hallmark symptom.

Question 5 of 5

What condition do these results indicate? A nurse is reviewing arterial blood gas lab values on her newly admitted elderly client. The ABG results are as follows: pH 7.21, PaCO2 50, HCO3 26.

A. Respiratoty acidosisB. Metabolic alkalosisC. Respiratory alkalosisD. Metabolic acidosis

Correct Answer: A

Rationale: The pH of 7.21 indicates acidosis, and the elevated PaCO2 of 50 mmHg suggests carbon dioxide retention, characteristic of respiratory acidosis due to inadequate CO2 expulsion.