Extract:

Question 1 of 5

The school nurse is monitoring the diet of a child with cystic fibrosis. Which type of diet would the family be advised to follow?

Correct Answer: D

Rationale: High-fat, high-calorie diets support nutritional needs in cystic fibrosis due to malabsorption.

Question 2 of 5

The charge nurse in the medical unit is preparing a bed assignment for a stable client diagnosed with necrotizing fasciitis. The client has a history of diabetes and hepatitis. There are four beds available. The nurse knows that the best roommate for this client is which of the following?

A. a client with gout in the large toe B. a client with fever, vomiting, and diarrhea C. a client with MRSA D. a client with severe dementia with a tendency to wander

Correct Answer: A

Rationale: The gout client has a non-infectious condition, minimizing infection risk for the immunocompromised necrotizing fasciitis client.

Question 3 of 5

An external weather disaster has flooded the emergency department with several new clients. Which client should the nurse see first?

A. the client complaining of chest pain and nausea who is diaphoretic B. the client with a simple fracture of the radius from a fall on a staircase C. the client complaining of slight redness and itching at the IV site in his hand D. the client presenting with a sprained ankle from a tree branch falling on him

Correct Answer: A

Rationale: Chest pain, nausea, and diaphoresis suggest a potential myocardial infarction, a life-threatening condition requiring immediate attention. Options B, C, and D describe less urgent conditions.

Question 4 of 5

A nurse manager is educating a group of nursing students about the Patient's Bill of Rights. The nurse knows that the student nurses have an understanding of the bill when one of the nurses makes which statement?

A. Clients have the right to view their medical records but may not copy any of the information contained in the records. B. Clients wavenumber be declined care at an emergency department or need preauthorization for care if they do not have premium-level insurance. C. Clients have the right to a quick and objective review of any claim that they levy against a health care facility, physician, or health care plan. D. It is the admitting nurse's job to verify the client's past medical history, medications, and treatments, even if the client refuses to cooperate in giving the information.

Correct Answer: C

Rationale: Clients have the right to a fair review of complaints, as per the Patient's Bill of Rights. The other options contain inaccuracies.

Question 5 of 5

Nurses are expected to understand the principles of triage when caring for multiple clients. The ICU charge nurse is reviewing assignments. Based on the principles of triage, to which client would the charge nurse give priority for treatment? Select all that apply.

A. a client on a ventilator who has an alarm sounding B. a client who has just returned from an open appendectomy C. a client ready to transfer to the floor after the nurse calls report D. a client who has been talking with family and is now unresponsive E. a client receiving a new antibiotic who complains of tingling in the mouth

Correct Answer: A,D,E

Rationale: A ventilator alarm, unresponsiveness, and tingling (possible anaphylaxis) indicate immediate threats to life, requiring priority in triage.

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