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1. Which question during the assessment of a diabetic patient will help the nurse identify autonomic neuropathy?
- A. �Do you feel bloated after eating?�
- B. �Have you seen any skin changes?�
- C. �Do you need to increase your insulin dosage when you are stressed?�
- D. �Have you noticed any painful new ulcerations or sores on your feet?�
Correct answer: A
Rationale:
2. A client is 2 days postoperative following a hip replacement surgery. Which of the following findings should the nurse report to the provider?
- A. Heart rate of 88/min
- B. Redness and warmth in the calf
- C. Urine output of 30 mL/hr
- D. Heart rate of 96/min
Correct answer: B
Rationale: Redness and warmth in the calf can indicate a deep vein thrombosis (DVT), which is a serious complication following hip replacement surgery. It is crucial to report this finding promptly for further evaluation and intervention. The other options, heart rates of 88/min and 96/min, are within normal limits for an adult and may not require immediate reporting. A urine output of 30 mL/hr is concerning for decreased kidney perfusion, but the priority in this case is the potential DVT due to its severe implications.
3. Constant reports of inadequate pain control in clients indicate which of the following?
- A. Improper administration of medications
- B. Potential substance abuse by the healthcare provider
- C. Poorly written prescriptions
- D. Inadequate scheduling by healthcare providers
Correct answer: B
Rationale: Constant reports of inadequate pain control may suggest potential substance abuse by the healthcare provider, as they might be diverting narcotics for personal use instead of administering them to clients. The incorrect choices include: A) Improper administration of medications may cause inadequate pain control but does not necessarily involve substance abuse. C) Poorly written prescriptions could lead to medication errors but are less likely to be related to substance abuse. D) Inadequate scheduling by healthcare providers might affect pain management but does not directly suggest substance abuse.
4. Which heart chamber receives oxygenated blood from the lungs and pumps it to the rest of the body?
- A. Left atrium
- B. Right atrium
- C. Left ventricle
- D. Right ventricle
Correct answer: C
Rationale: The correct answer is the left ventricle. It receives oxygenated blood from the left atrium and pumps it to the rest of the body through the aorta. The left atrium receives oxygenated blood from the lungs, the right atrium receives deoxygenated blood from the body, and the right ventricle pumps deoxygenated blood to the lungs.
5. A psychologist who is interested in the psychological effect of aging would most likely specialize in?
- A. Developmental psychology.
- B. Experimental psychology.
- C. Cognitive psychology.
- D. Psychometrics.
Correct answer: A
Rationale: A psychologist interested in the psychological effect of aging would most likely specialize in developmental psychology. Developmental psychology focuses on studying the psychological changes that occur throughout a person's lifespan, including the effects of aging. Experimental psychology primarily deals with conducting experiments to study behavior and cognitive processes. Cognitive psychology focuses on mental processes like perception, memory, and problem-solving. Psychometrics involves the measurement of psychological variables such as intelligence, aptitude, and personality traits, but it does not specifically address the psychological effects of aging as in developmental psychology.
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