1 :

Hint : Bloodstream access points.

Correct Answers:

  • Changing a central venous catheter dressing for a client who is receiving IV therapy

Rationale :
Changing a central venous catheter dressing requires sterile technique to prevent infection.
Distractor Analysis :

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2 :

Hint : Bacteria buildup.

Correct Answers:

  • Interlace the fingers while rubbing hands together.

Rationale :
This ensures thorough cleaning between fingers, which is a key part of effective hand hygiene.
Distractor Analysis :

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3 :

Hint : Bladder.

Correct Answers:

  • Urinary retention

Rationale :
Morphine can cause urinary retention due to its effect on the central nervous system.
Distractor Analysis :

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4 :

Hint : Self-blame.

Correct Answers:

  • Believes his bad behavior is causing his brothers death

Rationale :
School-age children often experience magical thinking and may believe their actions caused a loved one’s illness.
Distractor Analysis :

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5 :

Hint : Legal documents.

Correct Answers:

  • "I should discuss this document with my family after I sign it."

Rationale :
Advance directives should be discussed with family members to ensure everyone is aware of the client’s wishes.
Distractor Analysis :

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6 :

Hint : Aminoglycosides.

Correct Answers:

  • New onset of hearing loss

Rationale :
Gentamicin is ototoxic and can cause permanent hearing loss.
Distractor Analysis :

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7 :

Hint : Assess.

Correct Answers:

  • Measure the clients vital signs.

Rationale :
Assessing vital signs helps determine if the client sustained an injury or has an underlying issue.
Distractor Analysis :

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8 :

Hint : Birth process.

Correct Answers:

  • Is eager to review the birth experience

Rationale :
The taking-in phase occurs right after childbirth, where the mother reflects on the experience and seeks support.
Distractor Analysis :

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9 :

Hint : Grieve .

Correct Answers:

  • Encourage the family to express their feelings of loss.

Rationale :
Encouraging open expression of grief supports emotional healing.
Distractor Analysis :

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10 :

Hint : Death planning.

Correct Answers:

  • The client makes funeral arrangements.

Rationale :
A loss of hope may be reflected in preparing for death rather than focusing on treatment or daily life.
Distractor Analysis :

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Total Questions: 10

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