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A client requires insertion of a nasogastric tube. When preparing the client for the procedure, the nurse should place the client in which of the following positions?
- A. High Fowler's position with the head tilted forward.
- B. High Fowler's position with the head tilted backward.
- C. Semi-Fowler's position with the head in a neutral position.
- D. Semi-Fowler's position with the head tilted backward.
Correct Answer: A
Rationale: High Fowler's position with the head tilted forward (A) facilitates nasogastric tube insertion by aligning the esophagus and reducing the risk of aspiration. Tilting the head backward (B, D) or using a neutral position in semi-Fowler's (C) is less effective for this procedure.
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A non-immune nurse should not be assigned a client who has which of the vaccine-preventable airborne diseases? Select all that apply.
- A. tuberculosis
- B. influenza
- C. smallpox
- D. pertussis
Correct Answer: A,C
Rationale: Tuberculosis and smallpox are airborne, vaccine-preventable diseases posing risks to non-immune nurses. Influenza and pertussis are primarily droplet-transmitted.
Along with traditional therapy, a client asks the nurse about alternative therapies for chronic pain. Which could the nurse provide to the client?
- A. yoga
- B. acupuncture
- C. music therapy
- D. hypnosis
Correct Answer: A, B, C, D
Rationale: Yoga, acupuncture, music therapy, and hypnosis are all recognized alternative therapies for managing chronic pain, complementing traditional treatments.
The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:
- A. Notify her.Concurrent doctor
- B. Increase the rate of IV fluid
- C. Reposition the client
- D. Readjust the monitor
Correct Answer: C
Rationale: Repositioning the client can relieve umbilical cord compression, the common cause of variable decelerations.
Which of the following characterizes peer group relationships in 8- and 9-year-olds?
- A. Activities organized around competitive games
- B. Loyalty and strong same-sex friendships
- C. Informal socialization between boys and girls
- D. Shared activities with one best friend
Correct Answer: B
Rationale: At 8-9 years, children form strong same-sex friendships with loyalty, often engaging in group activities that reinforce social bonds.
A client diagnosed with hemophagocytic lymphohistiocytosis requires multiple blood transfusions. One of his family members wishes to donate blood. Which of the following conditions would DISQUALIFY someone from donating blood?
- A. current medical condition of hyperthyroidism
- B. new mother, 10 weeks postpartum
- C. currently ill with common cold
- D. past medical history of tuberculosis; completed treatment and recovered 3 years ago
Correct Answer: C
Rationale: Current illness (e.g., cold) disqualifies blood donation due to infection risk. Hyperthyroidism, postpartum (after 6 months), and treated TB (if fully recovered) may not disqualify.