A nurse is triaging clients in an urgent care clinic. Which of the following clients should the nurse have the provider care for immediately?

A toddler who has a laceration on his forehead and is crying

An adolescent female client who is belligerent and has slurred speech

A young adult with a painful sunburn of his face and arms

A middle adult male who is diaphoretic and reports epigastric pain

Answer and Explanation

The Correct Answer is D

A. A laceration on the forehead of a toddler, while needing attention, is not as urgent as symptoms suggestive of a myocardial infarction.
B. Belligerence and slurred speech in an adolescent could indicate substance use or neurological issues, but it is less immediately life-threatening than symptoms of a myocardial infarction.
C. While painful sunburn can be uncomfortable, it is not as critical as symptoms indicative of a potential heart attack.
D. Diaphoresis and epigastric pain can be symptoms of a myocardial infarction (heart attack), which is a potentially life-threatening condition requiring immediate medical attention.

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Correct Answer is ["0504"]

Explanation

To calculate the estimated date of birth (EDB) using Naegele's rule, add 9 months and 7 days to the first day of the last menstrual period.

In this case, the client's last menstrual period began on July 27. So:

July 27 + 9 months = April 27
April 27 + 7 days = May 4

Therefore, the client's estimated date of birth is 0504.

A. This test identifies an Rh incompatibility between the mother and fetus. B. It assesses various markers of fetal well-being. C. It is a screening test for spinal defects in the fetus. D. This test assesses fetal lung maturity.

Correct Answer is C

Explanation

A. The maternal serum alpha-fetoprotein (MSAFP) test does not identify Rh incompatibility. Rh incompatibility is typically evaluated through blood typing and antibody screening, not through the MSAFP test.
B. While the MSAFP test is related to fetal development, it does not assess various markers of fetal well-being. Instead, it measures the level of alpha-fetoprotein in the maternal blood, which is specifically associated with neural tube defects.
C. The MSAFP test is primarily used as a screening tool for neural tube defects, such as spina bifida, in the fetus. Elevated levels of alpha-fetoprotein can indicate spinal defects or other fetal abnormalities.
D. The MSAFP test does not assess fetal lung maturity. Fetal lung maturity is usually determined later in pregnancy through other tests, such as amniocentesis, which evaluates surfactant levels in the amniotic fluid.

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A nurse is triaging clients in an urgent care clinic. Which of the following clients should the nurse have the provider care for immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on July 27. What is the client's EDB? (State the date in MMDD. For example, July 27 is 0727)

Correct Answer is ["0504"]

Explanation

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

Correct Answer is C

Explanation

A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate?

A nurse is instructing clients in the community about relationship development. The nurse should explain that, according to Erikson, establishing relationships with commitment is a primary task of which of the following stages of psychosocial development?

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A nurse in an urgent care clinic is studying the developmental stages of various clients. In which of the following clients should the nurse expect to see manifestations of autism?

A nurse is caring for an older adult client. The nurse informs the client that straining while defecating can cause which of the following?

A nurse is providing home safety information for an older adult client who uses a cane. Which of the following statements should the nurse include in the teaching?