The nurse is assessing the patient's lips and notes a bluish tinge. This finding would indicate that the patient may be experiencing which problem?

Inﬂammation of the lips

Hypoxia

Beginning of a liver blister

Lack of dental care

Answer and Explanation

The Correct Answer is B

Hypoxia is a medical condition characterized by a lack of oxygen in the body's tissues, which can occur due to a variety of reasons, such as respiratory failure, cardiac arrest, or other serious medical conditions. Cyanosis occurs when the oxygen saturation level in the blood falls below 85%, which causes a bluish color to appear on the skin, especially on the lips and fingertips. Therefore, if a nurse observes cyanosis in a patient's lips, it is a significant sign of hypoxia, and the patient requires immediate medical attention.

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Correct Answer is C

Explanation

REM (Rapid Eye Movement) sleep is a stage of sleep that is part of the sleep cycle, which also includes non-REM (NREM) sleep. Dreaming occurs during REM sleep, and it usually composes about 20-25% of total sleep time in adults. NREM sleep, on the other hand, makes up the largest amount of total sleep time, typically about 75-80%. Both REM and NREM sleep are important for restorative sleep, but each plays a diﬀerent role in physiological and cognitive functioning.

A. Umbilicus B. Midclavicular lines C. Sternum D. Lower border of the right ribs.

Correct Answer is ["A"]

Explanation

To map the client's abdomen into four quadrants, the nurse should use the umbilicus as the landmark to perform this assessment. The abdomen is divided into four quadrants by drawing an imaginary line from the center of the umbilicus to the pubic symphysis and another line from the center of the umbilicus to the xiphoid process of the sternum. This helps in identifying the location of any potential abdominal discomfort or tenderness.

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The nurse is assessing the patient's lips and notes a bluish tinge. This finding would indicate that the patient may be experiencing which problem?

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Naxlex Comprehensive Predictor Exams

The nurse is teaching the patient about diﬀerent stages of sleep. The nurse knows that REM sleep includes which one of the following?

Correct Answer is C

Explanation

The nurse is mapping the client’s abdomen into four quadrants. Which landmarks should the nurse use to perform this assessment? (Select all that apply)

Correct Answer is ["A"]

Explanation

When assessing a client for alcohol use, the nurse utilizes the CAGE acronym, what does E stand for?

Child maltreatment, sibling violence, bullying, elder abuse, hate crimes and war/combat violence are types of?

The nurse is assessing the patient's range of motion. The nurse asks the patient to circumduct his arms. When the patient asks what this means, the nurse explains:

The nurse is working at a pain clinic and is preparing orientation for new staﬀ nurses. Which of the following definitions of pain would the nurse correctly choose to include in the orientation?

To evaluate the patient’s level of consciousness (LOC), the nurse will:

When assessing the heart, the nurse inspects and palpitates which of the following?

A patient is admitted to the ﬂoor with a diagnosis of chest pain. Which of the following would be a priority for the assessment?

The nurse should utilize what type of precaution when palpating the lips in a healthy adult?