PN Exit Exam 2023 Quizlet

Question 1 of 5

The nurse enters a male client's room to administer routine morning medications, and the client is on the phone. Which action is best for the nurse to take?

A. Ask another nurse to return with the medication when the client has hung up the phone B. Wait for the client to excuse himself from the telephone conversation, and observe the client taking the medication C. Return the medication to the client's drawer on the cart and document that the client refused the dose D. Leave the medication with the client and let him take it when he finishes the conversation

Correct Answer: B

Rationale: The best action for the nurse to take in this situation is to wait for the client to excuse himself from the telephone conversation and then observe the client taking the medication. This approach ensures that the client takes the medication as prescribed, promoting compliance and safety.
Choice A is not ideal as it involves unnecessary delegation and may lead to confusion.
Choice C is incorrect because assuming refusal without direct communication can compromise patient care.
Choice D is not recommended as leaving the medication with the client unsupervised may result in non-compliance or potential errors.

Question 2 of 5

Based on the computer documentation in the EMR, which action should the PN implement?

A. Give the rubella vaccine subcutaneously B. Observe the mother breastfeeding her infant C. Call the nursery for the infant's blood type results D. Administer hydrocodone/acetaminophen one tablet for pain

Correct Answer: A

Rationale: The rubella vaccine is crucial for preventing rubella infection, which can cause severe congenital disabilities if contracted during pregnancy. Administering the vaccine subcutaneously is the correct action based on EMR documentation. Observing breastfeeding, calling the nursery for blood type results, and administering pain medication are not indicated by the EMR documentation and are not relevant to the situation described in the question.

Question 3 of 5

The PN administered darbepoetin alfa to a client with chronic kidney disease (CKD). Which serum laboratory value should the PN monitor to assess the effectiveness of this drug?

A. Calcium B. Phosphorus C. Hemoglobin D. White blood cell count

Correct Answer: C

Rationale: Darbepoetin alfa is used to stimulate red blood cell production in clients with CKD. Monitoring hemoglobin levels is essential to assess the effectiveness of the treatment and to adjust the dosage to avoid complications such as hypertension or thrombosis. Monitoring calcium (
Choice
A), phosphorus (
Choice
B), or white blood cell count (
Choice
D) is not directly related to the effectiveness of darbepoetin alfa in treating anemia associated with CKD.

Question 4 of 5

Which neurotransmitter is most closely associated with mood regulation and is targeted by antidepressants?

A. Serotonin B. Dopamine C. GABA D. Acetylcholine

Correct Answer: A

Rationale: The correct answer is A: Serotonin. Serotonin plays a vital role in mood regulation, and its imbalance is often associated with depression. Many antidepressants function by boosting serotonin levels in the brain. Dopamine (
Choice
B) is more linked to reward and pleasure pathways in the brain, not primarily targeted for mood regulation. GABA (
Choice
C) is an inhibitory neurotransmitter that helps reduce neuronal excitability, not primarily associated with mood regulation. Acetylcholine (
Choice
D) is involved in muscle movement and cognitive functions, not the primary target of antidepressants for mood regulation.

Question 5 of 5

Which type of isolation is required for a patient with measles?

A. Contact isolation B. Airborne isolation C. Droplet isolation D. Reverse isolation

Correct Answer: B

Rationale: The correct answer is B: Airborne isolation. Measles is highly contagious and can be transmitted through airborne particles, so airborne isolation is necessary to prevent its spread.
Choice A, Contact isolation, is incorrect because measles is not primarily transmitted through direct contact.
Choice C, Droplet isolation, is also incorrect as measles is not transmitted through large droplets but through smaller airborne particles.
Choice D, Reverse isolation, is used to protect a patient from outside infections, not to prevent the spread of a contagious disease like measles.

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HESI LPN

HESI LPN