Which client entering the clinic is most likely to have tuberculosis (TB)?

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Introduction to Professional Nursing Questions

Question 1 of 5

Which client entering the clinic is most likely to have tuberculosis (TB)?

Correct Answer: C

Rationale: The correct answer is C, the 43-year-old homeless man with a history of alcoholism. This population is at higher risk for TB due to weakened immune systems from alcoholism and living conditions. Homelessness increases exposure risk. The other choices are less likely - A, a young student, is less likely due to age and environment; B, a day-care worker, is less likely as TB transmission in day-care settings is rare; D, a businessman, is less likely unless there are specific risk factors.

Question 2 of 5

What is not done to assess the scrotum?

Correct Answer: B

Rationale: The correct answer is B: Auscultation. Auscultation is not typically done to assess the scrotum as it involves listening for sounds within the body using a stethoscope, which is not relevant for evaluating the scrotum. Palpation is the primary method used to feel for abnormalities in the scrotum. Inspection involves visually examining the scrotum for any visible signs of issues. Percussion is a technique where the area is tapped to assess the density of underlying structures, but it is not commonly used for scrotum assessment. Therefore, auscultation is the odd one out in this context.

Question 3 of 5

Where should the aortic valve be assessed?

Correct Answer: B

Rationale: The correct answer is B: 2nd ICS to the right. The aortic valve is best assessed at the 2nd intercostal space (ICS) to the right of the sternum. This is where the aortic valve can be auscultated most accurately due to its anatomical positioning. Assessing at the 3rd ICS to the left (choice A) would be incorrect as it is more indicative of the pulmonic valve. Choices C and D are also incorrect as they do not align with the accurate anatomical location of the aortic valve.

Question 4 of 5

What should the nurse do if a client with urinary incontinence has a urine output of 60ml over 3 hours?

Correct Answer: D

Rationale: The correct answer is D because palpating the patient's hypogastrium can help assess for bladder distension, which could be causing the urinary incontinence. By palpating the hypogastrium, the nurse can determine if the bladder is full and if the patient needs to void. This action is more appropriate than the other choices because stimulating the patient to urinate (choice A) may not address the underlying cause, informing the head nurse (choice B) is not an immediate action for this situation, and positioning the patient on his left side (choice C) is not directly related to assessing bladder distention.

Question 5 of 5

You are currently inserting an IV line into a client. While you were inserting it, which of the following signs should you stop advancing the catheter?

Correct Answer: D

Rationale: Correct answer: D. The blood return shows in the backflash chamber of the catheter. Rationale: When inserting an IV line, the appearance of blood return in the backflash chamber indicates proper placement within the vein. This signifies that the catheter tip is in the vein, and further advancement should be stopped to prevent complications like infiltration. Options A, B, and C do not provide direct indications of proper catheter placement and do not offer concrete guidance on when to stop advancing the catheter.

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