PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?

A. Tell the nurse that permission from the risk manager is required to view the client's record.B. Remind the nurse that only staff caring for the client may access the client's record.C. Complete an incident report about the breach of confidentiality.D. Contact facility security to remove the nurse from the unit.

Correct Answer: B

Rationale: Reminding about access rules upholds confidentiality standards.

Question 2 of 5

A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?

A. Apply lidocaine gel to the urethra.B. Twist the catheter gently.C. Inflate the catheter's balloon.D. Lower the penis to a 45Â° angle.

Correct Answer: B

Rationale: Gently twisting the catheter may navigate past resistance, often due to the prostatic urethra.

Question 3 of 5

A nurse is assigning a semiprivate room to a client who has herpes zoster. Which of the following roommates is appropriate?

A. A client who has rubellaB. A client who has had varicellaC. A client who is HIV-positiveD. A client who has tuberculosis

Correct Answer: B

Rationale: A client with prior varicella is immune to herpes zoster, caused by the same virus.

Question 4 of 5

A nurse is caring for a client who is postpartum. Which of the following documentations should the nurse include in the client's health record?

A. Client instructed on self-care needs.B. Episiotomy approximated. 3 cm (1.18 in) in length.C. Client drank adequate amounts of fluid with meals.D. Oral temperature elevated at 0800.

Correct Answer: B

Rationale: Documenting the status of the episiotomy provides essential information regarding healing and recovery, a priority in postpartum care.

Question 5 of 5

A nurse is assisting with the care of a client who has cancer that has metastasized. The client has decided to discontinue chemotherapy treatment. Which of the following responses should the nurse make?

A. Your quality of life will be compromised if you make this decision.B. How will you discuss this decision with your loved ones?C. Don't worry. Everything will work out for you.D. We should talk about your decision later.

Correct Answer: B

Rationale: Encouraging discussion with loved ones shows empathy and supports the client's autonomy.

PN Fundamentals 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN