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 wearing sterile gloves in preparation for assisting with a client's sterile procedure. While waiting for the procedure to begin, how should the nurse position their hands?

A. Clasp their hands together in a relaxed position behind their body at their waist. B. Interlock their fingers and hold their hands away from their body above their waist. C. Keep their arms at the sides of their body with their hands in a relaxed position. D. Place one hand over the other against the part of the gown covering their upper body.

Correct Answer: B

Rationale: Interlocking fingers above the waist prevents glove contamination.

Question 3 of 5

A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

A. Use a filter needle to aspirate the medication. B. Inject air into the ampule prior to drawing the medication into a syringe. C. Cleanse the tip of the ampule with an alcohol swab after opening. D. Add 0.5 mL of diluent to the medication.

Correct Answer: A

Rationale: A filter needle prevents glass particles from entering the syringe.

Question 4 of 5

A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

A. The stoma bleeds lightly when touched. B. The stoma appears dark in color. C. The stoma protrudes slightly from the abdomen. D. The stoma is draining a small amount of liquid stool.

Correct Answer: B

Rationale: A dark stoma suggests ischemia or necrosis, requiring urgent reporting.

Question 5 of 5

A nurse is reinforcing teaching with a client who is perimenopausal. Which of the following statements by the client indicates an understanding of the teaching?

A. The best time to perform a breast self-examination is on the first day of my period. B. I can expect to have regular periods until I am in menopause. C. I might have headaches due to a decline in my estrogen levels. D. I should stop receiving Papanicolaou tests once I reach menopause.

Correct Answer: C

Rationale: Declining estrogen levels during perimenopause can cause headaches.

PN Fundamentals 2023 | Nurselytic

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ATI LPN

ATI LPN