PN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is caring for a client who has a distal radius fracture with a short arm cast applied. Which of the following actions should the nurse take?

A. Use a hair dryer to blow hot air into the cast to relieve itching. B. Perform neurovascular checks of the affected extremity every 2 hr. C. Position the fractured arm below the level of the client's heart. D. Immobilize the client's fingers using a hand splint.

Correct Answer: B

Rationale: Neurovascular checks every 2 hours assess circulation and nerve function, critical after cast application. Hot air can burn, elevation reduces swelling, and finger immobilization isn't standard unless specified.

Question 2 of 5

A nurse is assisting in the plan of care for a client who has thrombocytopenia. Which of the following actions should the nurse include in the plan?

A. Check the client for ecchymosis. B. Initiate protective isolation for the client. C. Administer ibuprofen for mild headache. D. Instruct the client to shave with a disposable razor.

Correct Answer: A

Rationale: Checking for ecchymosis (bruising) monitors for bleeding, a risk in thrombocytopenia due to low platelets. Isolation isn't needed, ibuprofen increases bleeding risk, and razors should be avoided.

Question 3 of 5

A nurse is caring for a client who has a sulfa allergy. Which of the following prescriptions should the nurse clarify with the provider?

A. Digoxin B. Prednisone C. Celecoxib D. Atorvastatin

Correct Answer: C

Rationale: Celecoxib, an NSAID, is a sulfa drug and contraindicated in sulfa allergies due to risk of allergic reaction. The other medications do not contain sulfa and are safe in this context.

Question 4 of 5

An occupational health nurse is interpreting the results of a tuberculin skin test for a group of clients who received the test 48 hr ago. Which of the following clients should the nurse identify as having a positive test result?

A. A client whose injection site is scabbed B. A client whose injection site is firm and measures 3 mm (0.1 in) C. A client whose injection site has an elevated area measuring 15 mm (0.6 in) D. A client whose injection site is ecchymotic

Correct Answer: C

Rationale: An induration of 15 mm after 48 hours indicates a positive TB skin test, suggesting exposure or infection. Smaller indurations, scabbing, or bruising do not meet the criteria for a positive result.

Question 5 of 5

A nurse is caring for a client who has cardiomyopathy and is experiencing sensory overload. Which of the following actions should the nurse take?

A. Ensure the blinds in the client's room remain open. B. Place the client in a room near the nurses' station. C. Play quiet music in the client's room. D. Break up nursing care into small, frequent sessions.

Correct Answer: D

Rationale: Breaking care into small, frequent sessions reduces sensory overload by minimizing stimulation. Open blinds, proximity to the station, and music could worsen overload in cardiomyopathy.

PN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN