PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse is caring for a client who has a terminal illness. The client asks what type of care will be provided as death approaches. Which of the following statements should the nurse make first?

A. Tell me your expectations about activities related to the end-of-life. B. You can provide the name of a spiritual support person we can contact for you. C. You can allow your family to visit as often as you wish. D. We can talk to the provider about incorporating nonpharmacological pain management in your care.

Correct Answer: A

Rationale: Asking about expectations establishes a foundation for personalized end-of-life care planning.

Question 2 of 5

A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?

A. I'll use focused breathing to control my pain. B. I'll learn to notice the sensation of muscle tension. C. I think about my grandfather's farm to reduce pain. D. I listen to my favorite music to take my mind off the pain.

Correct Answer: C

Rationale: Guided imagery involves visualizing a calming scene like a farm to distract from pain.

Question 3 of 5

A nurse is caring for a client who requires a sterile dressing change. The nurse should recognize that the surgical field has been contaminated if which of the following actions occur?

A. The sterile solution is poured with the bottle held over the field. B. Unnecessary sterile items are placed on the field. C. A pair of sterile forceps is allowed to rest in a container of sterile water on the field. D. The handle of a pair of sterile scissors is resting 5 cm (2 in) from the field's edge.

Correct Answer: A

Rationale: Pouring solution with the bottle over the field risks contamination from touch or splash.

Question 4 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 rubella B. A client who has had varicella C. A client who is HIV-positive D. 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 5 of 5

A charge nurse on a long-term care unit is working with an assistive personnel who states, 'I am tired of all the changes on this unit. If things don't improve soon, I'm requesting a transfer.' Which of the following responses should the charge nurse make?

A. Why don't you just file a formal complaint with Human Resources? B. So, you are upset about all of the recent changes on the unit? C. There has been too much complaining about these changes. D. Please, try to wait a little longer. Things will get better soon.

Correct Answer: B

Rationale: Reflective listening acknowledges the APâ€™s feelings and encourages discussion.

PN Fundamentals 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN