PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse is caring for an adult client who has acute lymphocytic leukemia. The client is refusing blood products. Which of the following responses should the nurse make?

A. I understand that you decided not to receive blood products.B. You need to talk with your doctor about this.C. Not receiving blood will slow down your recovery.D. Why are you refusing to receive blood products?

Correct Answer: A

Rationale: Acknowledging the decision respects the clientâ€™s autonomy.

Question 2 of 5

A nurse is caring for a client who is confused and has a prescription for wrist restraints. Which of the following actions should the nurse take?

A. Request a prescription renewal from the provider every 36 hr.B. Make sure two fingers fit under the restraints.C. Check the client's range of motion every 6 hr.D. Secure the restraints with a square knot.

Correct Answer: B

Rationale: Two fingers ensure the restraints are secure but not too tight.

Question 3 of 5

A nurse is preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?

A. Provide the teaching without expecting the client to respond.B. Determine the client's ability to use a communication boardC. Speak with a loud voice while providing the information.D. Avoid the use of facial gestures during the instructions.

Correct Answer: B

Rationale: A communication board aids clients with expressive aphasia in conveying needs, enhancing teaching effectiveness.

Question 4 of 5

Findings that require immediate follow-up: deep tendon reflexes 4+, generalized weakness, mild leg cramping, heart rate irregular, bowel sounds hyperactive x 4 quadrants

A. Deep tendon reflexes 4+B. Generalized weaknessC. Mild leg crampingD. Heart rate irregularE. Bowel sounds hyperactive x 4 quadrants

Correct Answer: A,B,C,D,E

Rationale: A: Hyperreflexia suggests magnesium deficiency. B,C: Weakness and cramping indicate electrolyte issues. D: Irregular heart rate risks arrhythmia. E: Hyperactive bowels may relate to vomiting.

Question 5 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.

PN Fundamentals 2023 | Nurselytic

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ATI LPN

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