PN Adult Medical Surgical 2023 | Nurselytic

Questions 168

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PN ADULT MEDICAL SURGICAL 2023 Questions

Extract:


Question 1 of 5

A nurse is collecting admission history data from a client who is in a semi-private room. Which of the following data is the priority for the nurse to address?

Correct Answer: C

Rationale: Recent TB exposure is the priority due to infection risk to others in a semi-private room, requiring immediate isolation precautions.

Question 2 of 5

A nurse is reinforcing discharge teaching for a client who had a cerebrovascular accident (CVA) and requires assistance to perform their ADLs. Which of the following statements should the nurse provide?

Correct Answer: C

Rationale: Grab bars enhance safety and independence in the shower post-CVA. Fatigue is possible, full assistance isn't always needed, and a towel could be a slip hazard.

Question 3 of 5

A nurse is reinforcing discharge teaching for a client who had a cerebrovascular accident (CVA) and requires assistance to perform their ADLs. Which of the following statements should the nurse provide?

Correct Answer: C

Rationale: Grab bars support balance and safety, key for CVA clients with ADL challenges. Other options are impractical or unsafe.

Question 4 of 5

A nurse is preparing to perform a blood glucose test. After performing hand hygiene and donning gloves, in which order should the nurse perform the following actions to obtain a capillary blood sample?

Order the Items

Source Container

Allow the site to dry.
Pierce the puncture site quickly.
Squeeze the site gently to obtain a blood droplet.
Cleanse the site with an antiseptic swab.
Apply blood to the test strip.

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

Rationale: The order is: Cleanse with antiseptic (
D), allow to dry (
A), pierce (
B), squeeze for blood (
C), and apply to strip (E) for an accurate, sterile sample.

Question 5 of 5

A nurse is preparing to perform a blood glucose test. After performing hand hygiene and donning gloves, in which order should the nurse perform the following actions to obtain a capillary blood sample?

Order the Items

Source Container

Cleanse the site with an antiseptic swab.
Allow the site to dry.
Pierce the puncture site quickly.
Squeeze the site gently to obtain a blood droplet.
Apply blood to the test strip.

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

Rationale:
Steps are: Cleanse (
A), dry (
B), pierce (
C), squeeze (
D), and apply (E), ensuring a clean and accurate glucose reading.

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