PN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is collecting data from an older adult client. Which of the following findings should indicate to the nurse that the client has a bladder infection?

A. Temperature 37.3Â°C (99.1Â°F) B. Changed mental status C. WBC count 9,000/mm3 (5000 to 10,000/mm3) D. Diminished reflexes

Correct Answer: B

Rationale: Changed mental status is a common sign of a bladder infection (UTI) in older adults, often due to systemic effects of infection. The temperature and WBC count are within normal limits, and diminished reflexes are unrelated to a UTI.

Question 2 of 5

A nurse is reinforcing teaching with a client who has diabetes mellitus about reducing the risk for a stroke. Which of the following statements by the client indicates an understanding of the teaching?

A. Having a total cholesterol level below 200 mg/dL increases my risk for a stroke. B. My risk for a stroke increases if my HbA1c level is 6 percent or less. C. My provider might prescribe a glucocorticoid regimen to decrease my risk for a stroke. D. I can decrease my risk for a stroke by losing excess weight.

Correct Answer: D

Rationale: Losing excess weight reduces stroke risk by improving cardiovascular health, a key factor in diabetes management. High cholesterol, uncontrolled HbA1c, and glucocorticoids increase, not decrease, stroke risk.

Question 3 of 5

A nurse is contributing to the plan of care for a client who has developed an infectious wound with foul-smelling drainage. Which of the following actions should the nurse include in the plan of care?

A. Discard soiled wound care supplies in a trash receptacle outside the client's room. B. Administer antibiotic therapy before culturing the client's wound. C. Place the client in a private room with a private bathroom. D. Instruct visitors to perform hand hygiene for 5 seconds after leaving the client's room.

Correct Answer: C

Rationale: A private room with a private bathroom helps control infection spread from a foul-smelling, infectious wound. Supplies should be discarded in biohazard containers, cultures taken before antibiotics, and hand hygiene should be thorough, not just 5 seconds.

Question 4 of 5

A nurse is contributing to the plan of care for a client who has viral meningitis. Which of the following interventions should the nurse recommend?

A. Measure the client's intake and output every 8 hr. B. Dim the lighting in the client's room. C. Monitor the client's temperature every 6 hr. D. Initiate contact precautions for the client.

Correct Answer: B

Rationale: Dimming the lighting reduces photophobia, a common symptom of viral meningitis, improving client comfort. Intake/output and temperature monitoring are useful but less specific, and contact precautions are not typically required for viral meningitis.

Question 5 of 5

A nurse is initiating the use of a continuous passive motion (CPM) device for a client following a total knee arthroplasty. Which of the following actions should the nurse take?

A. Set the degree of flexion and extension as tolerated by client. B. Pad the CPM device with a thick pillow. C. Place the client in high-Fowler's position. D. Align the client's joints with the joints on the frame.

Correct Answer: D

Rationale: Aligning the client's joints with the CPM frame ensures proper movement and prevents injury. Flexion/extension should be preset by the provider, padding isn't typically needed, and high-Fowler's position is inappropriate for this therapy.

PN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN