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 monitoring a client who has diabetes mellitus and a glucose level of 384 mg/dL (74 to 106 mg/dL). Which of the following findings should the nurse identify as an indication of metabolic acidosis?

Correct Answer: D

Rationale: Increased respiratory rate (Kussmaul breathing) compensates for metabolic acidosis in hyperglycemia, as the body tries to eliminate excess acid.

Question 2 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 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 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 4 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 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

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.

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