PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse is preparing to administer medications to a client. Which of the following pieces of information should the nurse use as a client identifier?

A. Photograph B. Medical diagnosis C. Age D. Room number

Correct Answer: A

Rationale: A photograph, combined with other identifiers like name and birthdate, ensures positive patient identification.

Question 2 of 5

A nurse is caring for an adult client who has a developmental disability. The client requires an emergency appendectomy, and the staff cannot reach the appointed guardian. Which of the following is an appropriate action for the nurse to take?

A. Postpone the procedure until the staff contacts the guardian. B. Obtain consent from the client. C. Request that the provider sign the consent form. D. Prepare the client for surgery with implied consent.

Correct Answer: D

Rationale: In emergencies, implied consent allows life-saving procedures when delaying could harm the client.

Question 3 of 5

A nurse is reinforcing teaching with a client about advance directives. Which of the following client statements indicates an understanding of the teaching?

A. A family member will need to witness my signature on my living will. B. I need to create advance directives so that I can donate my organs. C. I can name my sibling as my designee in my durable power of attorney for health care. D. My advance directives can be enforced once my attorney approves them.

Correct Answer: C

Rationale: Naming a sibling as a designee in a durable power of attorney reflects understanding of advance directives.

Question 4 of 5

A nurse is caring for a client who refuses their morning dose of antihypertensive medication. The client tells the nurse, 'I'm not going to take this medication because it makes me sick and dizzy.' Which of the following actions should the nurse take first?

A. Document the refusal in the client's medical record. B. Return the medication to the medication cabinet. C. Inform the client of the potential consequences of their refusal. D. Notify the provider of the client's refusal.

Correct Answer: C

Rationale: Informing about consequences first respects autonomy and may encourage compliance.

Question 5 of 5

A nurse is preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take.

Order the Items

Source Container

Grasp the outermost flap of the sterile kit while opening away from the body.

Open the innermost lower flap of the sterile kit while standing away from the sterile field.

Open each side flap of the sterile kit individually while pulling to the side.

Prepare a dry work surface above the waist level.

Open the outside cover of the sterile kit and remove the dust cover.

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

Rationale: D: Set up surface. E: Remove cover. A: Open outermost flap. C: Open side flaps. B: Open innermost flap maintains sterility.

PN Fundamentals 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN