PN Fundamentals Exam

Extract:

Question 1 of 5

A nurse is preparing to insert an indwelling urinary catheter and is verifying the client's express consent for this procedure. Which of the following actions should the nurse take?

A. Check the medical record for the client's signature on a previous consent form. B. Have another nurse co-sign the client's consent. C. Obtain verbal consent from the client. D. Witness the client's signature on a consent form.

Correct Answer: D

Rationale: Witnessing the client's signature on a consent form ensures informed, express consent for the procedure, required for invasive actions like catheter insertion.
Choice A is incorrect as prior consent may not apply to the current procedure.
Choice B is incorrect because co-signing doesn’t verify client understanding.
Choice C is incorrect as verbal consent alone isn’t sufficient for invasive procedures; written consent is standard.

Question 2 of 5

A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

A. Use a filter needle to aspirate the medication B. Add 0.5 ml of diluent to the medication C. Cleanse the tip of the ampule with an alcohol swab after opening D. Inject air into the ampule prior to drawing the medication into a syringe

Correct Answer: A

Rationale: Using a filter needle prevents glass particles from being aspirated into the syringe, ensuring safe administration.
Choice B is incorrect as ampules contain pre-measured doses not requiring dilution.
Choice C is unnecessary since the opened ampule’s contents are sterile, and swabbing doesn’t remove glass.
Choice D is incorrect as injecting air isn’t needed and could spill medication or affect dosing.

Question 3 of 5

A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

A. Use a filter needle to aspirate the medication B. Add 0.5 ml of diluent to the medication C. Cleanse the tip of the ampule with an alcohol swab after opening D. Inject air into the ampule prior to drawing the medication into a syringe

Correct Answer: A

Rationale: A filter needle prevents glass shards from entering the syringe, critical for safety.
Choice B is incorrect as adding diluent alters the pre-measured dose.
Choice C is incorrect since cleansing post-opening doesn’t address glass contamination and the interior is sterile.
Choice D is incorrect as injecting air isn’t standard and could compromise the medication.

Question 4 of 5

A nurse is caring for a client who is postoperative following a laminectomy. Which of the following actions should the nurse take when repositioning the client?

A. Place the bed in the lowest position before logrolling the client. B. Place the client in semi-Fowler's position prior to logrolling. C. Place the client's arms above her head prior to logrolling. D. Place a pillow between the client's legs prior to logrolling.

Correct Answer: D

Rationale: Placing a pillow between the legs maintains spinal alignment and reduces pressure on the surgical site during logrolling, essential post-laminectomy.
Choice A isn’t directly relevant to logrolling safety.
Choice B isn’t necessary as semi-Fowler’s isn’t used for logrolling.
Choice C is incorrect as arms above the head don’t aid alignment and may stress the site.

Question 5 of 5

A nurse is caring for a client who is postoperative following a laminectomy. Which of the following actions should the nurse take when repositioning the client?

A. Place the bed in the lowest position before logrolling the client. B. Place the client in semi-Fowler's position prior to logrolling. C. Place the client's arms above her head prior to logrolling. D. Place a pillow between the client's legs prior to logrolling.

Correct Answer: D

Rationale: A pillow between the legs supports spinal alignment and minimizes surgical site stress during logrolling.
Choice A doesn’t enhance logrolling safety.
Choice B is irrelevant as semi-Fowler’s isn’t part of logrolling.
Choice C risks misalignment and isn’t recommended.

PN Fundamentals Exam | Nurselytic

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