PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse is preparing to instill an otic medication for an adult client. Which of the following actions should the nurse take?

A. Request the client remain supine for 10 min following administration.B. Pull the client's pinna downward and back.C. Hold the ear dropper 1 cm (0.5 in) from the client's ear.D. Cleanse the client's outer ear with isopropyl alcohol to remove wax.

Correct Answer: C

Rationale: Holding the dropper 1 cm from the ear ensures precise administration without contamination.

Question 2 of 5

A nurse is caring for a client who requires a sterile dressing change. The nurse should recognize that the surgical field has been contaminated if which of the following actions occur?

A. The sterile solution is poured with the bottle held over the field.B. Unnecessary sterile items are placed on the field.C. A pair of sterile forceps is allowed to rest in a container of sterile water on the field.D. The handle of a pair of sterile scissors is resting 5 cm (2 in) from the field's edge.

Correct Answer: A

Rationale: Pouring solution with the bottle over the field risks contamination from touch or splash.

Question 3 of 5

A nurse is reinforcing teaching about beginning an exercise program with an older adult client who is at risk for osteoporosis. Which of the following activities should the nurse recommend?

A. Passive range-of-motion exerciseB. BowlingC. WalkingD. Jogging

Correct Answer: C

Rationale: Walking is a weight-bearing, low-impact exercise that helps improve bone density and is safe for osteoporosis prevention.

Question 4 of 5

A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

A. The stoma bleeds lightly when touched.B. The stoma appears dark in color.C. The stoma protrudes slightly from the abdomen.D. The stoma is draining a small amount of liquid stool.

Correct Answer: B

Rationale: A dark stoma suggests ischemia or necrosis, requiring urgent reporting.

Question 5 of 5

A nurse is providing end-of-life care to a client who is experiencing dyspnea. Which of the following actions should the nurse take?

A. Provide oral care to the client once every 8 hr.B. Use a fan to circulate air in the client's room.C. Reposition the client once every 4 hr.D. Place the head of the client's bed flat.

Correct Answer: B

Rationale: A fan circulates air, relieving dyspnea by enhancing the feeling of airflow.

PN Fundamentals 2023 | Nurselytic

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