Questions 74

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ATI PN Adult Medical surgical 2023 IV Questions

Extract:


Question 1 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

Cleanse the site with an antiseptic swab.
Allow the site to dry.
Pierce the puncture site quickly.
Squeeze the site gently to obtain a blood droplet.
Apply blood to the test strip.

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

Rationale: The document's order A, B, C, D, E matches the standard sequence: cleansing (
A), drying (
B), piercing (
C), squeezing (
D), and applying blood (E).

Question 2 of 5

A nurse is reinforcing teaching with a client who is scheduled to undergo a bronchoscopy. Which of the following client statements indicates an understanding of the teaching?

Correct Answer: D

Rationale: Blood-tinged sputum (
D) is expected post-bronchoscopy due to airway irritation, showing understanding.

Question 3 of 5

A nurse is reinforcing teaching about the care of a client who has tinea corporis with a newly licensed nurse. Which of the following should the nurse include in the teaching?

Correct Answer: D

Rationale: Avoiding direct contact (
D) prevents the spread of tinea corporis, a fungal infection, per the teaching.

Question 4 of 5

A nurse enters a client's room and sees smoke coming from the bathroom. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: Assisting the client to safety (
D) is the first action in a fire situation, prioritizing client well-being.

Question 5 of 5

A nurse administered a dose of penicillin to a client 30 minutes ago. The client reports she has hives and is itching. Which of the following statements by the nurse is the highest priority?

Correct Answer: C

Rationale: Asking about breathing difficulty (
C) is the priority to assess for anaphylaxis, a life-threatening reaction.

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