PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?

A. I should wear shoes with smooth soles to help slide my weak leg forward. B. I should move my stronger leg forward before moving my weaker leg. C. I will move the cane forward 18 inches. D. I will hold the cane on my stronger side.

Correct Answer: B

Rationale: Moving the stronger leg first is correct for safe ambulation with a quad cane.

Question 2 of 5

A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

A. Urinate after the specimen collection. B. Keep the specimen in a warm area. C. Avoid placing toilet tissue in the bedpan after defecation. D. Place 1.3 cm (0.5 in) of formed stool into a culture tube.

Correct Answer: C

Rationale: Avoiding toilet tissue prevents contamination of the stool specimen.

Question 3 of 5

A nurse is caring for a client who has insomnia. Which of the following actions should the nurse take?

A. Provide the client with snug-fitting nightwear. B. Keep the door to the client's room closed. C. Administer prescribed diuretics in the evening. D. Use overhead lighting when checking equipment.

Correct Answer: B

Rationale: A closed door minimizes disturbances, promoting sleep.

Question 4 of 5

A nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?

A. Tell the nurse that permission from the risk manager is required to view the client's record. B. Remind the nurse that only staff caring for the client may access the client's record. C. Complete an incident report about the breach of confidentiality. D. Contact facility security to remove the nurse from the unit.

Correct Answer: B

Rationale: Reminding about access rules upholds confidentiality standards.

Question 5 of 5

A nurse is wearing sterile gloves in preparation for assisting with a client's sterile procedure. While waiting for the procedure to begin, how should the nurse position their hands?

A. Clasp their hands together in a relaxed position behind their body at their waist. B. Interlock their fingers and hold their hands away from their body above their waist. C. Keep their arms at the sides of their body with their hands in a relaxed position. D. Place one hand over the other against the part of the gown covering their upper body.

Correct Answer: B

Rationale: Interlocking fingers above the waist prevents glove contamination.

PN Fundamentals 2023 | Nurselytic

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ATI LPN

ATI LPN