PN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a client who will undergo a colonoscopy the following week. Which of the following instructions should the nurse include?

A. Administer enemas 2 days before the procedure. B. Do not eat or drink anything except water for 12 hr. before the procedure. C. Restrict the diet to clear liquids for 1 to 3 days before the procedure. D. Expect the provider to schedule another procedure to remove any polyps.

Correct Answer: B

Rationale: Fasting except for water 12 hours prior ensures a clear colon for the colonoscopy. Enemas aren't standard, clear liquids are typically 24 hours, and polyp removal occurs during the procedure.

Question 2 of 5

A nurse is reinforcing teaching for a client who was admitted with an exacerbation of COPD. Which of the following should the nurse include in the client teaching?

A. You should consume small, frequent meals each day. B. You should decrease your caloric intake by 200 calories per day. C. You should increase your oxygen to 5 liters per minute if you have shortness of breath. D. You should discontinue your prednisone when your symptoms improve.

Correct Answer: A

Rationale: Small, frequent meals reduce diaphragm pressure and breathing effort in COPD. Caloric reduction isn't advised, oxygen adjustments need orders, and prednisone requires tapering.

Question 3 of 5

A nurse is reinforcing teaching with a client who will undergo a colonoscopy the following week. Which of the following instructions should the nurse include?

A. Administer enemas 2 days before the procedure B. Do not eat or drink anything except water for 12 hr. before the procedure. C. Restrict the diet to clear liquids for 1 to 3 days before the procedure. D. Expect the provider to schedule another procedure to remove any polyps

Correct Answer: B

Rationale: A 12-hour fast with only water prepares the colon adequately for a colonoscopy, reflecting standard protocol and client understanding.

Question 4 of 5

A nurse is reinforcing teaching with the partner of a client who has contact precautions in place for methicillin-resistant Staphylococcus aureus (MRSA). Which of the following statements by the partner indicates an understanding of the teaching?

A. I can take my partner outside of the room as long as they wear a mask. B. I will wash my hands as soon as I leave the room. C. I will wear a gown when I help my partner take a bath. D. I will reuse unsoiled gloves when I re-enter the room.

Correct Answer: B

Rationale: Hand washing upon leaving prevents MRSA spread, a key contact precaution. Masks don't suffice, gowns are needed for bathing, and gloves must be fresh each entry.

Question 5 of 5

A nurse is obtaining a sterile urine specimen from a client who has an indwelling urinary catheter. Identify the sequence the nurse should follow.

Order the Items

Source Container

Wipe the sample port with an alcohol wipe and let the alcohol dry.

Clamp the catheter tubing distal to the sampling port for 15 min.

Attach a sterile needleless syringe to the sample port and aspirate the specimen

Document in the client's electronic medical record that the specimen was sent to the laboratory.

Empty the urine into a sterile container labeled with the client identifiers

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

Rationale: Sequence: Clamp tubing (
B) to collect urine, wipe port (
A), aspirate with syringe (
C), transfer to container (E), and document (
D) for a sterile specimen.

PN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN