PN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a client who has diabetes mellitus about reducing the risk for a stroke. Which of the following statements by the client indicates an understanding of the teaching?

A. Having a total cholesterol level below 200 mg/dL increases my risk for a stroke. B. My risk for a stroke increases if my HbA1c level is 6 percent or less. C. My provider might prescribe a glucocorticoid regimen to decrease my risk for a stroke. D. I can decrease my risk for a stroke by losing excess weight.

Correct Answer: D

Rationale: Losing excess weight reduces stroke risk by improving cardiovascular health, a key factor in diabetes management. High cholesterol, uncontrolled HbA1c, and glucocorticoids increase, not decrease, stroke risk.

Question 2 of 5

A nurse is contributing to the plan of care for a client who has developed an infectious wound with foul-smelling drainage. Which of the following actions should the nurse include in the plan of care?

A. Discard soiled wound care supplies in a trash receptacle outside the client's room. B. Administer antibiotic therapy before culturing the client's wound. C. Place the client in a private room with a private bathroom. D. Instruct visitors to perform hand hygiene for 5 seconds after leaving the client's room.

Correct Answer: C

Rationale: A private room with a private bathroom helps control infection spread from a foul-smelling, infectious wound. Supplies should be discarded in biohazard containers, cultures taken before antibiotics, and hand hygiene should be thorough, not just 5 seconds.

Question 3 of 5

A nurse is contributing to the plan of care for a client who has viral meningitis. Which of the following interventions should the nurse recommend?

A. Measure the client's intake and output every 8 hr. B. Dim the lighting in the client's room. C. Monitor the client's temperature every 6 hr. D. Initiate contact precautions for the client.

Correct Answer: B

Rationale: Dimming the lighting reduces photophobia, a common symptom of viral meningitis, improving client comfort. Intake/output and temperature monitoring are useful but less specific, and contact precautions are not typically required for viral meningitis.

Question 4 of 5

A nurse is initiating the use of a continuous passive motion (CPM) device for a client following a total knee arthroplasty. Which of the following actions should the nurse take?

A. Set the degree of flexion and extension as tolerated by client. B. Pad the CPM device with a thick pillow. C. Place the client in high-Fowler's position. D. Align the client's joints with the joints on the frame.

Correct Answer: D

Rationale: Aligning the client's joints with the CPM frame ensures proper movement and prevents injury. Flexion/extension should be preset by the provider, padding isn't typically needed, and high-Fowler's position is inappropriate for this therapy.

Question 5 of 5

A nurse is preparing to administer warfarin to a client who has chronic atrial fibrillation. Which of the following laboratory values should the nurse monitor prior to administering the medication?

A. LDL B. INR C. BUN D. Hct

Correct Answer: B

Rationale: INR (International Normalized Ratio) measures clotting time and must be monitored with warfarin to ensure therapeutic anticoagulation and prevent bleeding or clotting complications in atrial fibrillation.

PN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN