PN Fundamentals 2023

Extract:

Question 1 of 5

The client is at risk for developing ___ as evidenced by the client's ___

A. InfectionB. WBC count

Correct Answer: A,B

Rationale: A: Chemotherapy lowers immunity, increasing infection risk. B: Decreased WBC count (4,000/mmÂ³) indicates leukopenia.

Question 2 of 5

A nurse is showing a newly licensed nurse how to use a mechanical lift. Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?

A. The lower end of the sling goes below the client's calves.B. This type of device is useful for a client who cannot assist.C. The sides of the sling are for the client to hold on to.D. The device requires the client to use upper body strength.

Correct Answer: B

Rationale: Mechanical lifts are designed for clients unable to assist, reducing injury risk.

Question 3 of 5

A nurse is caring for a client who refuses their morning dose of antihypertensive medication. The client tells the nurse, 'I'm not going to take this medication because it makes me sick and dizzy.' Which of the following actions should the nurse take first?

A. Document the refusal in the client's medical record.B. Return the medication to the medication cabinet.C. Inform the client of the potential consequences of their refusal.D. Notify the provider of the client's refusal.

Correct Answer: C

Rationale: Informing about consequences first respects autonomy and may encourage compliance.

Question 4 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 5 of 5

A nurse is caring for a client who has a terminal illness. The client asks what type of care will be provided as death approaches. Which of the following statements should the nurse make first?

A. Tell me your expectations about activities related to the end-of-life.B. You can provide the name of a spiritual support person we can contact for you.C. You can allow your family to visit as often as you wish.D. We can talk to the provider about incorporating nonpharmacological pain management in your care.

Correct Answer: A

Rationale: Asking about expectations establishes a foundation for personalized end-of-life care planning.

PN Fundamentals 2023 | Nurselytic

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ATI LPN

ATI LPN