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PN 2006 PRE MIDTERM EXAM LATEST UPDATE
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PN 2006 PRE MIDTERM EXAM LATEST UPDATE The patient is in isolation in a negative pressure room for active tubercul osis. He coughs and spews large amounts of blood which is sputum but is too w eak to cover his mouth and nose with a tissue. Which is the most important interv ention for the nurse to implement for self-protection while providing nursing care? a. Cover the patient's mouth and nose snugly with a surgical mask b. Wear an N-95 mask, gloves, face shield, and isolation gown c. Place tissues and a contaminated waste container within reach. d. Use a properly fitted surgical mask and gloves to help with tissues - ANSWER b. Wear an N-95 mask, gloves, face shield, and isolation gown The nurse teaches the patient in proper handwashing technique before discharge and asks for a return demonstration, which hand hygiene technique indicates th e patient's teaching by the nurse is effective? a. The patient turns off the tap and then dries hands b. Soap, water, and friction are used by the patient c. The patient washed his hands with very hot water d. A basin with warm soapy water is used - ANSWER b. Soap, water, and friction are used by the patient In which of the following situations should the nurse use surgical asepsis? a. Performing routine urinary catheter care b. Performing oral care c. Wound care dressing d. Performing nasogastric tube care - ANSWER c. Wound care dressi ng Subjective data includes a patient's feelings, perception, and reported sym ptoms true or false - ANSWER true The nurse admits the patient with mild chest pain from the emergency depart ment. what should the nurse implement first to gain patient cooperation dur ing a physical assessment? a. Explain the procedure and its purpose b. Assess stages over the day c. Complete the assessment within 3 to 5 minutes d. Assess painful areas before non-tender areas - ANSWER a. Explain the procedure and it's purpose The nurse is performing a neurological assessment which patient behavio ur demonstrates a level of consciousness within normal limits a. States name age and date but not location b. is lethargic but responds logically to questions c. respond verbally but words are unintelligible d. responds to questions spontaneously and is alert - ANSWER d. resp onds to questions spontaneously and is alert The nurse assessing with a patient with a cast extending from just below the left knee to the toes. which assessment contains a desirable patient ou tcome? a. The toes are pink bilaterally b. The cast is warm at the ankle c. Paresthesia is present in the left foot d. The cast is snug at the knee - ANSWER a. The toes are pink bilaterally The nurse assesses an adult patient with a cardiopulmonary illness and hears a grating sound over the lower lateral lung during inspiration that do es not clear with coughing. What would the nurse most likely document as a result of the assessm ent findings? a. Crackles b. Wheezes c. A pleural friction rub d. Rhonchi - ANSWER c. A pleural friction rub having misplaced his stethoscope, a nurse borrows a colleague's stetho scope. He next enters to patient's room and identifies himself, washes his hands with soap, and states the purpose of his visits. h e performs proper identification of the patient before he also auscultates her lungs. which crit ical health assessment was not performed? a. Running warm water over the stethoscope patient comfort b. Cleaning stethoscope with Betadine c. Using alcohol-based hand disinfectant d. Cleaning stethoscope with alcohol - ANSWER d. Cleaning stethoscope w ith alcohol Which is the best examination position for a complete physical exam ination on a weak,geriatric patient with bilateral basilar pneumonia? a. Prone position b. Sims position c. Supine position d. Lateral position - ANSWER c. Supine position A nurse preceptor is working with a student nurse. Which behavior by the student nurse willrequire the nurse preceptor to intervene? a. The student nurse reviews the patient's medical record. b. The student nurse reads the patient's plan of care. c. The student nurse shares patient information with a friend. d. The student nurse documents medication administered to the patient - ANSWER c. The student nurse shares patient information with a friend. Rubella requires contact precautions. True or false - ANSWER false Subjective data should never be included in charting. true or false - ANSWER false The nurse considers several new female patients to receive additional teaching on the need for more frequent Pap smears and gynecological examinations. Which of the following patients is at higher risks for cervical cancer and thus having t he greatest need for patient education? a. 25 year old, smokes 1/2 pack of cigarettes per day, has multiple sexual partners bc nonsmokers, 13 years old, not sexually active c. 45 year old, stopped smoking 20 years ago, history of hysterectomy d. social smoker, 18 year old, celibate - ANSWER a. 25 year old, smokes 1/2 pac k of cigarettes per day, has multiple sexual partners to gather information about a patients home and work surroundings, the nurse will need to utilize which method of data collection?The benefits of buying summaries with Stuvia:
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