Practice Test 1

The nurse is to change a dressing. Which is essential to do when opening the dressing set? 1. Open the first flap away from the nurse. 2. Open the first flap toward the nurse. 3. Place the dressing set on a chair beside the bed. 4. Place the dressing set on the client's bed. - Answer- 1. The first flap should be opened away from the nurse. This allows the last flap to be opened toward the nurse. If the first flap is opened toward the nurse, the last flap will be away from the nurse and will require the nurse to reach across the field, which will contaminate it. The dressing set should be placed at waist height. The over bed table is a good place to put the dressing set. The dressing set should not be put on the client's bed. The client could easily contaminate it. The nurse is caring for a woman who is admitted for a hysterectomy. The woman does not speak English. No staff members speak the client's language. Which approach by the nurse would be most appropriate when communicating with the client about her care before and after the surgery? 1. Ask the woman's 8-year-old daughter who speaks English to interpret. 2. Draw pictures and gesture when speaking to the client. 3. Speak very slowly when giving the client instructions. 4. Request an interpreter from social services. - Answer- 4. The nurse should request an interpreter from social services. Most hospitals have lists of interpreters. It would not be appropriate to have an 8-year-old child interpret about a hysterectomy. The child does not know medical terminology. The mother may not give accurate information about her history and symptoms if a small child is interpreting. The most appropriate approach is to get an adult interpreter. Pictures and gestures will probably not be sufficient when discussing surgical care. If the client does not understand English, speaking very slowly in English will be pointless. The nurse is caring for a woman who is HIV positive. The woman starts her period. There is menstrual blood on the floor. What substance should the nurse use to clean up the floor? 1. Chlorine bleach 2. Hydrogen peroxide 3. Betadine 4. Ammonia - Answer- 1. Chlorine bleach is the best product for cleaning blood spills. HIV is in menstrual blood. There is a train wreck causing 46 casualties. The nurse is asking personnel on the floor to suggest clients who could be discharged to make room for casualties. Which client would be best for the LPN to suggest? 1. A 77-year-old who had a fractured femur with hip replacement yesterday 2. A 58-y