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Exam (elaborations)

PN FUNDAMENTALS 2020 EXAM GUIDE

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PN FUNDAMENTALS 2020 EXAM GUIDE A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if she does not use the urinal more carefully next time. Which of the following torts is the AP committing? - ANS Assault A nurse is caring for a competent adult client who tells the nurse that he is thinking about leaving the hospital against medical advice. The nurse believes that this is not in the client's best interest, so she prepares to administer PRN sedative medication the client has not requested along with his usual medication. Which of the following types of tort is the nurse about to commit? - ANS False imprisonment A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the following week. The client tells the nurse that he will prepare his advance directives before he goes to the hospital. Which of the following statements made by the client should indicate to the nurse an understanding of advance directives? - ANS I plan to write that I don't want them to keep me on a breathing machine." A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent? (Select all that apply.) - ANS Make sure the surgeon obtained the client's consent. Witness the client's signature Zon the consent form. A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she was not on a break. Which of the following actions should the nurse take? - ANS Report the observations to the When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. Which of the following actions should the nurse take when preparing the sterile field? - ANS Place a mask on the client to limit the spread of micro-organisms into the surgical wound. A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first? - ANS The flap farthest from the body A nurse is wearing sterile gloves in preparation for performing sterile procedure. Which of the a touch without following objects can the nurse breaching sterile technique? (Select all that apply) - ANS The inner wrapping of an item on the sterile field An irrigation syringe on the sterile field One gloved hand with the other gloved hand A nurse is reviewing hand hygiene techniques with a group of assistive personnel (AP). Which of the following instructions should the nurse include when discussing handwashing? (Select all that apply) - ANS Wash the hands with soap and water for at least 15 seconds. Use a clean paper towel to turn off hand faucets.

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