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Exam (elaborations)

NEW 2023 RN FUNDAMENTAL ONLINE PRACTICEWITH VERIFIED QUESTIONS AND ANSWERS

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NEW 2023 RN FUNDAMENTAL ONLINE PRACTICEWITH VERIFIED QUESTIONS AND ANSWERS  A nurse is assessing a client who reports pain following physical therapy. Which of thefollowing questions should the nurse as when assessing the quality of theclient’spain? a. “Isyour pain constant or intermittent?” Asking theclient whether the pain is constant or intermittent determines theonset,duration, and pattern of the pain. b. “What would you rateyour pain on a scaleof 0 to 10?” Asking theclient to rate the pain using the pain scale determines theintensity of thepain. c. “Does the pain radiate?” Asking theclient whether the pain radiates determines the pain’s location. d. “Is your pain sharp or dull?”  A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of thefollowing findings should the nurseidentify as a potentialindication of a skin malignancy? a. A lesion with uniform pigmentation Variations in pigmentation are a possible indication of a skin malignancy. A lesion with uniform pigmentation is not an expected indication of a skin malignancy. b. New appearanceof petechiae Petechiae are capillaries that have burst under the skin and appear as small spots on the skin. Although they can be indications of other conditions, petechiae are not an expected indication of a skin malignancy. c. A mole with asymmetrical appearance An uneven or asymmetrical shapeis a potential indication of a skin malignancy. Thisis manifested when partof a lesion or molelooks different from theother part d. The presenceof a papule Papules aresolid elevations that are palpablein theskin and areless than 1 cm (0.39in) in size. They are not an expected indication of a skin malignancy. Asking theclient whether the pain is sharp or dull, crushing, throbbing, aching,burning, electric- like, or shooting helps determinethe quality of the pain.  A nurseis admitting a new client. Which of thefollowing actions should the nursetake while performing medication reconciliation? a. Verifytheclient’s nameon their identification bracelet with the medicationadministration record. The nurse should verify the client’s name on their identification bracelet when administering medication; however, this action is not a part of performing medicationreconciliation. b. Call the pharmacy to determine whether the client’s medications are available. The nurse should call the pharmacy if the client’s medications are not available to administer at the appropriate time; however this action is not a part of performingmedication reconciliation c. Comparetheclient’s home medications with the provider’s prescriptions.The nurse should compare the client’s home medications with the provider’s prescriptions when performing medication reconciliation. d. Placetheclient’s home medication bottles in a securelocation. The nurseshould placetheclient's home medications in a securelocation toensuresafe handling of prescribed medications; however, this action is not a part of performing medication reconciliation.  A nurseis auscultating the anterior chestof a client who was admitted to a medical-surgical unit. Listen to the audio clip of what the nurse auscultates through the stethoscope and identify the type of breath sounds. (Click on the audio button to listen to the clip.) a. Crackles Unlike these breath sounds, crackles (also called rales) are discontinuous sounds heard primarily during inhalation and resulting from air bubbling through fluid ormucus in the airways. b. Rhonchi Rhonchi are dry, low-pitched, snore-like noises produced in thethroator bronchialtube due to a partial obstruction, such as by secretions. c. Friction rub Friction rub is a scratching sound that persists throughout therespiratory cycle. d. Normal breath sounds These are normal bronchovesicular breath sounds,characteristicallyof moderateintensity and sounding like blowing as air moves through the larger airways on inspiration and expiration.  A nurseis preparing to administerenoxaparin subcutaneously to a client. Which ofthefollowing actions should the nursetake? a. Administer the medication with the needle at 45o angle. The nurseshould insert the needle at 45o to90omanglefor a subcutaneous injection. b. Administer the medication into theclient’s nondominant arm. The nurseshould administerenoxaparin intothe abdomen, at least 5cm (2 inches)from the umbilicus. c. Pull theclient’s skin laterally or downward prior to administration. TheZ-track techniqueinvolves displacing theskin laterallyor downward prior toadministration of an IM injection. d. Massagetheinjection site after the administration. The nurseshould not massage theinjection following theinjection of ananticoagulant due to therisk for bruising

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Institution
NEW 2023 RN FUNDAMENTAL ONLINE
Course
NEW 2023 RN FUNDAMENTAL ONLINE

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Uploaded on
September 4, 2023
Number of pages
35
Written in
2023/2024
Type
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  • new 2023 rn fundamental

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