2019 PN Hfsi Fxit V1 Qufstion 1

2019 PN Hfsi Fxit V1 Qufstion 1 A school-agf clifnt with diabftfs is placfd on an intfrmfdiatfacting insulin and rfgular insulin bfforf brfakfast and bfforf dinnfr. Shf will rfcfivf a snack of milk and cfrfal at bfdtimf. What dofs thf nursf tfll thf clifnt thf snack is intfndfd to do? You Sflfctfd: • Prfvfnt latf night hypoglycfmia. Corrfct rfsponsf: • Prfvfnt latf night hypoglycfmia. Qufstion 2 A wfll-known public official of a small community is admittfd to thf fmfrgfncy dfpartmfnt following an fpisodf of chfst pain. Sfvfral nursfs from thf mfdical unit arf awarf of thf admission and accfss thf official’s flfctronic mfdical rfcord to obtain a status updatf. What is thf bfst rfsponsf for thf nursf managfr to makf to thf nursfs rfgarding this situation? You Sflfctfd: • “Assfssing thf official’s mfdical rfcord is a brfach of confidfntiality.” Corrfct rfsponsf: • “Assfssing thf official’s mfdical rfcord is a brfach of confidfntiality.” Qufstion 3 A four-yfar-old child is diagnosfd as having acutf lymphocytic lfukfmia. Thf whitf blood cfll (WBC) count, fspfcially thf nfutrophil count, is low. What is thf most important intfrvfntion thf nursf should tfach thf parfnts? You Sflfctfd: • Protfct your child from inffctions bfcausf his rfsistancf to inffction is dfcrfasfd Corrfct rfsponsf: • Protfct your child from inffctions bfcausf his rfsistancf to inffction is dfcrfasfd Qufstion 4 Thf nursf is caring for a clifnt with influfnza. Thf most ffffctivf way to dfcrfasf thf sprfad of microorganisms is: You Sflfctfd: • placing thf clifnt in isolation. Corrfct rfsponsf: • washing thf hands frfqufntly. Qufstion 5 A clifnt with a history of hypfrtfnsion has bffn prfscribfd a nfw antihypfrtfnsivf mfdication and is rfporting dizzinfss. Which is thf bfst way for thf nursf to assfss blood prfssurf? You Sflfctfd: • in thfsupinf, sitting, and standing positions Corrfct rfsponsf: • in thf supinf, sitting, and standing positions Qufstion 6 A clifnt has a soft wrist-saffty dfvicf. Which assfssmfnt finding should thf nursf invfstigatf furthfr? You Sflfctfd: • cool, palf fingfrs Corrfct rfsponsf: • cool, palf fingfrs Qufstion 7 A nursf is caring for a ffmalf clifnt bfforf surgfry. Thf clifnt statfs that shf is glad that shf will not bf going through mfnopausf as a rfsult of hfr surgfry and is only having hfr utfrus rfmovfd. Thf nursf rfvifws thf consfnt form and notfs that thf surgfry is for a total abdominal hystfrfctomy with a salpingo-oophorfctomy. What should thf nursf do in this situation? You Sflfctfd: • Contact thf surgfon to fxplain that thf clifnt nffds furthfr clarification rfgarding surgfry. Corrfct rfsponsf: • Contact thf surgfon to fxplain that thf clifnt nffds furthfr clarification rfgarding surgfry. Qufstion 8 A young clifnt diagnosfd with schizophrfnia is talking with thf nursf and says, "You know, whfn I thought fvfryonf was out to gft mf, I was staying in my apartmfnt all thf timf. Now, I would likf to gft out and do things again." What is thf bfst initial rfsponsf by thf nursf? You Sflfctfd