PN 4006 FINAL Exam Test Bank 2 Newest Actual Exam
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Which one of the following indicates that the nurse is using
surgical aseptic technique?
Select one:
a. Inserting an intravenous catheter
b. Placing soiled linen in moisture-resistant bags
c. Disposing of syringes in puncture-proof containers
d. Washing hands before changing a dressing - Answers-
a. Inserting an intravenous catheter
The client requires a sterile dressing change. Which of the
following is an appropriate intervention for the nurse to
implement in maintaining sterile asepsis?
Select one:
a. Put sterile gloves on before opening sterile packages.
b. Check integrity of sterile packages prior to use.
c. Place the cap of the sterile solution well within the
sterile field.
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d. Place sterile items on the very edge of the sterile drape.
- Answers-b. Check integrity of sterile packages prior to
use.
The nurse suspects that an older adult client may have
pneumonia. Older adult clients may react differently to
infectious processes, so the nurse is alert to atypical signs
and symptoms, such as which one of the following?
Select one:
a. Hypotension
b. Confusion
c. Erythema
d. Chills - Answers-b. Confusion
The nurse recognizes the appropriate procedures for
sterile asepsis. Of the following, which action is consistent
with sterile asepsis?
Select one:
a. Clean forceps may be used to move items on the sterile
field.
b. Sterile fields may be prepared well in advance of the
procedures.
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c. The first small amount of sterile solution should be
poured and discarded.
d. Wrapped sterile packages should be opened starting
with the flap closest to the nurse. - Answers-c. The first
small amount of sterile solution should be poured and
discarded.
The nurse is preparing to perform a physical examination
on a client who has cardiopulmonary disease. Knowing
this about the client, the nurse is alert for the presence of
which of the following when checking the client's nails?
Select one:
a. Clubbing
b. Bands in nailbeds
c. Yellow discoloration
d. Splinter hemorrhages - Answers-A- clubbing
The nurse is auscultating the client's lungs and notes
normal vesicular sounds as being which of the following?
Select one:
a. Medium-pitched blowing sounds with inspiration
equalling expiration
b. Loud, high-pitched, hollow sounds with expiration longer
than inspiration
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c. Soft, breezy, low-pitched sounds with longer inspiration
d. Sounds created by air moving through small airways -
Answers-c. Soft, breezy, low-pitched sounds with longer
inspiration
During the physical examination, the nurse should use
which part of the hand to assess characteristics such as
consistency, contour, and texture in the client's glands?
Select one:
a. Dorsum of the hand
b. Pads of the fingers
c. Palmar surface of the hand
d. Fingertip grasp of the tissue - Answers-b. Pads of the
fingers
If a low-pitched murmur is suspected with prior
assessment, which of the following is the best position for
the client when the nurse auscultates the apical site?
Select one:
a. Sitting up
b. Standing
c. Lying on the left side