Proctored Exam | NGN Questions Included
| Verified Test Bank | Graded A+(2023
VERSION)
2. The nurse is caring for a postoperative patient with an incision. Which actions will the nurse take
to decrease wound infections? (Select all that apply.)
a. Maintain normoglycemia.
b. Use a straight razor to remove hair.
c. Provide bath and linen change daily.
d. Perform first dressing change 2 days postoperatively.
e. Perform hand hygiene before and after contact with the patient.
f. Administer antibiotics within 60 minutes before surgical incision.
ANS: A, E
Performing hand hygiene before and after contact with the patient helps to decrease the number of
microorganisms and break the chain of infection. Maintaining blood glucose levels at less than 150
mg/dL has resulted in decreased wound infection. Removing unwanted hair by clipping instead of
shaving decreases the numbers of nicks and cuts caused by a razor and the potential for the
introduction of microbes. The patient is postoperative; administration of an antibiotic 60 minutes before
the surgical incision supports the defense against infection preoperatively. Providing a bath and linen
change daily is positive but is not necessarily important for infection control. Many surgeons prefer to
change surgical dressings the first time so they can inspect the incisional area, but this is done before 2
days postoperatively.
3. A nurse is assigned the following four clients for the current shift. Which of the following clients
should the nurse assess first?
A. A client who has a hip fracture and is in Buck’s traction
B. A client who has aspiration pneumonia and a respiratory rate of 28/min
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
, D. A client who has a C diff infection and needs a stool specimen collected
1. The nurse is participating in a “time-out.” In which activities will the nurse be involved? (Select
all that apply.)
a. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
d. Perform “time-out” after surgery.
despite several attempts over the past 30 min. Which of the following actions should the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client’s physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort
3. The mother of a client with breast cancer states, it’s been hard for her, especially after losing
her hair. And it has been difficult to pay for all the treatments. Which of the following actions is
appropriate client advocacy?
A. The nurse investigates potential resources to help the client purchase wig
B. The nurse explains to the mother that most clients with cancer lose their hair
C. The nurse informs the next shift nurse regarding the mother’s concerns.
D. The nurse suggests counseling for the client’s body image issues.