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PN 1006 final Exam 2025 | Updated Questions
and Correct Answers | Graded A+ | Verified
Answers | Just Released
An incident report is issued as a result of the pharmacy sending the wrong medication to the unit. even though the medication was not administered, why would the nurse issue an incident report? ---------CORRECT ANSWER----------------- to help the pharmacy identify risks and prevent the situation from occurring again After providing care, a nurse charts in the patient's record. which entry is an example of appropriate charting? ---------CORRECT ANSWER-----------------• skin pale and cool A preceptor is working with a new nurse on documentation. what situation will cause the preceptor to intervene? ---------CORRECT ANSWER-----------------• the new nurse charts on every other line A nurse is giving a hand off report to the oncoming nurse, which information is critical for the nurse to give during a verbal report? ---------CORRECT ANSWER------ -----------• the patient has been started on a new pain medication
Which schedule should the nurse select to achieve therapeutic level of the medication that is prescribed admin 4 times a day? ---------CORRECT ANSWER------ -----------• 8 am, 2 pm, 8 pm and 2 pm The nurse is having difficulty reading a medication order. what should she do? ---- -----CORRECT ANSWER-----------------• clarify the order with the physician who wrote it A prescription read aspirin 325 mg tablets orally for pain. what action should the nurse take? ---------CORRECT ANSWER-----------------• clarify the time and frequency and whether the medication is PRN or standing The nurse needs to document PRN medication that has just been administered. which technique should the nurse use to document the medication administration? ---------CORRECT ANSWER-----------------• record the time administered and nurses name immediately after administering The nurse needs to administer a rectal suppository to a patient to treat constipation. which action may the nurse assign to the health care aide? --------- CORRECT ANSWER-----------------• inform the nurse of the bowel movement
The patient is in isolation in a negative pressure room for active TB. He coughs and spews large amounts of blood sputum but is too weak to cover his mouth. which is the most important intervention for the nurse to implement for self- protection while providing nursing care? ---------CORRECT ANSWER-----------------• wear N95 mask, gloves, face shield and isolation gown The nurse is assisting a patient to the toilet who has C. diff and notices a small hole in her glove. what intervention would the nurse use for self-protection? ------ ---CORRECT ANSWER-----------------• remove the gloves, wash hands and apply new gloves The nurse completes care for a patient on droplet precautions, which procedure would the nurse implement to prevent transmitting the pathogens to other people? ---------CORRECT ANSWER-----------------• remove gloves first, gown second and mask last at the patient's doorway The nurse is caring for a patient who has just delivered a healthy infant, the nurse is checking the patient for vaginal drainage, what level of precautions should the nurse implement? ---------CORRECT ANSWER-----------------• standard precautions The nurse and the assistant are moving a dependant patient from the supine to lateral position. which should the nurse implement to before repositioning? ------- --CORRECT ANSWER-----------------• move the patient away from the center to the side of the bed
The nurse assists the patient in transferring from bed to chair by using a transfer belt. which is the first instruction that the nurse gives to the patient after properly positioning the patient? ---------CORRECT ANSWER-----------------• rock to help to stand while pushing up with your hands, The nurse successfully transfers a patient from the bed to the chair and back. what information is most vital for the nurse to include in the progress notes? a. The visitors involved in assisting the patient transfer b. The discharge instructions for the patient about transferring c. The patient's blood pressure before and after each transfer d. A description of the patient's response to each transfer ---------CORRECT ANSWER-----------------d. A description of the patient's response to each transfer To decrease the chance of orthostatic hypertension, what activity can the patient do? ---------CORRECT ANSWER-----------------• sit on the side of the bed for a minute before standing up A patient's pulse is 78 at rest to 90 after ambulating. what nursing action can be implemented? ---------CORRECT ANSWER-----------------• plan an adequate rest period before and after ambulating
T/F: if two patients have the same communicable infection it may be appropriate to have them share an isolation room ---------CORRECT ANSWER-----------------True T/F: in proper body mechanics, it is appropriate to bend at the waist when lifting a load ---------CORRECT ANSWER-----------------False T/F if two care providers are working together, the working height should always be done to the taller care provider ---------CORRECT ANSWER-----------------False T/F when mobilizing with a walker, the patient's elbows should approx. be at a 90- degree angle ---------CORRECT ANSWER-----------------False T/F a patient with left sided weakness who is transferring from sitting on the edge of the bed to a wheelchair should have their wheelchair placed to their left side -- -------CORRECT ANSWER-----------------False T/F Passive ROM involves someone else moving a joint for the patient --------- CORRECT ANSWER-----------------True
T/F depression may be a side effect of immobilisation ---------CORRECT ANSWER--- --------------True Which patient is at a higher risk for wound healing, should they develop pressure ulcers ---------CORRECT ANSWER-----------------• elderly patient with mobility issues The nurse assesses a patient with a pressure ulcer. which assessment data does the nurse use to support the identification of a stage III ulcer? ---------CORRECT ANSWER-----------------• full thickness skin loss from the surface down to the fascia The nurse is caring for four patients at risk for impaired skin integrity. which patient requires the most frequent assessment and possible intervention? --------- CORRECT ANSWER-----------------malnourished homeless patient with nasogastric tube who is bedridden A patient is at risk for development of a pressure ulcer. which problem related to the patient's iron deficiency anemia and smoking habits should be addressed by the nurse for prevention of a pressure ulcer? ---------CORRECT ANSWER---------------
- -• decreased tissue perfusion The patient requires prone positioning for severe respiratory condition. which areas are at risk for developing pressure ulcers? ---------CORRECT ANSWER----------- ------• ears and toes
A patient Is in isolation precautions for pulmonary tuberculosis. The nurse notes that the patient seems to be angry but knows this is a normal response to isolation. What would be the nurse's best intervention? ---------CORRECT ANSWER------------------ Explain isolation procedures and provide meaningful simulation A gown should be worn when: ---------CORRECT ANSWER------------------ When blood or bodily fluids may get on the nurses clothing from her task she plans to perform
- A patient on your unit develops diarrhea, which is confirmed to be c-diff. what type of isolation should this patient be placed on? ---------CORRECT ANSWER-------- ---------- Contact precautions which patients would most likely use a urinal? ---------CORRECT ANSWER------------- ----an 82-year-old man who is awaiting surgery for a fracture Application of a condom catheter ---------CORRECT ANSWER-----------------• the adhesive tape should be applied in a spiral pattern the nurse is assisting an independent patient on a bed pan for elimination. what is correct? ---------CORRECT ANSWER-----------------metal bed pans can be warmed by placing under a warm running water for a few seconds
the nursing student is learning about the administration of enemas. what is not an appropriate reason for a patient to be prescribed an enema? ---------CORRECT ANSWER-----------------treatment of irregular elimination patterns 85 - year-old patient who has been ordered to have an enema. which is true concerning older adults and the use of enemas? ---------CORRECT ANSWER---------- -------older adults tire more quickly when administrating an enema a patient complains of severe pain during the administration of an enema that is unrelieved. what action should the nurse do next? ---------CORRECT ANSWER------- ----------stop the infusion and contact the physician T/F: urinals are only appropriate for male patients ---------CORRECT ANSWER-------- ---------False T/F: after using a urinal or a commode the nurse should ensure it is sterilized before being returned to the same patient for future use ---------CORRECT ANSWER-----------------False
week and a sponge bath every other day.to provide ultimate care for this patient, the nurse understands that ---------CORRECT ANSWER-----------------the patient's illness may require teaching about new hygiene practices of the following patient, which is not in need of perineal care ---------CORRECT ANSWER-----------------a circumcised male who's ambulatory (he can take care of himself) the nurse is teaching a patient about flossing and oral hygiene, what does the nurse include in the patient teaching? ---------CORRECT ANSWER-----------------• flossing removes plaque and tartar from the teeth when providing hygiene for an elderly patient, it is important for the nurse to closely assess for skin. what is true concerning the skill of elderly patient's? --------- CORRECT ANSWER-----------------• less frequent bathing may be required the nurse is caring for a patient who refuses AM care, when asked why, the patient tells the nurse that she always bathe's in the evening. how should the nurse proceed? ---------CORRECT ANSWER-----------------• defer the bath until the evening and pass on the information to the next shift a number of factors influence a patient's personal preferences for hygiene, because of this, it is important for the nurse to realize that what is true? ---------
CORRECT ANSWER-----------------• no two individuals perform hygiene in the same manner the nurse is caring for a patient who is complaining of severe foot pain due to corns. the patient states she has been using oval corn pads to self-treat the corns, but they seem to be getting worse. the nurse knows what true concerning corns is. ---------CORRECT ANSWER-----------------• depending on severity, surgery may be needed to remove the corns when providing the patient with a complete bed bath using soap and water, it is important to do what? ---------CORRECT ANSWER-----------------• towel dry completely to prevent maceration scaling of the scalp accompanied by itching is known as what? ---------CORRECT ANSWER-----------------dandruff social groups influence hygiene preferences and practices including the type of hygienic products used and the nature and frequency of personal care. Which of the following developmental stages is most likely to be influenced by family customs? ---------CORRECT ANSWER-----------------toddler
T/F: moisture on the skin can lead to skin maceration ---------CORRECT ANSWER---- -------------True T/F: when providing perineal care to an uncircumcised male patient, the nurse should retract the foreskin and keep it retracted ---------CORRECT ANSWER---------- -------False T/F: the nurse would expect to see pustules or bites behind the ears and at the hairline of a patient with head lice ---------CORRECT ANSWER-----------------True T/F: dental carries is another name for "bad breath" ---------CORRECT ANSWER----- ------------False T/F: bed linens only need to be changed when they are visibly soiled --------- CORRECT ANSWER-----------------False T/F: a patient with 25 mL of urine output in an hour is to have normal urine output ---------CORRECT ANSWER-----------------• false (the normal urine output is 30 mL)
T/F: when applying adhesive tape to a condom catheter the nurse should always apply it in a spiral pattern ---------CORRECT ANSWER-----------------True T/F: encouraging fluids is an important intervention for a patient who has constipation ---------CORRECT ANSWER-----------------True T/F: a healthy stoma for a colostomy should be a beefy red colour --------- CORRECT ANSWER-----------------True the nurse is documenting on a patient with a respiratory problem. what example of patient data documented by the nurse is the least objective? ---------CORRECT ANSWER-----------------low flow rate oxygen in place T/F: a Braden scale of eight would indicate that a patient is at low risk for skin breakdown ---------CORRECT ANSWER-----------------False T/F: poor sensory perception decreases the patient's ability to feel the sensation of pressure or discomfort ---------CORRECT ANSWER-----------------True T/F: the rubbing of the tissue against the surface is called friction: it abrades the top layer of the skin (epidermis) ---------CORRECT ANSWER-----------------True
factors which negatively affect wound healing are ---------CORRECT ANSWER-------- ---------• poor nutritional status
- compromised immune system
- old age external factors which cause the skin to become less tolerant to pressure --------- CORRECT ANSWER-----------------• friction
- shear
- moisture T/F: a stage II pressure ulcer is described as partial thickness and loss of dermis --- ------CORRECT ANSWER-----------------True children are less likely to develop pressure sores as their skin is thick --------- CORRECT ANSWER-----------------False it would take an immobilized client two days to develop a pressure ulcer --------- CORRECT ANSWER-----------------False takes 2-3 hours
the nurse assessing a patient with a hearing deficit, where is the best place to conduct this interview? ---------CORRECT ANSWER-----------------• in the patient's room with the door closed after collecting all the data required to identify any problems, the nurse should proceed to which step of the nursing process? ---------CORRECT ANSWER------------- ----• planning in which step of the nursing process would the nurse determine if the patient's condition has improved and whether the patient has met expected outcomes ----- ----CORRECT ANSWER-----------------• evaluation the nurse is evaluating whether the patient outcomes had been met. which option below is an expected outcome for a patient with impaired physical mobility? ---------CORRECT ANSWER-----------------• patient is able to ambulate in the hallway with crutches the nurse is caring for a patient who has an order to change the dressing at 06: and 18:00. at 14:00 the nurse notices that the dressing is saturated. what is the nurse's next action? ---------CORRECT ANSWER-----------------• revise the plan of care and change the dressing now
