what should the nurse do first if they are stuck by a needle

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. What should the nurse do first if they are stuck by a needle?

A. Seek medical attention
B. Flush the exposed skin with water
C. Complete an incident report
D. Report the exposure

Correct answer: B

Rationale:

2. A client with systemic sclerosis has been in bed for 2 weeks due to fatigue and abdominal pain. Today, the client came into the clinic complaining of her leg being hot, red and painful. What does the nurse suspect?

A. Amputation
B. Deep vein thrombosis
C. Internal bleeding
D. Kidney failure

Correct answer: B

Rationale:

3. Which of the following assessments is found in neurovascular compromise?

A. Tingling
B. Strong pulses
C. Warm skin
D. Full range motion

Correct answer: A

Rationale: Tingling is a common sign of neurovascular compromise.

4. The goal for a client with impaired mobility is to prevent atelectasis. What nursing intervention would best help the client meet this goal?

A. Assist the client to orthopneic position
B. Offer a protein-rich diet
C. Offer the client a bedpan for toileting
D. Turn the client every 4 hours

Correct answer: A

Rationale: Assisting the client to the orthopneic position is the best nursing intervention to help prevent atelectasis. This position improves lung expansion by allowing the chest to expand fully, aiding in the prevention of atelectasis. Offering a protein-rich diet (choice B) is important for overall nutrition but does not directly address preventing atelectasis. Offering a bedpan for toileting (choice C) and turning the client every 4 hours (choice D) are important for preventing pressure ulcers in immobile clients but do not directly prevent atelectasis.

5. What finding is often present in a client with osteoporosis?

A. Chronic pain
B. Dupuytren’s contracture
C. Inflammation
D. Kyphosis

Correct answer: D

Rationale: Kyphosis is a common finding in osteoporosis due to vertebral compression fractures. Chronic pain (Choice A) can occur in osteoporosis but is not a specific finding. Dupuytren’s contracture (Choice B) is a condition affecting hand fingers' connective tissue, not typically associated with osteoporosis. Inflammation (Choice C) is not a typical finding in osteoporosis but rather a characteristic of other conditions.