this document has been tested

TEST BANK

The information contained on this document has been tested and edited by professors from various universities. By purchasing this product, we guarantee you that you will get an A+.

Wishing you success in your studies!

With a 100 % Approved Questions and Answers

Guaranteed A+ Grade

NCLEX Practice Question Answers for Unit 3 Exam Modules 8-11

Module 9: PNA, Atelectasis and TB

1.A client newly diagnosed with tuberculosis (TB) is being admitted with a prescription for "isolation precautions for tuberculosis." The nurse should assign the client to which type of room?a.a semi-private room to implement droplet precautions b.a private room to implement airborne precautions c.a semi-private room to implement contact precautions d.a private room to implement standard precautions

Rationale:

Isolation precautions for possible TB include implementing airborne precautions. The client should be placed in a private room, and healthcare workers should wear fit-tested N95 or higher level respirators to prevent transmission. Droplet precautions would be needed to prevent the transmission of illness spread by coughing or sneezing and require the donning of a surgical mask. Standard precautions are used with all clients. Contact precautions, which include gown and gloves, are required to prevent the transmission of illness spread through contact.

2.The nurse has asked the unlicensed assistive personnel (UAP) to help with admitting an elderly client who has been diagnosed with bacterial pneumonia. Which activity is appropriate for the nurse to ask the UAP to perform?a.Assess the client’s breath sounds.b.Collect nursing history and assessment data.c.Obtain the client’s height and weight.d.Evaluate the client’s respiratory status.

Rationale:

It would be appropriate for the assistant to obtain the client’s weight and height.It is the responsibility of the registered nurse to obtain the nursing history, assess the client’s breath sounds, and evaluate the client’s respiratory status. Remember, don’t delegate what you can EAT ( Evaluate, Assess, Teach).

3.Which mental status change may occur when a client with pneumonia is first experiencing hypoxia?a.coma b.apathy c.irritability d.depression

Rationale:

Clients who are experiencing hypoxia characteristically exhibit irritability, restlessness, or anxiety as initial mental status changes. As the hypoxia becomes more pronounced, the client This study source was downloaded by 100000798332303 from CourseHero.com on 11-01-2023 01:02:58 GMT -05:00 https://www.coursehero.com/file/65011299/NCLEX-Practice-Question-Answers-for-Unit-3-Exam-Module-9docx/

may become confused and combative. Coma is a late clinical manifestation of hypoxia. Apathy and depression are not symptoms of hypoxia.

4.Which would be most important to teach a client older than 65 years to prevent a recurrence of bacterial pneumonia?a.Decrease the amount of protein in the diet.b.Seek prompt antibiotic therapy for viral infections.c.Receive prophylactic antibiotic therapy.d.Obtain influenza and pneumococcal vaccines.

Rationale:

Influenza and pneumococcal vaccines are effective in reducing the recurrence of pneumonia.Decreasing protein in the diet is not indicated in the prevention of pneumonia and may cause the client to have an inadequate dietary intake of protein.Antibiotics are ineffective against viral infections.Prophylactic antibiotic therapy is not typically prescribed because of the increasing prevalence of resistant bacterial strains.

5.Which technique for administering the tuberculin skin test is correct?a.Hold the needle and syringe almost parallel to the client’s skin.b.Pinch the skin when inserting the needle.c.Aspirate before injecting the medication.d.Massage the site after injecting the medication.

Rationale:

The Mantoux test is administered via intradermal injection. The appropriate technique for an intradermal injection includes holding the needle and syringe almost parallel to the client’s skin, keeping the skin slightly taut when the needle is inserted, and inserting the needle with the bevel side up. There is no need to aspirate, a technique that assesses for incorrect placement in a blood vessel, when giving an intradermal injection. The injection site is not massaged.

6.A client with stage II ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingo-oophorectomy with tumor resection, omentectomy, appendectomy, and lymphadenectomy. During the second postoperative day, which assessment finding requires immediate intervention?a.abdominal pain b.hypoactive bowel sounds c.serous drainage from the incision d.shallow breathing and increasing lethargy

Rationale:

There’s too much going on in this question. So, what is this question essentially asking you?Don’t fall for the distractors. If you reword this question, it is essentially saying: This study source was downloaded by 100000798332303 from CourseHero.com on 11-01-2023 01:02:58 GMT -05:00 https://www.coursehero.com/file/65011299/NCLEX-Practice-Question-Answers-for-Unit-3-Exam-Module-9docx/

“A client is on her second postoperative day, which assessment finding requires immediate intervention?” Shallow breathing and a change in the level of consciousness, such as increasing lethargy requires immediate intervention because they may indicate a respiratory complication — for example, atelectasis or carbon dioxide retention. To avoid respiratory complications, the nurse should encourage turning, coughing, deep breathing, and ambulation during the early postoperative period. Abdominal pain, hypoactive bowel sounds, and serous drainage from the incision are expected findings during the first few days after this type of surgery. This study source was downloaded by 100000798332303 from CourseHero.com on 11-01-2023 01:02:58 GMT -05:00 https://www.coursehero.com/file/65011299/NCLEX-Practice-Question-Answers-for-Unit-3-Exam-Module-9docx/