Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is preparing to administer ceftriaxone using the z-track technique to a client who has gonorrhea. After the nurse performs hand hygiene and reconstitutes the medication, identify the sequence the nurse should use to administer the medication. (Move the steps, placing them in the order of performance. Use all the steps.)
A. Use the nondominant hand to pull the skin and subcutaneous tissue 2.5 cm (1 in) laterally.
B. Remove the needle and release the tissue.
C. Aspirate by pulling back on the plunger and inject the medication.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Adult Med Surg 2020 with NGN Proctored Exam. Take the full exam now
Full Explanation
Similar Questions
A nurse is collecting data from a client who has suspected appendicitis. What finding should the nurse prioritize to report to the provider?
A. Loss of appetite
Option A - Loss of appetite is a common symptom of appendicitis.
B. WBC count 15,000/mm
Option B - A WBC count of 15,000/mm is an expected finding in appendicitis.
C. Rigid, board-like abdomen
peritonitis, a complication that requires immediate medical attention. Option A is incorrect because loss of appetite is a common symptom of appendicitis. Option B is incorrect because a WBC count of 15,000/mm is an expected finding in appendicitis due to the inflammatory response. Option D is incorrect because a temperature of 37.8°C (100°F) is a mild fever and can be expected in appendicitis.
D. Temperature 37.8°C (100°F)
Option D - A temperature of 37.8°C (100°F) is a mild fever and can be expected in appendicitis
A nurse is assisting in the care of a client who had an ischemic stroke. Which of the following observations by the nurse indicates a need for an occupational therapy referral?
A. The client becomes exhausted while brushing her teeth.
The correct answer is choice A, "The client becomes exhausted while brushing her teeth." This indicates a need for an occupational therapy referral to help the client with daily activities that require more energy.
B. The client coughs while drinking from a straw.
is incorrect because coughing while drinking indicates a need for a speech therapy referral.
C. The client is unable to bear her full weight while walking.
is incorrect because inability to bear full weight while walking indicates a need for physical therapy.
D. The client is having difficulty reading large print.
is incorrect because difficulty reading large print indicates a need for visual aids or referral to an ophthalmologist
A home health nurse is reinforcing teaching with an older adult client about safety precautions to take in the home. Which of the following instructions should the nurse include?
A. Have the furnace inspected every 2 years.
While having the furnace inspected is important for safety, it should be done annually, not every two years. Regular inspections help prevent carbon monoxide leaks and ensure the furnace is functioning properly.
B. Run wires and cords under carpeting.
Running wires and cords under carpeting is a safety hazard. It can lead to overheating and potentially cause a fire. Additionally, it creates a tripping hazard.
C. Place white tape on the edges of stairs.
Placing white tape on the edges of stairs is a recommended safety measure. It increases visibility, especially for older adults who may have vision impairments, reducing the risk of falls.
D. Place area rugs on wooden floors.
Placing area rugs on wooden floors can be dangerous as they can slip and cause falls. If area rugs are used, they should be secured with non-slip backing or tape.
Full Explanation
The correct answer is choice C. Place white tape on the edges of stairs.
Choice A rationale:
While having the furnace inspected is important for safety, it should be done annually, not every two years. Regular inspections help prevent carbon monoxide leaks and ensure the furnace is functioning properly.
Choice B rationale:
Running wires and cords under carpeting is a safety hazard. It can lead to overheating and potentially cause a fire. Additionally, it creates a tripping hazard.
Choice C rationale:
Placing white tape on the edges of stairs is a recommended safety measure. It increases visibility, especially for older adults who may have vision impairments, reducing the risk of falls.
Choice D rationale:
Placing area rugs on wooden floors can be dangerous as they can slip and cause falls. If area rugs are used, they should be secured with non-slip backing or tape.