A charge nurse is observing a nurse performing a Mantoux tuberculin skin test for a client.
Which of the following actions should prompt the charge nurse to intervene?

Creating a 6 mm (1/4 in) bleb in the intradermal space of the forearm.

Visualizing the tip of the needle under the skin.

Stretching the skin tightly before injection.

Withdrawing the needle and massages the site gently.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Creating a 6 mm (1/4 in) bleb in the intradermal space of the forearm is the correct procedure for a Mantoux tuberculin skin test.

Choice B rationale:

Visualizing the tip of the needle under the skin is the correct procedure for a Mantoux tuberculin skin test.

Choice C rationale:

Stretching the skin tightly before injection is the correct procedure for a Mantoux tuberculin skin test.

Choice D rationale:

Withdrawing the needle and massaging the site gently is incorrect. Massaging the site can cause the test solution to disperse, which can affect the test results.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["1100"]

Explanation

The correct answer is 1100.

Calculation: The current time is 0700 and there are 300 mL remaining in the bag. The IV is infusing at a rate of 75 mL/hr. Therefore, 300 mL ÷ 75 mL/hr = 4 hours. Adding 4 hours to the current time of 0700 gives 1100.

A. Low BP and low pulse rate. B. Low BP and high pulse rate. C. High BP and low pulse rate. D. High BP and high pulse rate.

Correct Answer is B

Explanation

Choice A rationale:

Low blood pressure (BP) is a symptom of hypovolemic shock due to decreased blood volume, but the pulse rate typically increases as the body tries to compensate for the low BP, not decrease.

Choice B rationale:

Hypovolemic shock is characterized by low BP due to loss of blood or fluid volume and a high pulse rate as the body tries to compensate for the decreased blood flow.

Choice C rationale:

High BP is not typically associated with hypovolemic shock. Instead, BP is usually low due to decreased blood volume.

Choice D rationale:

High BP is not typically a symptom of hypovolemic shock. While the pulse rate may be high as the body tries to compensate for low blood volume, the BP is usually low.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A charge nurse is observing a nurse performing a Mantoux tuberculin skin test for a client.Which of the following actions should prompt the charge nurse to intervene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving IV dextrose 5% in 0.9% sodium chloride at 75 mL/hr. When the nurse checks the client's IV bag at 0700, 300 mL remain in the bag. At what time should the nurse hang a new bag of IV fluid? (Use the military format, four-digit number to enter the time.)

Correct Answer is ["1100"]

Explanation

A nurse is measuring the vital signs of a client he suspects has hypovolemic shock.Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is attending a seminar about blood flow through the heart.The hospital MD is conducting an inservice about blood flow in veins and arteries.In the circulatory system, generally,.

A nurse is caring for a client who wants information about a complementary or alternative healing modality to help her reduce stress.The nurse should suggest which of the following modalities in which the client can practice poses and meditation to achieve wellness?

A nurse is caring for a client who is conscious and has an airway obstruction.Which of the following actions should the nurse take?

Which step ensures the prescription is clear and appropriate?

A nurse is reviewing the medical record of a client who has a fluid volume deficit.The nurse should expect which of the following findings?

A nurse is reviewing the laboratory values of a client who is receiving total parenteral nutrition (TPN): glucose 72 mg/dL, chloride 100 mEq/L, sodium 138 mEq/L, and potassium 3.0 mEq/L. Which of the following actions should the nurse plan to take?

Before administering client medications, the nurse must identify the client.Which of the following methods of identification should the nurse use?

A nurse has received change-of-shift report on four clients.Which of the following clients should the nurse plan to see first?

A charge nurse is observing a nurse performing a Mantoux tuberculin skin test for a client.
Which of the following actions should prompt the charge nurse to intervene?