he practical nurse (PN) administers an injection using a syringe with a retractable needle. After the needle is removed from the client's skin, the needle does not retract, and the PN gets stuck in the finger with the used needle. What action should the PN take first?

Cleanse the finger with soap and water.

Observe the appearance of the injection site.

Explain the occurrence to the client.

Call the charge nurse to the room.

Answer and Explanation

The Correct Answer is A

A. Cleanse the finger with soap and water: Immediate cleansing of the puncture site is the first action to reduce the risk of infection or bloodborne pathogen transmission. Proper wound hygiene is critical before any further reporting or assessment steps are taken.

B. Observe the appearance of the injection site: While assessing the injection site is important, it should be done after the immediate risk of contamination has been addressed. Prioritizing wound cleansing helps prevent potential infection from the needlestick.

C. Explain the occurrence to the client: Transparency with the client is important to maintain trust, but addressing personal safety and infection risk comes first. Communication can follow once the PN has taken steps to protect themselves.

D. Call the charge nurse to the room: Reporting to the charge nurse is necessary for documentation and further management, but the PN must first perform immediate first aid on the puncture site to reduce infection risk.

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Correct Answer is A

Explanation

A. Checks the medical record for the correct signed consent form prior to the examination: The PN’s role is to verify that a valid, signed consent form is on file before the procedure. This ensures legal and ethical compliance while confirming that the client has been properly informed by the provider.

B. Asks if the client understands the exam and why the consent form must be signed: Assessing client understanding is the responsibility of the provider who explains the procedure. The PN can reinforce understanding but cannot obtain informed consent independently.

C. Explains the examination and asks the client to sign the consent form: Explaining the procedure and obtaining signatures is the provider’s responsibility. The PN can clarify information and answer questions, but cannot replace the provider in securing consent.

D. Explains to a family member and obtain their signature on the consent form: Consent must come from the client unless they are legally unable to provide it. Involving a family member without proper authorization could violate the client’s rights and legal requirements.

A. Hyperactive bowel sounds on assessment. B. Regular heart rate of 100 beats per minute on telemetry. C. Hypoactive bowel sounds on assessment. D. Heart rate of 90 beats per minute with PVCs noted on telemetry.

Correct Answer is D

Explanation

A. Hyperactive bowel sounds on assessment: Increased bowel sounds may be expected postoperatively and with NG suctioning, but they are not immediately life-threatening and do not require urgent reporting.

B. Regular heart rate of 100 beats per minute on telemetry: A heart rate of 100 bpm is at the upper limit of normal for adults and, in the absence of other symptoms, is not an urgent concern.

C. Hypoactive bowel sounds on assessment: Reduced bowel sounds are common after abdominal surgery and with NPO status, but they are not immediately critical unless associated with other signs of obstruction or deterioration.

D. Heart rate of 90 beats per minute with PVCs noted on telemetry: Premature ventricular contractions (PVCs) in the context of dizziness, tingling, and NG suctioning may indicate electrolyte imbalances, such as hypokalemia or hypomagnesemia. This finding should be reported promptly for further evaluation and intervention.

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he practical nurse (PN) administers an injection using a syringe with a retractable needle. After the needle is removed from the client's skin, the needle does not retract, and the PN gets stuck in the finger with the used needle. What action should the PN take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Prior to an invasive examination of a hospitalized client, a consent form should be obtained. Which action best describes the responsibility of the practical nurse (PN)?

Correct Answer is A

Explanation

The practical nurse (PN) is providing care for a client who is NPO after a small bowel resection. The client's NG tube is connected to low intermittent suction. The client reports dizziness and tingling in digits. Which assessment finding by the PN should be reported to the healthcare provider.

Correct Answer is D

Explanation

The practical nurse (PN) learns in report that a client has jugular vein distention (JVD). Which technique should the PN use to confirm this finding?

A child diagnosed with strep throat 3 days ago enters the clinic crying hysterically. The parent tells the practical nurse (PN) that the child screams in pain even with a light touch. The child is short of breath and anxious. Which manifestations warrant immediate intervention by the PN?

Which statement by a mature adult client with advanced prostate cancer best indicates that he has reached a level of acceptance of his prognosis?

A woman who delivered a normal newborn 24 hours ago reports, "I seem to be urinating every hour or so. Is that OK?" Which action should the practical nurse (PN) implement?

A male client attends a community support program for mentally impaired and chemical abusing clients. The client tells the practical nurse (PN) that his drugs of choice are cocaine and heroin. What is the greatest health risk for this client?

A client who is agitated is gesturing at the television in the day room and talking to an empty chair. Which interventions should practical nurse (PN) implement? Select all that apply.

The practical nurse (PN) views the mid-line episiotomy of a client who reports pain in her stitches. Which action should the PN take first?

The practical nurse (PN) notes that the pulse rate of a client newly started on levothyroxine sodium has increased from 98 to 120 beats/minute since the initial dose was administered the previous day. Which action should the PN implement?