PN 4006 MIDTERM EXAM NEWLY UPDATED QUESTIONS AND CORRECT ANSWERS | NEWEST 2026/2027 UPDATE | GRADED A+ | 100% ASSURED PASS.

PN 4006 MIDTERM EXAM NEWLY UPDATED QUESTIONS AND CORRECT ANSWERS | NEWEST 2026/2027 UPDATE | GRADED A+ | 100% ASSURED PASS. The nurse is preparing to perform a physical examination on a client who has cardiopulmonary disease. Knowing this about the client, the nurse is alert for the presence of which of the following when checking the client's nails? Select one: a. Clubbing b. Bands in nailbeds c. Yellow discoloration d. Splinter hemorrhages - ANSWER A- clubbing The nurse is auscultating the client's lungs and notes normal vesicular sounds as being which of the following? Select one: a. Medium-pitched blowing sounds with inspiration equalling expiration b. Loud, high-pitched, hollow sounds with expiration longer than inspiration c. Soft, breezy, low-pitched sounds with longer inspiration d. Sounds created by air moving through small airways - ANSWER c. Soft, breezy, low-pitched sounds with longer inspiration During the physical examination, the nurse should use which part of the hand to assess characteristics such as consistency, contour, and texture in the client's glands? Select one: a. Dorsum of the hand b. Pads of the fingers c. Palmar surface of the hand d. Fingertip grasp of the tissue - ANSWER b. Pads of the fingers If a low-pitched murmur is suspected with prior assessment, which of the following is the best position for the client when the nurse auscultates the apical site? Select one: a. Sitting up b. Standing c. Lying on the left side d. Dorsal recumbent - ANSWER c. Lying on the left side Which one of the following indicates that the nurse is using surgical aseptic technique? Select one: a. Inserting an intravenous catheter b. Placing soiled linen in moisture-resistant bags c. Disposing of syringes in puncture-proof containers d. Washing hands before changing a dressing - ANSWER a. Inserting an intravenous catheter The client requires a sterile dressing change. Which of the following is an appropriate intervention for the nurse to implement in maintaining sterile asepsis? Select one: a. Put sterile gloves on before opening sterile packages. b. Check integrity of sterile packages prior to use. c. Place the cap of the sterile solution well within the sterile field. d. Place sterile items on the very edge of the sterile drape. - ANSWER b. Check integrity of sterile packages prior to use. The nurse suspects that an older adult client may have pneumonia. Older adult clients may react differently to infectious processes, so the nurse is alert to atypical signs and symptoms, such as which one of the following? Select one: a. Hypotension b. Confusion c. Erythema d. Chills - ANSWER b. Confusion The nurse recognizes the appropriate procedures for sterile asepsis. Of the following, which action is consistent with sterile asepsis? Select one: a. Clean forceps may be used to move items on the sterile field. b. Sterile fields may be prepared well in advance of the procedures. c. The first small amount of sterile solution should be poured and discarded. d. Wrapped sterile packages should be opened starting with the flap closest to the nurse. - ANSWER c. The first small amount of sterile solution should be poured and discarded. Which of the following positions maximizes the nurse's ability to assess the client's upper body for symmetry? Select one: a. Sitting b. Supine c. Prone d. Dorsal recumbent - ANSWER a. Sitting The nurse is observing a new staff member work with the client. Of the following activities, which one has the greatest possibility of contributing to a nosocomial infection and requires correction? Select one: a. Washing hands before applying a dressing b. Taping a plastic bag to the bed rail for tissue disposal c. Placing a Foley catheter bag on the bed when transferring a client d. Using alcohol to cleanse the skin before starting an intravenous line - ANSWER c. Placing a Foley catheter bag on the bed when transferring a client The client has a 15-cm laceration on his right forearm and an infection develops. Which of the following is a sign of an acute inflammatory process? Select one: a. A blanching of the skin b. A decrease in temperature at the site c. A decrease in the number of white blood cells (WBCs) d. A release of histamine that adds to the pain response - ANSWER d. A release of histamine that adds to the pain response The nurse works in a small rural hospital with a wide variety of clients. Of the clients admitted this afternoon, the nurse recognizes that the individual with which of the following conditions is most susceptible to infection? Select one: a. Burns b. Diabetes d. Peripheral vascular disease - ANSWER a. Burns The nurse uses the Braden Scale in the extended care facility to determine the client's risk for pressure ulcer development. Which score, based on this scale, places the client at the highest level of risk? Select one: a. 9 or below b. 10 to 12 c. 13 to 14 d. 15 to 16 - ANSWER a. 9 or below Which of the following statements is true for wounds that heal by primary intention? Select one: a. They will likely have minimal scarring. b. They will likely contain infected tissue. c. They will likely present with ragged edges. d. They will likely have portions of missing tissue. - ANSWER a. They will likely have minimal scarring. The nurse recognizes that skin integrity can be compromised when skin is exposed to body fluids. The greatest risk exists for the client who has exposure to which one of the following fluids? Select one: a. Urine b. Purulent exudates c. Pancreatic fluids d. Serosanguineous drainage - ANSWER c. Pancreatic fluids