Nursing Acceleration Challenge Exam (NACE) I PN-RN: Foundations of Nursing Practice Test 2024 With Complete Solutions

Which type of precautions is indicated for a patient with a surgical-site infection and purulent discharge? Contact and droplet Airborne Droplet Contact - ANSWERS,Contact Which of the following injection sites is the BEST choice for intramuscular (IM) administration of 3 mL of medication for a well-developed adult female of normal weight? Deltoid Vastus lateralis Dorsogluteal site Ventrogluteal site - ANSWERS,Ventrogluteal site The ventrogluteal site is the preferred IM injection site because there is little danger of injecting into fatty tissue, large nerves, or blood vessels. In a well-developed adult, up to 4 mL can be safely injected. The dorsogluteal site is the least preferred site because of its proximity to the sciatic nerve and large blood vessels and increased fat deposits. The vastus lateralis site is also good because it lacks large nerves or large blood vessels. The deltoid site is usually avoided because of the small muscle size and the proximity of the radial nerve and artery. Injections to the deltoid should be limited to 1 mL. A burn patient is upset and argues loudly with the nurse, refuses wound care, and states that the treatment is too painful. Which response is an example of therapeutic communication? "You should be happy that the burns are healing so well" "You should stop arguing with the nurses" "Everyone gets upset at times" "Let's talk about this and see if we can figure out a way to make the treatment more comfortable for you" - ANSWERS,"Let's talk about this and see if we can figure out a way to make the treatment more comfortable for you" Collaborating with the patient to find a solution to a problem is an example of therapeutic communication. The other responses are nontherapeutic and can block effective communication. Saying "Everyone gets upset at times" devalues the patient's feelings. "You should stop arguing with the nurses" is a negative judgment that may anger the patient more and does not deal with the real issue. Saying "You should be happy the wound is healing" provides unwanted advice and ignores the patient's concerns. According to Maslow's hierarchy of needs, which of the client's needs must be met FIRST? Belonging and self-esteem Physiological Safety and security Self-actualization - ANSWERS,Physiological Physiological needs must be met first. Abraham Maslow stated that human behavior is motivated by needs, and that there is a hierarchy of needs that begins with basic needs and progresses to personal needs. People may not progress in one direction from one need to another, but movement may be in multiple directions in a lifelong process of working toward self-actualization, which requires creativity and some degree of freedom. Failure to develop toward self-actualization may result in depression and feelings of failure. A bed-bound patient has a 1.5-inch foam overlay over her mattress. The nurs