PN 146 01 CONCEPTS OF PRACTICAL Nursing Nightingale
Access The Exact Questions for PN 146 01 CONCEPTS OF PRACTICAL Nursing Nightingale
💯 100% Pass Rate guaranteed
🗓️ Unlock for 1 Month
Rated 4.8/5 from over 1000+ reviews
- Unlimited Exact Practice Test Questions
- Trusted By 200 Million Students and Professors
What’s Included:
- Unlock Actual Exam Questions and Answers for PN 146 01 CONCEPTS OF PRACTICAL Nursing Nightingale on monthly basis
- Well-structured questions covering all topics, accompanied by organized images.
- Learn from mistakes with detailed answer explanations.
- Easy To understand explanations for all students.
Free PN 146 01 CONCEPTS OF PRACTICAL Nursing Nightingale Questions
Which of the following can be determined from Gastroccult testing? (Select all that apply.)
- The amount of bleeding in the stool
- The presence of blood in gastric contents
- Cancerous cells in the stool
- The pH of the gastric contents
Explanation
Correct Answers: B) The presence of blood in gastric contents, and D) The pH of the gastric contents.
Gastroccult testing is specifically designed to detect occult (hidden) blood in gastric contents such as vomitus or nasogastric drainage, and to measure the pH of gastric contents to confirm proper tube placement or assess gastric acidity. It does not quantify the amount of bleeding, nor does it detect cancerous cells. Cancerous cell detection requires cytology or biopsy. The amount of bleeding cannot be determined by a qualitative chemical test like Gastroccult.
The nurse has informed the patient a wound culture is going to be obtained. The patient asks why the nurse cleans the wound before swabbing it, stating "Won't that keep any infection from showing up on the test?" Which response by the nurse indicates the correct rationale for cleaning the wound prior to obtaining the culture?
- "Cleaning the wound keeps the wound free of pathogenic microorganisms."
- "Removing skin flora prevents possible contamination of the specimen."
- "Removing drainage minimizes discomfort during the procedure."
- "Cleaning the wound reduces the spread of infection."
Explanation
Correct Answer: B) "Removing skin flora prevents possible contamination of the specimen."
The wound is cleaned before obtaining a culture to remove surface debris, drainage, and normal skin flora (resident microorganisms) that could contaminate the specimen and produce a false or misleading culture result. The goal is to culture the actual organisms causing the wound infection, not surface contaminants. Cleaning does not eliminate pathogenic organisms from within the wound, nor is its primary purpose to reduce discomfort or prevent spread of infection.
Which of the following tests requires sterile gloves?
- Performing a Hemoccult test on stool
- Obtaining a wound culture
- Obtaining a midstream urine specimen
- Performing a Gastroccult test
Explanation
Correct Answer: B) Obtaining a wound culture
Obtaining a wound culture requires sterile gloves because it involves direct contact with an open wound — a sterile body site where introduction of microorganisms could cause infection or contaminate the specimen. Hemoccult and Gastroccult tests involve handling stool and gastric contents respectively and require only clean gloves. Assisting a patient with midstream urine collection also requires only clean gloves as the nurse is not directly accessing a sterile body cavity.
The nurse observes the UAP obtain a client's blood glucose measurement. Which of the following, if observed, would require correction by the nurse? (Select all that apply.)
-
The UAP milks the client's finger before pressing the release button of the lancet device.
-
The UAP cleans the central tip of the finger with an antiseptic swab and allows it to air dry.
-
The UAP removes the cover on the tip of the lancet before cocking the lancet device.
-
The UAP scrapes the drop of blood onto the test strip and waits for test results.
Explanation
Correct Answers: A) The UAP milks the client's finger before pressing the release button of the lancet device, C) The UAP removes the cover on the tip of the lancet before cocking the lancet device, and D) The UAP scrapes the drop of blood onto the test strip and waits for test results.
Milking the finger before lancing is incorrect — the finger should be warmed and gently squeezed after lancing if needed, as milking before can alter the blood sample and cause inaccurate results. The lancet cover must be removed after cocking the device, not before, to maintain safety and sterility. Blood should be gently touched to the test strip, never scraped, as scraping can damage the strip and produce inaccurate readings. Cleaning with an antiseptic swab and allowing it to air dry is the correct technique.
Which of the following are indications of a localized wound infection? (Select all that apply.)
- Warmth at wound site
- Purulent drainage
- Fever
- Pain or tenderness at wound site
- Chills
- Excessive thirst
Explanation
Correct Answers: A) Warmth at wound site, B) Purulent drainage, and D) Pain or tenderness at wound site
The classic signs of localized wound infection are the cardinal signs of local inflammation: warmth (calor), redness (rubor), swelling (tumor), pain (dolor), and purulent drainage. These are confined to the wound site itself. Fever and chills are signs of a systemic infection response, not localized infection. Excessive thirst is associated with hyperglycemia or dehydration and is not an indicator of wound infection.
The nurse has instructed a patient on the procedure for obtaining a midstream urine specimen. The patient asks, "Why does the urine sample need to be collected in this manner?" The nurse's best response is:
-
"This method will prevent you from developing urinary incontinence by strengthening perineal muscles."
-
"By catching the middle of the urine stream, it provides time to ensure the bladder is completely empty."
-
"It is performed this way in order to verify fresh urine is obtained for testing, increasing accuracy."
-
"The initial stream flushes out microorganisms that accumulate at the opening of the urinary tract."
Explanation
Correct Answer: D) "The initial stream flushes out microorganisms that accumulate at the opening of the urinary tract."
The midstream clean-catch technique is used to reduce contamination of the urine specimen. The first portion of urine flushes out microorganisms, skin cells, and debris that colonize the urethral meatus and surrounding area. Collecting the midstream portion therefore provides a more accurate representation of what is actually present in the bladder. The method has no relationship to perineal muscle strengthening, bladder emptiness, or urine freshness specifically.
Which of the following statements, if made by the patient regarding a midstream (clean-voided) urine specimen, indicate that further teaching is required? (Select all that apply.)
- Male patient: "I will clean myself by using the antiseptic towelette, starting at the center going outward in a circular motion."
- "I should first start urinating into the toilet, then use the sterile specimen cup to collect about 3 to 4 ounces of urine, and finish urinating into the toilet."
- "I should wash myself with soap and water, and urinate into the specimen cup."
- "I should urinate 30 to 60 mL into a cup and then finish urinating in the toilet."
- Female patient: "I will clean myself by using the cotton balls and antiseptic solution. I will cleanse moving from front to back using a fresh swab each time, repeating motions 3 times."
- "I should avoid touching the inside of the specimen cup or lid."
Explanation
Correct Answers: B) "I should first start urinating into the toilet, then use the sterile specimen cup to collect about 3 to 4 ounces of urine," C) "I should wash myself with soap and water, and urinate into the specimen cup," and D) "I should urinate 30 to 60 mL into a cup and then finish urinating in the toilet."
Statement B requires correction — the amount of 3 to 4 ounces is excessive; only about 30–60 mL is needed, making statement D also partially correct in volume but the sequence described in B is otherwise acceptable. Statement C requires correction because soap and water alone are insufficient — the antiseptic towelette or solution must be used to properly clean the perineal area. Statement D's volume of 30–60 mL is correct but should be clarified as the midstream portion. The male cleaning technique (A), female front-to-back technique (E), and not touching the inside of the cup (F) all reflect correct understanding and do not require further teaching.
The health care provider has written the following orders: 0.45% NaCl at 50 mL/hr, C & S (culture & sensitivity) of wound, Levofloxacin 500 mg IV q 24h, Diet as tolerated. Which health care provider's order should receive highest priority?
- Diet as tolerated
- It doesn't matter; just so that they are all completed
- Levofloxacin 500 mg IV
- C & S of the wound
- 0.45% NaCl @ 50 mL/hr
Explanation
Correct Answer: D) C & S of the wound
The wound culture and sensitivity must be collected before administering the antibiotic (Levofloxacin). If the antibiotic is given first, it will kill or inhibit the bacteria present in the wound, compromising the accuracy of the culture results and potentially leading to ineffective treatment. This is a critical sequencing priority in infection management. IV fluids and diet are supportive measures and do not carry the same urgency in this clinical context.
What are some interventions the nurse can do to help minimize embarrassment for the patient during specimen collection? (Select all that apply.)
-
Allow the patient to perform as much of the sample collection as appropriate.
-
Provide privacy.
-
Perform the specimen collection for the patient so you don't have to discuss it.
-
Provide written instructions only.
-
Have family members assist in the collection process.
Explanation
Correct Answers: A) Allow the patient to perform as much of the sample collection as appropriate, and B) Provide privacy.
Allowing the patient to self-collect as much as possible preserves dignity and reduces embarrassment. Providing privacy is a fundamental nursing responsibility during any intimate procedure. Performing the collection without discussion removes patient autonomy and does not address embarrassment appropriately. Providing written instructions only is insufficient as the patient may need verbal clarification and support. Having family members assist without the patient's explicit consent violates privacy and can increase embarrassment.
The nurse informs the client that the client's fasting blood glucose reading was 86. The client asks the nurse what this means. Which of the following is an accurate response by the nurse?
- "Your blood sugar is within normal range; I will document the finding."
- "I will have to contact your health care provider for further orders."
- "Your blood sugar is too low. I will see if there is an order for insulin."
- "Your blood sugar is too low. I will bring you a snack of orange juice."
- "Your blood sugar is too high. I will see if there is an order for insulin."
Explanation
Correct Answer: A) "Your blood sugar is within normal range; I will document the finding."
A fasting blood glucose of 86 mg/dL falls within the normal fasting range of 70–99 mg/dL. The nurse should accurately inform the client, document the finding, and take no further action as no intervention is required. It is not too low (hypoglycemia is below 70 mg/dL) and not too high, so offering orange juice or checking for insulin orders would be inappropriate and potentially harmful responses.
How to Order
Select Your Exam
Click on your desired exam to open its dedicated page with resources like practice questions, flashcards, and study guides.Choose what to focus on, Your selected exam is saved for quick access Once you log in.
Subscribe
Hit the Subscribe button on the platform. With your subscription, you will enjoy unlimited access to all practice questions and resources for a full 1-month period. After the month has elapsed, you can choose to resubscribe to continue benefiting from our comprehensive exam preparation tools and resources.
Pay and unlock the practice Questions
Once your payment is processed, you’ll immediately unlock access to all practice questions tailored to your selected exam for 1 month .