Practice exit questions

The practical nurse LPN plans to administer a PRN dose of loperamide via a client gastrostomy tube. The prescribed dose is 3mg. The label on the medication bottle reads 1mg/5 ml. How many ML should the PN administer?

15

The practical nurse PN is assigning tasks to an unlicensed assistive personnel (UAP) who is giving basic care to a group of residents in a long term care facility. Which clients' tasks should be completed by a (PN), rather than the UAP?

A client with continuous urinary bladder irrigation via a 3-way catheter.

A client has a prescription for a transcutaneous electrical nerve stimulator (TENS) unit for pain management during the postoperative period following a lumbar Laminectomy. Which information should the practical nurse PN reinforce about the action of this adjuvant pain modality?

A mild electrical stimulus on the skin surface closes the gates of nerve conduction for severe pain

The practical nurse PN should recognize that immunosuppressant clients are likely to exhibit which symptom during the initial stage of the disease?

A persistent common cold

The practical nurse PN is planning evening shift rounds for a group of post operative clients who all had surgery earlier that day. Which client should the PN check first?

A preschooler who had an emergency appendectomy for appendicitis.

. In older client at an adult daycare center with type 2 diabetes mellitus DM becomes unresponsive verbally with the other daycare participants and tells the practical nurse PN, I just don't feel right. Which initial action should the PN take?

Administer glucagon 0.5 mg intramuscularly

The practical nurse PN prepares to administer an intramuscular injection. The PN uses a filter needle to obtain the prescribed medication from an ampule as seen in the video. What should the PN do next?

Administer the intramuscular injection to the client

The practical nurse PN is feeding a 2-month-old male infant with heart failure due to a ventricular septal defect (VSD) which intervention should the PN implement?

Allow infant to rest before feeding

The practical nurse PN is working with the registered nurse RN an unlicensed assistive personnel UAP to care for four clients on the medical surgical unit. Which client care can the PN assign to the UAP?

An older adult with Alzheimer's who often wanders out the room

The practical nurse PN is administering a subcutaneous injection of epoetin to a client with chronic kidney disease (CKD). This medication is being administered to treat which manifestation of chronic kidney disease (CKD)?

Anemia

The practical nurse PN and unlicensed assistive personnel (UAP) are caring for four clients. Which task can the PN assign to the UAP without providing direct supervision? (Select all that apply)

Assist a client to the car for discharge home Collect a voided specimen before client is catheterized

A client with a diagnosis of hypothyroidism has diminished bowel sounds and reports feeling constipated. Which action should the practical nurse PN implement?

Assist the client with ambulation in the room and hallway

A client is receiving nitroglycerin sublingual tablets for angina. Which therapeutic response should the practical nurse (PN) evaluate in a client who takes this drug during an acute and anginal episode?

Cessation of acute chest pain

A male client who is anxious and fearful removed his rebreather face mask. The mask now needs to be reapplied. Which action should the practical nurse PN take first?

Check that the reservoir bag inflates during exhalation

To determine a hospitalized client's orientation, the practical nurse should ask the client questions related to which information? (select all that apply)

Client name Reason for hospitalization present location Season of the year

An obese client who has a body mass index (BMI) of 34 asks the practical nurse PN about dietary strategies for weight loss. When assisting the client to develop a individualized weight management plan, in which sequence should the PN implement these actions? (list the actions in order from first to last)

Confirm that the client has medical clearance to begin a weight loss plan. Have the client provide a three-day dietary intake record. Calculate the client's current daily caloric and nutrient intake. Select diet modifications to adjust intake of nutrients for weight modification.

The practical nurse pee in is assigned to provide care for a client with rheumatoid arthritis who is preparing for discharge. In planning the client's care, the PN should identify which client goal as the most important?

Conserve energy

The practical nurse PM plans to take 0800 vital signs on a 2-year-old who is in a mist tent due to an upper respiratory infection. After entering the room and finding the child asleep, which action should the PN take?

Count the respirations and return in 30 minutes to complete other vital signs

Upon entering a client's room the practical nurse PN observes that the unlicensed assistive personnel you UAP is providing personal care safely but exposing the client unnecessarily. In which order should the PN implement these interventions?

Cover the client to provide privacy during care Discuss the issue privately wit the UAP Evaluate the UAP for signs of improvement Report patterns of the behavior to the supervisor

While changing the dressing of a client who is immobile, the practical nurse (PN) observes a red and swollen wound around a moderate amount of yellow and green drainage and a foul odor. Before reporting this finding to the health care provider, the (PN) should evaluate which of the client's laboratory values?

Culture for sensitive organism

. The practical nurse (PN) is observing A newly hired PRN who is preparing to administer a liquid medication via a client feeding tube system as seen in the picture. What action should the PN take?

Demonstrate how to administer medication via feeding tube

The practical nurse PM reinforces client teaching and performing pursed lip breathing. The client returned the demonstration, as seen in the video which actions should the PN take after observing this return demonstration?

Demonstrate how to breathe in more slowly and effectively

The practical nurse LPN observes that an unlicensed assistive personnel UAP is preparing to disconnect the client's IV tubing to remove the client's hospital gown during a bed bath. Which action should the PN implement?

Demonstrate how to remove the clients gown without disconnecting the IV

While assisting a client with acquired immunodeficiency syndrome (AIDS) with basic hygiene care, the practical nurse (PN) observes a small amount of blood on the sheets. Which action should the PN take?

Double bag soiled linen to be put in a biohazard box

The spouse of a hospitalized client asked the practical nurse PN for and acetaminophen for a tension headache. Which action should the PN take?

Explain that medication can only be provided to clients

The practical nurse (PN) is reviewing instructions for the use of pilocarpine ophthalmic drops with the client who has glaucoma. The client replies that the drops should be used to anesthetize the eye if eye pain is experienced. What action should the PN implement?

Explain to the client that they eye drops do provide pain relief, but do not anesthetize the eyes

A client who was a full-term gestation is in active labor and complains of a cramp in her leg. Which intervention should the practical nurse (PN) implement?

Extend the leg and flex the foot

The practical nurse PN is auscultating a client's lung sounds. Which description should the PN use to document this sound?

Fine crackles

A newborn assessment reveals spinal bifida occulta. Which material factor should the practical nurse pee in identify as having the greatest impact on the development of this newborn complications?

Folic acid deficiency

. The health care provider prescribed ear drops for a 5-year-old girl with otitis externa. Which technique should the practical nurse LPN advise the mother to use when administering the ear drops?

Gently pull the upper aspect of the ear lobe upwards and backwards

A mother intends to use the cultural practice of treating her child's ear infection with special candles. The home health practical nurse (PN) should demonstrate cultural accommodation by making which requests?

Give the prescribed antibiotics in addition to using the candles

The practical nurse PN is removing the personal protective equipment (PPE) worn when caring for a client. Which PPE should be removed first?

Gloves

A 25-year-old client is admitted to labor and delivery in active labor. This is her second pregnancy, and she has a 2-year-old son at home. Which description of gravity and parity is correct for this client?

Gravida 2, Para 1

The parents of a child with acute glomerulonephritis are describing to the practical nurse PN what originally motivated them to seek medical care. Which sign did the child most likely exhibit?

Hematuria

A male client attends a community support program for mental 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?

Hepatitis

The nurse is very busy and running late with administering medications and asks the practical nurse LPN to administer a medication already drawn up in an unlabeled syringe. How should the PN respond?

I am not comfortable doing that. Is there something else I can do to help you

The practical nurse PN is preparing to transfer an older client from the bed to a wheelchair. Based on which finding should the PM require assistance when moving this client?

Impaired cognition and agitation

A client is seen in the clinic after a failed in vitro fertilization. Which nursing problem has the highest priority?

Ineffective individual coping

A woman at 14 weeks gestation caused the prenatal clinic to report that her stools have changed from brown to black and a color, since she started taking prenatal vitamins. Which action should the practical nurse PN take?

Inform client that this is a normal finding when talking iron supplements

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?

Inspection

A married woman comes to the clinic for her annual well woman physical examination. During the interview with the practical nurse PN the client makes minimum eye contact. The PN observes yellow bruising to the lower eye and purple bruising on the client's upper arm, which look like fingerprints. Which question is best for the PN to ask the client?

Is anyone hurting you?

When caring for a child with sickle cell disease, the practical nurse (PN) expects that the child will most likely describe which symptom when experiencing A sickle cell crisis?

Joint pain

A client with obstructive sleep apnea is preparing for sleep. Which action should the practical nurse PN implement?

Keep oral suction equipment nearby

An adult with a history of cardiovascular disease comes to the clinic complaining of indigestion. Vital signs are heart rate 130 beats/minute, respirations 24 breaths/minute, and blood pressure 180 / 90 mmHg. Which finding should the practical nurse PN report immediately to the health care provider?

Left jaw discomfort

The practical nurse PN is providing care for a client who is receiving an aminoglycoside to treat a bacterial infection. To assess for signs of ototoxicity, which action should the PN take?

Monitor the client's hearing

A practical nurse PN is caring for clients on the lock Alzheimer's unit. Which client situation requires the PN immediate attention?

Move the client who is knocking on the exit door ad trying to get out

At the end of a 12-hour shift, the practical nurse (PN) observes the urine in a client's drainage bag as seen in the picture. Which action should the PN take next?

Note the most recent white blood cell count

A client receiving chemotherapy develops a cough that is productive of yellow-tinged sputum. After determining that the client is afebrile, which is the priority action for the practical nurse PN to take?

Notify the charge nurse of the assessment findings

An elderly client is 12 hours post operative for a hernia repair and suddenly becomes agitated, staggers out into the corridor, and demands to be set free. After assisting the client back to bed and administering pain medication, which intervention is best for the practical nurse LPN to implement?

Notify the healthcare provider and request a prescription for restraints to minimize the client's danger to self

The practical nurse PN views the midline episiotomy of a client who reports pain in her stitches. Which action should the PN take first?

Observe suture line for separation and hematoma formation

The practical nurse is caring for a child who was admitted after experiencing A generalized tonic clonic seizure. When witnessing the child begin to seize again, which action should the (PN) implement immediately? Select all that apply

Observe the progression of the seizure Loosen clothing around the neck Pad the side rails with pillow.

A newborn infant is prescribed immunization prior to discharge. Which action should the practical nurse PN implement?

Obtain signed consent from the mother for administration of Hepatitis B vaccine

The practical nurse PN is assigned to care for an older male client who is recovering from a stroke. When assisting this client to ambulate with the use of a cane, where should the PN place the cane in relation to the client's body?

On the opposite side of the affected extremity

The practical nurse PN plans to reinforce the proper use of a cane to an older client who is recovering from a stroke here we get when providing information to the client how to correctly use this assistive device where should the PN reinforce with the client to place the cane?

On the unaffected side

Which task could the practical nurse PN safely delegate to the unlicensed assistive personnel (UAP)?

Oral feeding of a two-year-old child after application of a hip spica cast

The practical nurse PN is assigned to care for a client who had a left nephrectomy yesterday. Which finding should the PN report to the charge nurse immediately?

Oral temperature 100 F 30 minutes after taking an analgesic

A client who was treated for hyperosmolar hypoglycemic state (HHS) is being discharged from the hospital. When the practical nurse (PN) reviews discharge diet instructions with the client it is most important to reinforce the need to restrict intake of which menu item?

Packaged salted snacks

An older male client is returning to the surgical unit after a total right knee replacement period which assessment findings are most important for the practical nurse PN to document in this client's electronic medical record EMR?

Paresthesia, paralysis, pedal pulses, pallor, and pain.

And providing care to a client immediately following a tonic-clonic seizure, which activity is best for the practical nurse PN to assign to the unlicensed assistive personnel (UAP) working with the PN?

Place client in a recovery lateral position

The practical nurse PN is assessing a client's blood pressure using a manual sphygmomanometer on the left arm. In which sequence should the PN implement these actions? (arrange the lists)

Position the blood pressure cuff Pump the cuff while palpating the pulse Release air from the cuff slowly Listen for the systolic pressure reading Listen for the diastolic pressure reading

A client receiving care on a palliative care unit is unable to swallow and it's becoming dehydrated, which is exhibited by inelastic skin turgor and dry mucous membranes. Which action should the practical nurse PN implement to provide comfort?

Provide oral care frequently

Several residents of a long-term care facility are receiving eye drops to treat glaucoma. The practical nurse (PN) should caution the unlicensed assistive personnel (UAP) caring for these clients to observe for which effect because it places the clients at risk for falls?

Pupillary constriction or elevated blood pressure

The practical nurse PN is turning a dependent bedridden client without assistance. Which action will best ensure the client's safety?

Put the bed rails up on the opposite side of the bed

A client who had a chest tube removed two hours ago is now experiencing Dyspnea and tachypnea. What action should the practical nurse take first?

Raise the head of the bed

When administering a saline enema, the practical nurse PN inserts the enema tubing 3 inches into the client's rectum, and elevates the container 6 inches above the client's body. When the clamp is opened, the solution does not infuse. Which action should the PN take?

Raise the saline container 6 inches higher

The practical nurse PN is caring for a client who has a prescription for loratadine by mouth daily as needed. Which sign indicates to the PN that there is a need to administer the medication?

Red papules and pustules on the face

. An older adult client with cancer of the liver is in a hepatic coma and unresponsive. How should the practical nurse (PN) respond to family members who are inquiring about the condition of their loved one?

Refer the family to the charge nurse to discuss the client's condition in a family conference

A client who is receiving a statin medication reports the onset of muscle soreness and fatigue and the practical nurse PN notes that the client's skin is warm to the touch. Which action by the PN takes priority?

Report the findings to the charge nurse

A client who is receiving a statin medication reports the onset of muscle soreness and fatigue, and the practical nurse (PN) notes that the client's skin is warm to the touch. Which action by the PN takes priority?

Report the findings to the charge nurse

A client who is receiving sodium polystyrene sulfonate reports having two watery stools since starting the medication the previous day. Which action should the practical nurse PN take?

Report the liquid stool to the healthcare provider

The practical nurse PN is observing a client self-administer the noon dose of subcutaneous insulin. Which component of the injection technique should the PN reteach?

Selects the same site that was used for the previous injection

In all the client is admitted to an acute care facility with the diagnosis of left lower lobe pneumonia. How should the practical nurse (PN) position a client for auscultation of posterior lung fields?

Semi-Fowler's.

Before administering an antibiotic that can cause nephrotoxicity, which laboratory value is most important for the practical nurse PN to review?

Serum creatinine

The practical nurse PN is assisting the screening examination of a community clinic where a toddler is brought by a parent for scheduled vaccines. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the PN?

Small bruises on the lower extremities

. A client needs an abduction pillow placed. How should the practical nurse PN position the client prior to place in the pillow?

Spread legs out feet pointed up

When monitoring a client's abdominal incision, the practical nurse PN observes a large amount of sanguineous drainage on the dressing. Which client data collection should the PN complete first?

Temperature

A client with a malabsorption syndrome has a low serum calcium level. The practical nurse should monitor the client for which problem?

Tetany

A 15-year-old adolescent male with a mild mental disability is hospitalized for minor surgery and tells the practical nurse PN, Wow? You have big breasts. Which response is best for the PN to provide?

That language is not allowed

The practical nurse PN stops at a motor vehicle collision site to render aid until the emergency personnel arrive, and applies pressure to a groin wound that is bleeding profusely. Which act protects the PN from liability as long as the care provided is performed in a reasonable and prudent manner?

The Good Samaritan Act.

A client whose first child was delivered by cesarean section is 20 weeks pregnant with her second child and wishes to have a vaginal birth after cesarean (VBAC). What information is most important for the practical nurse PN to obtain?

The type of uterine incision used for previous birth

The single mother of a child with a head injury is sitting at the child's bedside crying when the practical nurse PN enters the room. The mother states why did this happen to my child? I just can't cope with this. What is the best initial response by the PN?

This must appear devastating to you at this moment

. The practical nurse PN prepares to remove a client's saline lock. Which supplies should the PN gather? (select all that apply)

Three ml syringe paper tape sterile gloves small gauze pad

The practical nurse PN assesses the child in 90-90 skeletal traction. It is most important to the PN to assess for signs information at what location?

Toe

The practical nurse (PN) is caring for a client newly diagnosed with diabetes mellitus (DM). Which finding is an early sign of hypoglycemia?

Tremors

Which instrument should the practical nurse pee in obtain for the advanced practice registered nurse APRN who is preparing to conduct a Weber test?

Tuning fork

The practical nurse (PN) is preparing to assist an elderly client to the bathroom. The PN knows that an elderly adult's center of gravity changes from the hips to another area of the body. And planning to safely assist this client, the (PN) knows that the center of gravity for the elderly client is in which area of the body?

Upper torso

1. The surgical team is about to begin a renal transplant for a client with chronic renal failure. What question(s) should the practical nurse (PN) expect during the surgical tenant's 'time out?' (Select all the apply)

Was surgical asepsis monitored during set up? Has the client been verified for this procedure? Have the right procedure and correct site been established?

The practical nurse (PN) is caring for a client receiving chemotherapy who has thrombocytopenia. Which intervention is most important to include in the nursing plan of care?

Watch client for abnormal bleeding

A client would get schizophrenia reports auditory hallucinations when admitted to the hospital. What question is most important for the practical nurse PN to include in the assessment of this client?

What are the voices uttering?

The practical nurse PN is caring for a client with diverticulitis. Which serum laboratory test is most important for the PN to monitor?

White blood cell count (WBC)

Based on the principle of asepsis, the practical nurse (PN) should consider which situation to be sterile?

an open sterile Foley catheter kit set up on a table at the PN waist level

A male client with bipolar disorder reports to the practical nurse PN that he has not taken his prescribed medication, divalproex sodium, for the last six months. Assessment of which parameter is most important for the PN to obtain?

frame of mind