Real Hesi PN

The PN is observing a newly hired PN who is preparing to administer a liquid medication via a client's feeding tube system as seen in the picture. What action should the PN take? A. Determine if the medication is compatible with solution. B. Demonstrate how to administer medication via a feeding tube. C. Offer to assist in calculating the rate of flow for the mixture. D. Confirm that the medication is only administered once daily.

B. Demonstrate how to administer medication via a feeding tube.

Before administering a schedule dose of insulin to a 10-year-old child who is learning diabetic self-care. Which information is most important for the practical nurse (PN) to ask the child? A. How much did the child exercise today? B. Did the child perform a fingerstick? C. When did the child last urinate? Has the child eaten recently?

B. Did the child perform a fingerstick?

The practical nurse (PN) is reviewing a clients recent ophthalmic screening test result. Findings of optic neuropathy, loss of peripheral vision, and increased intraocular pressure are consistent with which medical condition? A. Cataracts B. Glaucoma C. Macular Edema D. Diabetic Retinopathy

B. Glaucoma

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? A. Religious preference of the client's family. B. The type of uterine incision used for previous birth. C. History of contracting Herpes simplex virus. D. Client's intent regarding breastfeeding of newborn.

B. The type of uterine incision used for previous birth.

The practical nurse (PN) palpates a client's radial pulse and notes that the pulse disappears when light pressure is applied. How should the PN document this finding? A. Pulse skips beats. B. Thready pulse volume. C. Light pressure applied to pulse. D. Missing pulse.

B. Thready pulse volume.

An Older client receive IV of NS at 75mL/Hr., which finding indicate complication?

· Fatigue and breathlessness

The healthcare provider prescribed Octreotide 150mcg/day subcutaneously for a client with dumping syndrome. The medication is available in 0.2mg/mL vials. How many mL should the practical nurse (PN) administer? (ENTER NUMERIAL VALUE ONLY IF ROUNDING IS REQUIRED ROUND TO THE NEAREST HUNDREDTH)

0.75 mL

The practical nurse (PN) is preparing cefazolin 400mg IM for a client with positive infection. The available vial is labeled Cefazolin 1 gram and the instructions for the reconstitution state for IM add 2mL sterile water for injection. Total volume after reconstitution is 2.5mL. After reconstitution how many mL should be administered to the client? (ENTER NUMERIC VALUE ONLY. IF ROUNDING IS REQUIRED ROUND TO THE NEAREST WHOLE NUMBER, TENTHS, HUNDRETHS)

1 mL

The practical nurse (PN) is caring for a client who has a tracheostomy tube. After donning sterile gloves, in which sequence should the PN implement these interventions? (Arrange from first action on top to last on the bottom)

1.Withdraw and rotate catheter while suction is applied. 2.Activate suction by covering catheter opening. 3.Hyper oxygenate with a bag valve mask (BVM) using non dominant hand. 4.Insert sterile suction catheter in tracheostomy tube.

A client reports that she indigested ½ of a liter of a prep solution for a colonoscopy. How many mL of fluid intake should the practical nurse (PN) document? (ENTER NUMERIC VALUE ONLY. If rounding is required round to the nearest whole number

500 mL

Time Intake 0800 4 oz apple juice 1200 8 oz milk 4 oz broth 1500 4 oz tea A client remains on strict intake and output (I&O) on the first postoperative day and documents the last 8 hours of intake on the I&O beside record above. How many mL should the practical nurse (PN) document be in the client's electronic medical record (EMR)? (ENTER NUMERIC VALUE ONLY)

600mL

Prior to administering pain medication to an adult postoperative client, what information should the practical nurse (PN) obtain? (SELECT ALL THAT APPLY) A. Client's pain rating on a scale of 1 to 10. B. History of pain medication use during the past year. C. Time of last administration of pain medication. D. Effectiveness of last pain medication administered. E. Height and weight of client prior to admission.

A. Client's pain rating on a scale of 1 to 10. C. Time of last administration of pain medication.

The practical nurse (PN) charts vital signs on a handwritten flow sheet and realizes that an error has been made. What should the PN do to rectify this error? A. Draw one line through the entry and insert the correct information. B. Chart the correct information in the next column. C. Obliterate the entry and insert the correct information. D. Notify the charge nurse that the entry needs to be revised.

A. Draw one line through the entry and insert the correct information.

The practical nurse (PN) is charting vital signs on a hand-written flow sheet and realizes that an error has been made. What should the PN do to rectify the error? A. Draw one line through the entry and insert the correct information. B. Chart the correct information in the column. C. Obliterate the entry and insert the correct information. D. Notify the charge nurse that the entry needs to be revised.

A. Draw one line through the entry and insert the correct information.

The practical nurse (PN) is caring for a client with a new prescription for fluticasone furoate nasal spray, a glucocorticoid prescribed for the client's nasal allergy symptoms. In reinforcing instructions about self-administration of the nasal spray, the PN should emphasize the need for the client to take which action Before self-administration? A. Gently blow your nose. B. Deep breathe and cough. C. Check glucose level before and after administration. D. Exhale through the mouth.

A. Gently blow your nose.

A male client attends a community support program for mentally impaired and chemical abusing clients. The client tells the practical nurse (PN) that his drug of choice are cocaine and heroin. What is the greatest health risk for the client? A. Hepatitis B. Glaucoma C. Diabetes D. Hypotension

A. Hepatitis

An older adult female asks the PN if she should get a Herpes zoster (shingles) vaccination because she gets cold sores on her mouth when she is sick or stressed. Which response should the PN provide? A. If you are 60 or older, the one-time vaccination is recommended. B. The vaccine is not useful if you have ever had a case of shingles. C. You do not need to get this vaccination if you have had chicken pox. D. The vaccination minimizes outbreaks of cold sores.

A. If you are 60 or older, the one-time vaccination is recommended.

An unlicensed assistive personal (UAP) removes isolation attire before leaving the room of a client who requires droplet precautions. The practical nurse (PN) observes the UAP, as seen in the video. Which action should the PN take? A. Instruct the UAP in the correct removal of contaminated gloves. B. Remind the UAP to remove the gown before the gloves. C. Advise the UAP to remove the mask after exiting the room. D. Confirm that the UAP has correctly handled the isolation attire.

A. Instruct the UAP in the correct removal of contaminated gloves.

The practical nurse (PN) is providing instructions to the unlicensed assistive personnel (UAP) preparing to give a total bed bath to an immobile client who has a continuous feeding via gastrostomy tube (GT). Which instruction is most important for the PN to emphasize? A. Keep the head of the bed raised while the tube feeding is infusing. B. Raise the entire bed while bathing the client to reduce back strain. C. Use plenty of pillows to position the client on the side after bathing. D. Report any drainage observed around the GT insertion site.

A. Keep the head of the bed raised while the tube feeding is infusing.

While caring for a client with Gillian Barres syndrome. Which finding should the practical nurse (PN) report to the charge nurse? While caring for a client with Gillian Barres syndrome. Which finding should the practical nurse (PN) report to the charge nurse? A. Lower leg weakness/cramping B. Irregular heart rate C. Profuse Diaphoresis D. Full facial flushing

A. Lower leg weakness/cramping

A male client with a chronic medical condition tells the practical nurse (PN) that he wants no heroics to prolong his life if anything should happen to him. Which action should the PN take? A. Notify the client's healthcare provider of the client's wishes as soon as possible. B. Place a DO NOT RESUSCITATE sign outside the client's door and at the bedside. C. Reassure the clients that life-saving measures will not be taken without consent. D. Complete an advance directive form and place it in the medical record.

A. Notify the client's healthcare provider of the client's wishes as soon as possible.

A male client tells the practical nurse (PN) that he is afraid of getting cancer, so he plans to quit smoking cigarettes by switching to a smokeless tobacco product. How should the PN respond? A. Provide information to the client about the risks associated with smokeless tobacco. B. Encourage the client to continue with his plan to reduce the risk for cancer. C. Explain to the client that obesity is a more significant health risk than smoking. D. Remind the client that he is likely to gain weight when attempting to stop smoking.

A. Provide information to the client about the risks associated with smokeless tobacco.

The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling catheter, the client asks if the surgical opening will the visible. Which action should the PN implement? A. Review the client's experience of the elimination after surgery. B. Determine if this is the first indwelling catheter the client has had. C. Ask the client if he finished the bowel sterilization prescription. D. Verify that the client had nothing by mouth (NPO) for the next 24 hours.

A. Review the client's experience of the elimination after surgery.

An older client tells the home health care practical nurse (PN) about experiencing dizziness when getting out of bed. Which assessment is most important for the PN to obtain? A. Standing blood pressure B. Pulse deficit C. Oxygen saturation D. Apical heart rate

A. Standing blood pressure

A client at 39 weeks gestation is admitted in early labor. During the focused assessment the practical nurse (PN) reviews the obstetrical history with the client who states that she has been pregnant five times but only has two living children, both of whom were full-term. The other three pregnancies were miscarriages during the first trimester. Which parity should the PN document for term, premature, abortion, and living (TPAL) for the client? A. Term 3, Premature 0, Abortion 3, Living 2 B. Term 6, Premature 3, Abortion 3, Living 2 C. Term 2, Premature 3, Abortion 3, Living 2 D. Term 2, Premature 1, Abortion 0, Living 3

A. Term 3, Premature 0, Abortion 3, Living 2

Which nursing intervention has the highest priority for preventing infection in a client with partial-thickness and full thickness burns? A. Using careful handwashing techniques. B. Applying a topical antibacterial cream. C. Administering of plasma expanders. D. Limiting visitors to the burned client.

A. Using careful handwashing techniques.

The practical nurse (PN) assigns an unlicensed assistive personal (UAP) to clean the hearing aid of an older adult resident of a long-term facility. Which instructions should the PN provide to the UAP? (Select all that apply) A. Verify that the device is labeled with client's identification. B. Remove ear wax from the device's surface. C. Keep the battery door closed during storage. D. Store the device on the window to prevent loss. E. Observe and report any ear drainage after removing the device.

A. Verify that the device is labeled with client's identification. B. Remove ear wax from the device's surface. E. Observe and report any ear drainage after removing the device.

The practical nurse (PN) finds a postoperative client lying in bed with an unsecured surgical dressing as seen in the picture. After reinforcing the dressing. Which follow up assessment is most important for the PN to implement? A. Volume of peripheral pulses B. Fluid volume intake and output C. Incisional pain scale rating. D. Vital sign measurement.

A. Volume of peripheral pulses

While caring for a client one day following a thyroidectomy, the practical nurse (PN) notes that the client's voice is hoarse. What action should the PN take? A. Ensure that the drainage device is compressed. B. Administer humidified oxygen per nasal canula. C. Obtain a cup of ice chips for the client. D. Notify the unit charge nurse of the findings.

B. Administer humidified oxygen per nasal canula.

The practical nurse (PN) observes unlicensed assistive personnel (UAP) preparing to obtain the rectal temperature of a 2-year-old with leukemia. Which should the PN take? A. Observe the UAP to ensure the thermometer is inserted correctly. B. Advise the UAP to take a tympanic rather than rectal temperature. C. Instruct the UAP to report the results to the PN immediately. D. Remind the UAP to lubricate the thermometer before insertion.

B. Advise the UAP to take a tympanic rather than rectal temperature.

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? A. Insert a nasogastric feeding tube. B. Allow infant to rest before feeding. C. Weigh before and after feeding. D. Feed the infant when he cries.

B. Allow infant to rest before feeding.

A new unlicensed assistive personal (UAP) is completing an orientation assignment and is caring for an immobilized client who needs a complete bed bath. Which is the best way for the practical nurse (PN) to evaluate this UAP's performance? A. Verify with the client that the bath was complete and thorough. B. Ask another UAP to help the orientee to ensure satisfactory care. C. Inspect the client's skin near the end of the bathing procedure. D. Request the UAP to report and chart when the bath is complete.

B. Ask another UAP to help the orientee to ensure satisfactory care

A client with diabetic ketoacidosis (DKA) is receiving regular insulin. Which action should the practical nurse (PN) implement to evaluate the effectiveness of the insulin dosage? A. Measure the client's urinary output for an increased volume. B. Check fingerstick blood glucose for a decrease in the level. C. Determine client's orientation to time and space. D. Smell the client's breath for resolution of a fruity odor.

B. Check fingerstick blood glucose for a decrease in the level.

In obtaining a series of stool specimens for occult blood, which instructions should the PN provide the client? A. Discard the first specimen obtained, then collect the next three. B. Defecate into the container separately from urinating in the toilet. C. All three specimens will be collected after an enema is given. D. Record the time of day that each specimen was obtained.

B. Defecate into the container separately from urinating in the toilet.

The practical nurse (PN) is caring for a client with psychosis who demonstrates an inability to communicate effectively. Which method should the PN use to interact with the client? A. Touch the client when speaking. B. Engage in regular contact. C. Discourage group activities. D. Establish a no harm contract.

B. Engage in regular contact.

The practical nurse (PN) hears an older resident of a long-term care facility shout profanity at unlicensed assistive personnel (UAP) who shouts back at the resident. Which is the first action the PN should take? A. Tell both to lower their voices in consideration of other residents. B. Enter the room and tell the UAP to leave the room immediately. C. Report the incident and the UAP for further action by the nurse manager. D. Tell the resident and the UAP that shouting is not permitted.

B. Enter the room and tell the UAP to leave the room immediately.

A client with obsessive-compulsive disorder (OCD) reports. Thoughts stick in my mind and the rituals I used stupid, but I cannot control them. People laugh at me, but they do not understand how awful it is. I am a burden to my family because I cannot get a job. I do not know how much longer I can live this way. Which information is the most important for the practical nurse (PN) to ask in response to the client's statement? A. Determine what makes the client think people are laughing. B. Inquire if the distress could lead to considering suicide as an option. C. Ask if obsession and compulsions interfere with sleep. D. Question about which rituals are most often used to reduce anxiety.

B. Inquire if the distress could lead to considering suicide as an option.

In assessing a 2 year old boy with croup, the practical nurse (PN) finds that he has become increasingly irritable and has developed tachypnea and resting stridor. Which intervention is best for the PN to implement? A. Encourage the child to drink adequate amounts of cool, clear liquids. B. Monitor the child's oxygen saturation level via pulse oximeter. C. Administer a dose of acetaminophen as needed (PRN) per prescription. D. Instruct the mother to play with the child for stimulation and distraction.

B. Monitor the child's oxygen saturation level via pulse oximeter.

The practical nurse (PN) heard adventitious breath sounds while auscultating the lungs of an older adult who is receiving an IV of 5% dextrose in water (D5W) at 100mL/hour. Which action should the PN take next? A. Document the findings and monitor the client. B. Report the findings to the charge nurse. C. Slow the D5W infusion rate to 50 mL/hour. D. Review the last balance of intake and output.

B. Report the findings to the charge nurse.

Which intervention is the most important for the practical nurse (PN) to implement when applying an ice pack to a client? A. Give directions to leave the pack in place. B. Secure a protective cover over the bag. C. Fill the ice pack with crushed ice. D. Wrap the bag in place for comfort.

B. Secure a protective cover over the bag.

A 15-year-old adolescents 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 the best for the PN to provide? A. The size of my breast is of no concern to you. B. That language is not allowed. C. If you talk like that again, I will tell your parents. D. Do you really think so?

B. That language is not allowed.

The mother of an 8-year-old boy tells the practical nurse (PN) that he fell out of a tree and hurt his arm and shoulder. Which assessment finding should the PN note as the most significant indicator of possible child abuse? A. The child looks at the floor when answering the nurse's questions. B. The mother's version of the injury is different from the child's version. C. The child has several abrasions on the chest and legs. D. The mother refuses to answer questions about family history.

B. The mother's version of the injury is different from the child's version.

The practical nurse (PN) is caring for a client newly diagnosed with diabetes mellitus (DM). Which finding is an early sign of hypoglycemia? A. Bradycardia B. Tremors C. Polyuria D. Difficulty swallowing

B. Tremors

An elderly client who is 12 hours postoperative for a hernia repair 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 (PN) to implement? A. Notify the healthcare provider and request a prescription for restraints to minimize the client's danger to self. B. Raise the side and notify the family to come sit with the client to reorientate and cooperative. C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic accumulation. D. Instruct a UAP to keep the upper side rails up and check on the client every 15 minutes until the client is resting.

C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic accumulation.

A client's daughter phones the charge nurse to report that the night nurse did not provide good care for her mother. Which response should the practical nurse (PN) make? A. Reassure the daughter that the mother will get better care. B. Tell the daughter to talk with the unit nurse manager. C. Ask for a description of what happened during the night. D. Explain that all the staff are doing the best they can.

C. Ask for a description of what happened during the night.

While changing the dressing of a client who is immobile, the practical nurse (PN) observes a red and swollen wound with moderate amount of yellow and green drainage and a foul order. Before reporting this finding to the healthcare provider, the PN should evaluate which of the client's laboratory values? A. Serum blood glucose (BG) level. B. Culture for sensitive organisms. C. C-reactive protein level. D. Serum albumin.

C. C-reactive protein level.

Prior to invasive examination of a hospitalized client, a consent should be obtained Which action Best describes the responsibility of the practical nurse (PN) A. Ask if the client understands and why the consent form must be signed. B. Explains the examination and asks the client to sign the consent form. C. Checks the medical record for the consent signed prior to the examination. D. Explain to the family members and obtain their signature on the consent form.

C. Checks the medical record for the consent signed prior to the examination.

The Charge nurse brings a #18 catheter with a 30 mL balloon to the practical nurse (PN) who is preparing to insert a catheter in a female client who weighs 50kg. Which action should the PN take first? A. Ask the client if she has previously been catheterized. B. Obtain a 30 mL syringe and a vial of sterile water. C. Consult with the charge nurse about the catheter. D. Position the client and observe the urinary meatus.

C. Consult with the charge nurse about the catheter.

To minimize separation anxiety in a hospitalized 2-year-old child, which nursing intervention is best for the practical nurse (PN) to implement? A. Explain procedure and routine. B. Encourage contact with children of same age. C. Encourage parents to room-in. D. Provide privacy.

C. Encourage parents to room-in.

A client in the psychiatric unit's dayroom is becoming agitated, talking incessantly and starting to yell and swear at the other clients. Which action should the practical nurse (PN) implement first? A. Administer an as needed (PRN) medication for agitation. B. Instruct an unlicensed assistive personal (UAP) to stay with the client. C. Escort the client to a calm and quiet place. D. Notify the client healthcare provider.

C. Escort the client to a calm and quiet place.

A client who is at full term gestation active labor complains of a cramp in her legs. Which intervention should the practical nurse (PN) implement? A. Massage the calf and foot. B. Check the pedal pulse in the affected leg. C. Extend the leg and flex the foot. D. Elevate the leg above the heart.

C. Extend the leg and flex the foot.

Which findings should the practical nurse (PN) instruct the postpartum client to report to the charge nurse? A. Sudden temperature above 98 F. B. Breast engorgement on the fourth postpartum day. C. Increased diaphoresis during the day and night. D. Lochia color changes to light pink to white.

C. Increased diaphoresis during the day and night.

An older client who fell down several stairs 4 hours ago is scheduled for a magnetic resonance imaging (MRI). What information should the practical nurse (PN) obtain from the client? A. Allergy to iodine-based dyes. B. History of previous myelogram. C. Last time food was consumed. D. Presents of a metal implant.

C. Last time food was consumed.

A chronically depressed older male restraint of a long-term care facility has become more reclusive and today refuses to leave his room. His family has moved away and is unable to visible to visit as much as in the past. Which comment by the practical nurse (PN) is likely to be the most helpful to this client? A. I know you are sad about not seeing your family as often, but they are visiting as much as they can. B. Come into the recreation area. We have your favorite card game, and I will play it with you. C. May I sit with you for a while? D. Why do you want to stay in your room today?

C. May I sit with you for a while?

The practical nurse (PN) is caring for an older client who is receiving chemotherapy for lung cancer. Which findings are the highest priority for the PN to report to the charge nurse? Reference Ranges: Blood urea nitrogen (BUN): [Adult: 10 to 20 mg/dL or 3.6 to 7.1 mmol/L] Platelets: [150,000 to 400,000/mm3 or 150 to 400 x 10/L A. Decreased deep tendon reflexes. B. Blood urea nitrogen 75 mg/dL or 12.9 mmol/L C. Platelet count 135,000/mm3 or 135 x 10 /L D. Periodic nausea and vomiting.

C. Platelet count 135,000/mm3 or 135 x 10 /L

The practical nurse (PN) is reviewing instructions for the use of pilocarpine drops with a 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? A. Document in the chart that the client understands the action and use of the eye drops. B. Explain to the client that the eye drops do provide pain relief, but do not anesthetize the eyes. C. Reteach the client about the action of the eye drops to decrease pressure in the eyes. D. Reassure the client that the drops will not be needed often since eye pain in glaucoma is not common.

C. Reteach the client about the action of the eye drops to decrease pressure in the eyes.

An older postoperative client has a nursing problem. Impaired mobility related to fear of falling. Which desired outcome best directs the PN actions for the client? A. The client will use self-affirmation statements to decrease fear. B. The physical therapist will instruct the client in the use of a walker. C. The PN will place a gait belt on the client prior to ambulation. D. The client will be able to ambulate with assistance q4 hours.

C. The PN will place a gait belt on the client prior to ambulation.

The practical nurse (PN) is making a home visit to an older male adult who was recently diagnosed with Herpes zoster (shingles). The client reports the onset of severe burning pain along the right side of his trunk. What action should the PN take? A. Obtain and oxygen tank home administration. B. Notify the nursing supervisor of the uncontrolled pain. C. Give the prescribed dose of anti-viral medication. D. Administer a prescribed PRN dose of analgesic.

D. Administer a prescribed PRN dose of analgesic.

The practical nurse (PN) observes a client with the diagnosis of schizophrenia sitting all the alone and talking quietly. Which action should the PN take? A. Have the unlicensed assistive personnel (UAP) escort the client down to his room. B. Administer an as needed (PRN) dose of haloperidol. C. Record the event but do not disturb the client. D. Ask the client if he is currently hearing voices.

D. Ask the client if he is currently hearing voices.

The practical nurse (PN) is preparing for shift change. Which task has the highest priority and should be completed first? A. Write a narrative shift summary for each client. B. Clean up and organize the nurse's workstation. C. Verify completion of all new prescriptions. D. Calculate and record intake and output totals.

D. Calculate and record intake and output totals.

A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the practical nurse (PN) implement first? A. Review client rights of hospitalization. B. Offer the client an as needed (PRN) medication. C. Explain daily schedule of unit activities. D. Describe functions of the practical nurse (PN)

D. Describe functions of the practical nurse (PN)

A female client with immune thrombocytopenic purpura (ITP) is transferred to a long-term care facility for physical rehabilitation. To prevent injury, which action is the most important for the practical nurse (PN) to implement? A. Evaluate client's neurological status after exercising. B. Assess the client for nerve pain or paralysis. C. Monitor the client's blood cell laboratory values. D. Ensure the client has minimal clutter in the room.

D. Ensure the client has minimal clutter in the room.

Two weeks after cast application, a client with a fractured right arm returns to the clinic for evaluation. The client seems upset and tells the practical nurse (PN) that the healthcare provider said a callus has formed on the bone. Which action should the PN take? A. Prepare to assist in applying a new cast to reduce pressure points. B. Report the client's concern to the healthcare provider. C. Teach the client strategies to prevent further calluses. D. Explain this is an expected part of the bone healing process.

D. Explain this is an expected part of the bone healing process.

The practical nurse (PN) is providing care for a client who is receiving and intravenous antibiotic to treat an infection. Which assessment findings require the most immediate action by the PN? A. Warm skin with elastic turgor. B. Low grade fever with diaphoresis C. Dry mouth with thirst. D. Hives with pruritus

D. Hives with pruritus

The practical nurse (PN) observes an unlicensed assistive personal (UAP) bathing a bedfast client with the bed in high position. Which action should the PN take? A. Remain in the room to supervise the UAP. B. Determine if the UAP would like assistance. C. Assume care of the client immediately. D. Instruct the UAP to lower the bed for safety.

D. Instruct the UAP to lower the bed for safety.

The practical nurse (PN) plans to screen only high-risk children for scoliosis. Which group of children should the PN screen? A. High school boys. B. Middle school boys. C. High school girls. D. Middle school girls.

D. Middle school girls.

The practical nurse (PN) reviews the history of an older adult who is newly admitted to a long term care facility. Which factor in the resident's history should the PN consider the most likely to increase the clients risk fall? A. History of alcohol abuse and cigarette smoking. B. Recent weight gain of twenty pounds. C. An ankle ulcer that is healing slowly. D. Newly prescribed antihypertensive medication.

D. Newly prescribed antihypertensive medication.

A client receives new prescriptions at 1000 that include discontinuing IV fluids and IV antibiotics. Which prescription should the practical nurse (PN) administer at 1300? A. Metformin 1000mg PO BID. B. Ampicillin 500mg PO q8h. C. Lisinopril 5mg PO every day. D. Pantoprazole 40mg PO every day.

D. Pantoprazole 40mg PO every day.

The client who had orthopedic surgery three days ago verbalizes difficulty in sleeping. Which initial intervention is best for the practical nurse (PN) to implement? A. Provide a cup of hot chocolate at bedtime. B. Offer the client a prescribed sleep medication. C. Administer an as needed (PRN) prescription for pain. D. Reposition the client and provide a back rub.

D. Reposition the client and provide a back rub.

The practical nurse (PN) receives shift report for four newborns in the nursery. Which infant should the PN see first? A. The ten-hour old with circumoral cyanosis. B. The one day old with positive Babinski reflex. C. The two-day old with negative Ortolani's sign. D. The six-hour old with a large sacral stork bite.

D. The six-hour old with a large sacral stork bite.

The practical nurse (PN) is monitoring a client's neurologic status following a closed head injury. Which assessments should the PN include? (SATA)

· Consciousness level · Pupillary reactions · Vital sign measurement

Immediately after log rolling a client to a lateral position, which intervention should the practical nurse (PN) implement?

· Place pillows to maintain alignment