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    Exam Review

    1. The practical nurse (PN) is preparing to transfer an unresponsive client from the bed to a stretcher. Which client data is most important for the PN to obtain before beginning the transfer?
      A)Skin turgor.
      B)Body weight.
      C)Temperature.
      D)Blood pressure.
    2. The spouse of a hospitalized client asks the practical nurse (PN) for acetaminophen for a tension headache. Which action should the PN take?
      A)Determine if the spouse has any medication allergies.
      B)Request the pharmacy to send acetaminophen to the unit.
      C)Give the spouse acetaminophen from the nurse's personal supply.
      D)Explain that medication can only be provided to clients.
    3. According to the Centers for Disease Control (CDC) and Prevention, what disease(s) are reportable infectious diseases? Select all that apply.(SATA)
      A)Bacterial conjunctivitis.
      B)Diphtheria.
      C)Pediculosis.
      D)Anthrax.
      E)Tuberculosis.
    4. A client who is experiencing paralysis of the left arm curses at the practical nurse (PN) and throws a hairbrush against the wall using the right arm. How should the PN respond?
      A)Acknowledge the client's anger and offer to listen.
      B)Play some soft music to help relax the client.
      C)Initiate deep breathing exercises to soothe the client.
      D)Offer to return later when the client is calmer.
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    Exam Review

    1. The practical nurse (PN) and unlicensed assistive personnel (UAP) are providing care for a client who exhibits signs of neglect syndrome following a stroke affecting the right hemisphere. Which action should the PN implement?
      A)Instruct the UAP to protect the client's left side when transferring to a chair.
      B)Demonstrate to the UAP how to approach the client from the client's left side.
      C)Carefully observe the interaction between the client and family members.
      D)Ask the UAP to leave the room and assess the client's body for bruising.
    2. Which location should the practical nurse (PN) palpate to determine if a client's submandibular lymph nodes are enlarged?
      A)Beneath the lower jaw.
      B)Anterior to the temporal bone.
      C)Lateral to the trachea.
      D)Above the upper jaw.
    3. In providing care for a client with a nasogastric tube (NGT) connected to intermittent suction, which task can be assigned to the unlicensed assistive personnel (UAP)?
      A)Maintain low intermittent suction.
      B)Secure the tube to the client's nose.
      C)Ensure correct placement of the tube.
      D)Replace the canister when full.
    4. The practical nurse (PN) warms the irrigation solution before irrigating the ear of an adult client who has impacted cerumen in the ear canal. In which order should the PN implement these actions? (Arrange from first on top to last on the bottom.)
      A)Ask the client to tilt the head slightly toward the affected side.2
      B)Position an emesis basin close to the neck under the ear.3
      C)Pull the pinna of the ear in an upward and backward direction.1
      D)Direct the flow of the warm solution toward the ear canal.4
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    Exam Review

    1. In administering nystatin suspension to the gums of an infant with a candida infection, which approach should the practical nurse (PN) use?
      A)Irrigate the infected area with medicated solution after applying sterile gloves.
      B)Draw up the medication in a needle-less syringe which the infant can suck.
      C)Use a gloved finger to rub the suspension over the infected area.
      D)Measure the prescribed amount of solution into the infant's bottle.
    2. In which client situation should the practical nurse assess for the presence of Cheyne-Stokes respirations?
      A)With elevated blood glucose.
      B)When death is imminent.
      C)During an allergic reaction.
      D)After strenuous exercise.
    3. When the practical nurse (PN) attempts to assist an 18-year-old client with a mild mental disability to ambulate on the first postoperative day after an appendectomy, she becomes angry and yells at the PN, "Get out of here! I'll get up when I'm ready!" Which response is best for the PN to make?
      A)Your healthcare provider has left specific instructions to ambulate on the first postoperative day.
      B)I know you feel angry about the pain of ambulation, but this is a necessary part of getting well.
      C)I will be back in 30 minutes to help you get out of bed and walk around the room today.
      D)You must ambulate to avoid complications which could cause more discomfort than ambulating.
    4. The practical nurse (PN) is assisting a client to the bathroom after a right cataract extraction. The client has an eye shield over the right eye. How should the PN assist the client during ambulation?
      A)Place the client in front of the nurse while both walk to the bathroom.
      B)Stand in front of the client and lead the client forward to the bathroom.
      C)Walk on the client's left side while assisting the client to the bathroom.
      D)Support the client on the right side while walking to the bathroom.
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    Exam Review

    1. During a nonstress test of a 38-week client, the practical nurse (PN) observes the fetal heart rate increases 15 beats above baseline lasting 10 seconds twice during a 20-minute tracing. Which finding should the PN document in the electronic medical record?
      A)Acceleration.
      B)Nonreactive pattern.
      C)Fetal movement.
      D)Positive tracing.
    2. A client is voiding frequent small amounts 24-hours following the removal of an indwelling catheter, and a post-voided residual volume assessment is prescribed. Which explanation should the practical nurse (PN) provide to the client about why the procedure is necessary?
      A)The catheterization is part of the prescribed bladder retraining program.
      B)The catheterized volume determines the need to re-insert the indwelling catheter.
      C)The catheterization will stimulate the bladder to empty more completely.
      D)The catheterization procedure is an exercise in stimulus-response conditioning.
    3. While caring for a client one day following a thyroidectomy, the practical nurse (PN) notes that the client's voice is hoarse. Which action should the PN take?
      A)Notify the unit charge nurse of the finding.
      B)Administer humidified oxygen per nasal cannula.
      C)Ensure that the drainage device is compressed.
      D)Obtain a cup of ice chips for the client.
    4. Which assessment finding indicates to the practical nurse that a Venturi face mask is producing the desired effect?
      A)Increased oxygen saturation.
      B)Increased cough productivity.
      C)Decreased cough frequency.
      D)Decreased breath sounds.
    Page 4 of 32

    Exam Review

    1. A client with schizophrenia reports auditory hallucinations when admitted to the hospital. Which question is most important for the practical nurse (PN) to include in the assessment of this client?
      A)What are the voices uttering?
      B)When are the voices most disturbing?
      C)How does the client cope with the voices?
      D)Which medication works best?
    2. The practical nurse (PN) is assigned to provide care for a client with rheumatoid arthritis who is preparing for discharge. While planning the client's care, the PN should identify which client goal as the most important?
      A)Acquire coping skills.
      B)Conserve energy.
      C)Adapt self-care skills.
      D)Improve body image.
    3. A client with recurrent ascites from cirrhosis describes having no appetite or energy to the home health practical nurse (PN). What diet suggestions should the PN provide for the client? Select all that apply.(SATA)
      A)Limit servings of fresh fruits and vegetables.
      B)Consume concentrated sweets to boost energy.
      C)Try to eat at least six small meals daily.
      D)Choose small helpings from lean protein sources.
      E)Avoid adding salt to foods when cooking or at the table.
    4. A client with a malabsorption syndrome has a low serum calcium level. The practical nurse should monitor the client for which problem?
      A)Pallor.
      B)Bruising.
      C)Tetany.
      D)Jaundice.
    Page 5 of 32

    Exam Review

    1. A client receives ondansetron prior to a chemotherapy treatment. How should the practical nurse evaluate the effectiveness of the medication?
      A)Observe the client for signs of pain or discomfort during the treatment.
      B)Assess for changes in vital signs during and after the treatment.
      C)Monitor the client for nausea or vomiting following the treatment.
      D)Determine if the client feels calm and relaxed before the treatment.
    2. In assessing the apical heart rate of an adult, in what order should the practical nurse (PN) perform the needed tasks?
      A)Expose the left side of the chest.1
      B)Locate the point of maximal impulse.2
      C)Position the diaphragm of the stethoscope.3
      D)Listen for heart sounds.4
    3. While the practical nurse (PN) and unlicensed assistive personnel (UAP) are turning a client with an abdominal incision, the client's incision eviscerates. Which task is best for the PN to assign to the UAP?
      A)Keep the client calm.
      B)Gather supplies.
      C)Cover the wound.
      D)Reposition the client.
    4. The practical nurse (PN) is documenting the insertion of a urinary catheter for a female client with urinary retention. What information should the PN include during the electronic documentation of the procedure? Select all that apply.(SATA)
      A)Client positioning during procedure.
      B)Amount of lubricant used.
      C)Size of urinary catheter.
      D)Appearance of urine obtained.
      E)Amount of urine obtained.
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