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    Exam Review

    1. The practical nurse (PN) is assessing a client who received a large volume of IV fluids over a short period of time. Which finding (s) should the PN expect this client to exhibit? Select all that apply.(SATA)
      A)Dependent edema.
      B)Inelastic skin turgor.
      C)Complaints of thirst.
      D)Tachycardia.
      E)Moist lung sounds.
    2. The practical nurse (PN) assigns an unlicensed assistive personnel (UAP) to assist with the personal care of a client experiencing an acute exacerbation of multiple sclerosis. Which instruction should the PN provide the UAP?
      A)Keep head of the bed elevated at all times.
      B)Face the client directly when speaking.
      C)Encourage self-care but allow rest periods.
      D)Offer to assist the client with a hot bath.
    3. The practical nurse (PN) is checking residual volume prior to the administration of a bolus feeding to a client with a percutaneous endoscopic gastrostomy (PEG) tube when the unlicensed assistive personnel (UAP) reports that another client has requested pain medication for postoperative pain. Which action should the PN take?
      A)Have the UAP notify the client in pain that the PN will be in to check on the client after completing the procedure in progress.
      B)Finish measuring the residual and assign the UAP to provide the bolus feeding so the PN can administer an analgesic.
      C)Tell the UAP that the client's pain will subside when the client is not disturbed and is allowed uninterrupted rest.
      D)Ask the UAP to finish measuring the residual volume while the PN assesses the pain level of the surgical client.
    4. A 15-year-old male who is mildly intellectually disabled is admitted to the adolescent unit because he repeatedly refuses to complete personal hygiene. The healthcare provider prescribes that the client brush his teeth three times a day. In the psychiatric team conference, a behavior modification program is recommended to engage the client's participation. When implementing this technique, which reinforcement is best for the practical nurse (PN) to provide?
      A)Preferred activities or tokens for each compliance.
      B)Unit tasks for each omission of teeth brushing.
      C)Candy for each successful hygiene task, like brushing his teeth.
      D)Privilege restriction or fines for refusals to complete a hygienic task.
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    Exam Review

    1. The practical nurse (PN) hears an older adult resident of a long term care facility shout profanities at an unlicensed assistive personnel (UAP) who shouts back at the resident. Which is the first action the PN should take?
      A)Report the incident and the UAP for further action by the nurse-manager.
      B)Tell both of them to lower their voices in consideration of other residents.
      C)Enter the room and tell the UAP to leave the room immediately.
      D)Tell the resident and the UAP that shouting is not permitted.
    2. The home health practical nurse (PN) visits a young male client with AIDS who has Kaposi's sarcoma and peripheral neuropathies. His parents, who provide care for the client, report that their son sleeps most of the time. The PN observes the client is semi-conscious with stable vital signs and cries out in pain when turned or moved. A fentanyl patch is in place and skin lesions are closed and dried. Which intervention should the PN implement?
      A)Give a complete bed bath to further assess the client.
      B)Discuss end-of-life decisions with the client's parents.
      C)Call for ambulance transportation to the hospital immediately.
      D)Remove the fentanyl patch as directed by prescription.
    3. While caring for a client with a new prescription to initiate droplet precautions, which task can the practical nurse (PN) assign to the unlicensed assistive personnel (ÚAP)?
      A)Obtain the necessary isolation supplies.
      B)Notify the dietary department of the change.
      C)Explain the precautions to the family.
      D)Update the client's plan of care.
    4. The practical nurse (PN) is caring for a client with fractured metatarsals after slamming a hand in the car door. After administering the prescribed hydrocodone/acetaminophen for pain, which intervention should the PN include in the client's care?
      A)Encourage the client to resume normal activities after medication administration.
      B)Implement ongoing assessments for signs of shallow or slow breathing.
      C)Assess the skin daily for areas of ecchymosis or other signs of bleeding.
      D)Observe the client for involuntary movements of the lips and tongue.
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    Exam Review

    1. The unlicensed assistive personnel (UAP) is assisting the practical nurse (PN) with client care. Which client should the PN instruct the UAP to help first?
      A)A frail older adult who needs help to ambulate to the dining room for a meal.
      B)An older adult with a colostomy who needs the bag emptied.
      C)An older adult who received a diuretic 30 minutes ago and is asking for a bedpan.
      D)An older adult who needs mouth care for a dry mouth.
    2. A client who is preparing for discharge to home receives a prescription for ferrous sulfate. Which information should the practical nurse (PN) reinforce with the client before discharge?
      A)Note that the stool color will be pink tinged.
      B)Drink milk with any gastrointestinal upset.
      C)Take with foods that are high in vitamin C.
      D)Use the medication for no more than 21 days.
    3. The practical nurse (PN) is working in a surgical preoperative area and reviewing a signed consent form. The form reads "amputation of the right lower leg" but the client's left leg is labeled for amputation. The client has already received the preoperative medication from the anesthesiologist. Which should be the PN's next action?
      A)Contact the healthcare provider to reschedule the surgery.
      B)Obtain verbal consent from the client's nearest relative or significant other.
      C)Cross out the error and initial the form to ensure the correct surgery.
      D)Transport the client to the surgery suite since medications were administered.
    4. A school-age child is exhibiting symptoms of rheumatic fever including fatigue, shortness of breath, ankle edema, joint pain, and aimless movement of the upper extremities or chorea. Which question should the practical nurse (PN) ask the parent concerning the child's recent health history that would be relevant to the diagnosis?
      A)"Has your child had a recent fall or injury to the head?"
      B)"Does anyone in the household smoke cigarettes?"
      C)"Does your child use insect repellent while outdoors?"
      D)"Has your child had a sore throat in the last 2 or 3 weeks?"
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    Exam Review

    1. The practical nurse (PN) is reinforcing client teaching from a nutritional class. Which stage of life is most crucial for females to increase calcium intake to help prevent osteoporosis?
      A)Late Middle adulthood.
      B)Late adulthood.
      C)Middle adulthood.
      D)Early adulthood.
    2. During preoperative preparation, the practical nurse (PN) should offer the client which explanation about why deep breathing exercises with an incentive spirometer are necessary after surgery?
      A)Incentive spirometry is uncomfortable but necessary for your postoperative care.
      B)Deep breathing exercises using the spirometer will help prevent postoperative complications.
      C)Failure to keep your lungs working may result in pneumonia and death.
      D)You will use the spirometer for the first postoperative day only.
    3. The practical nurse (PN) caring for a toddler is preparing to conduct a routine focused assessment. Which action should the PN take to promote an environment of family-centered care?
      A)Ask the caregiver about the toddler's hospital experience.
      B)Distract the toddler through play.
      C)Explain to the toddler what will happen.
      D)Request for the caregiver to assist during the toddler's assessment.
    4. A client with endocarditis is receiving antibiotic therapy. Which priority should the practical nurse (PN) consider in planning this client's care and activities of daily living (ADL)?
      A)Constipation and dietary modification.
      B)Sequencing activities with rest periods.
      C)Oral antibiotic administration.
      D)Personal hygiene and oral care.
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    Exam Review

    1. In caring for a client following a below-the-knee amputation, which task is best for the practical nurse (PN) to assign to the unlicensed assistive personnel (UAP) who is assisting with the care of this client?
      A)Review the client's vital signs for indications of infection.
      B)Reassure the client that phantom limb pain is genuine pain.
      C)Observe and mark the amount of drainage on the dressing.
      D)Empty and measure the drainage in the suction drainage device.
    2. The practical nurse (PN) is assessing an infant the first postoperative day following a pylorotomy. The infant was medicated for pain one hour ago, but the PN does not believe that the medication is effective. Which finding(s) indicate that the infant is still experiencing pain and that the analgesia was not effective? Select all that apply.(SATA)
      A)Pulse rate 102.
      B)Facial grimaces.
      C)Knees drawn to chest.
      D)Restlessness.
      E)Temperature 98.6° F (37.0° C).
    3. The practical nurse (PN) tells a pregnant client not to eat if she is in labor. Which is the most important reason for this nursing intervention?
      A)Nausea occurs at the onset of labor.
      B)Emptying time of the stomach is increased in labor.
      C)Blood is shunted from the gut during labor.
      D)There is increased risk of aspiration of emesis.
    4. A client has returned to the unit following a cardiac catheterization procedure. Which task is most appropriate for the registered nurse (RN) to delegate to the practical nurse (PN)?
      A)Contact the healthcare provider (HCP) about client's new onset of chest pain.
      B)Resume administration of the anticoagulant medication therapy.
      C)Observe for bleeding at catheter insertion site every 15 minutes.
      D)Monitor electrocardiogram (ECG) for dysrhythmias and other abnormal changes.
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    Exam Review

    1. At 2100, an older adult client turns on the call light and reports to the practical nurse (PN) concerns of difficulty falling asleep. Which priority action should the PN implement?
      A)Recommend using guided imagery to relax.
      B)Reassure the client that it is still early.
      C)Inspect the room's environmental aspects.
      D)Shut the client's room door securely.
    2. When assessing a client at 38-weeks gestation, the practical nurse (PN) determines that she has one set of twins, who are now 6 years old, another child who is 4 years old, and last year she had a fetal loss at 24-weeks gestation. Which is the correct gravidity and parity for this client?
      A)Gravida-5, Para-2.
      B)Gravida-5, Para-3.
      C)Gravida-4, Para-4.
      D)Gravida-4, Para-3.
      E)None
      F)None
    3. The practical nurse (PN) is administering otic drops to an adult who has a ruptured eardrum. Which action should the PN implement?
      A)Collect ear drainage for culture.
      B)Warm the drops to room temperature.
      C)Don sterile gloves to instill the drops.
      D)Insert the dropper into the ear canal.
    4. A client with lung cancer was given an oral narcotic for pain one hour ago. Which finding should the practical nurse (PN) report to the charge nurse?
      A)Heart rate reduced to 100 beats/minute.
      B)Bilateral pupils equal and reactive to light.
      C)Pain decreased to a 2 on a 0 to 10 point pain scale.
      D)Respiratory rate of 6 breaths/minute.
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