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    Exam Review

    1. The practical nurse (PN) is observing a newly hired PN who is preparing to administer a liquid medication via a client's feeding tube system using the wrong procedure. What action should the PN take?
      A)Demonstrate how to administer medication via a feeding tube.
      B)Confirm that the medication is only administered once daily.
      C)Determine if the medication is compatible with the solution.
      D)Offer to assist in calculating the rate of flow for the mixture.
    2. Which intervention should the practical nurse (PN) reinforce for a client with pruritus?
      A)Encourage a warm sleeping environment.
      B)Keep fingernails trimmed short.
      C)Discourage use of skin lubricants.
      D)Do not take any type of tub bath.
    3. The practical nurse (PN) is reinforcing teaching to a group of evacuees in a mass casualty center after a natural flooding disaster. Which information should the PN include in the review? (Select all that apply.)(SATA)
      A)Take all doses of prophylactic prescriptions for diarrhea.
      B)Drink only boiled water or bottled oral rehydration solutions.
      C)Wash all fruits and vegetables thoroughly in running tap water.
      D)Clean hands using soap, clean water, or waterless antibacterial solutions.
    4. 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 most important for the practical nurse to implement?
      A)Ensure the client has minimal clutter in the room.
      B)Monitor the client's blood cell laboratory values.
      C)Assess the client for nerve pain or paralysis.
      D)Evaluate client's neurological status after exercising.
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    Exam Review

    1. An older male client who fell down several stairs 4-hours ago is scheduled for magnetic resonance imaging (MRI). What information should the practical nurse (PN) obtain from the client?
      A)Last time food was consumed.
      B)Presence of a metal implant.
      C)History of previous myelogram.
      D)Allergy to iodine-based dyes.
    2. What factors are important in determining the level of hypoxemia that the child may have experienced during the submersion? Select all that apply.(SATA)
      A)Oxygen concentration of the ambient air.
      B)Whether or not anyone witnessed the fall into the pool.
      C)Temperature of water.
      D)The amount of time the child was submerged.
    3. The practical nurse (PN) overhears a female client with Cushing's syndrome telling her family in a very loud and angry voice to leave her room and not to come back. The response by the PN is based on recognizing which common manifestation of the syndrome.
      A)Mood alterations.
      B)Hearing loss.
      C)Impaired cognition.
      D)Memory loss.
    4. The practical nurse (PN) notices that one of the unlicensed assistive personnel (UAP) working in the long term care facility consistently records subnormal temperatures when using a tympanic thermometer. Which action should the PN take first?
      A)A Observe how UAP obtains temperatures.
      B)B Return the thermometer for recalibration.
      C)C Show UAP how to chart temperatures,
      D)D Demonstrate how to use the equipment.
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    Exam Review

    1. After a successful cardioversion, a male client with a new onset of atrial fibrillation receives a prescription for an anticoagulant. What instruction should the practical nurse (PN) reinforce with the client?
      A)A Eat green leafy vegetables high in vitamin K.
      B)B Use electric razor when shaving.
      C)C If a dose is missed, double the next dose.
      D)D Take the medication before meals.
    2. A client is scheduled for a thoracentesis that will be done at the bedside. What should the practical nurse (PN) prepare before the healthcare provider arrives on the unit to perform the procedure?
      A)Cleanse the site and cover with a sterile towel.
      B)Gather the procedure tray and equipment.
      C)Place the client in an orthopneic position.
      D)Keep the client NPO and encourage to void.
    3. A highly successful businessman presents to the community mental health center complaining of sleeplessness and anxiety over his financial status. Which action should the practical nurse (PN) take to assist this client in diminishing his anxiety?
      A)Teach him to limit sugar and caffeine intake.
      B)Direct him to drink a glass of red wine at bedtime
      C)Reinforce the reality of his financial situation.
      D)Encourage him to initiate daily rituals
    4. A postoperative client with a nasogastric tube (NGT) to low-intermittent suction reports the onset of nausea. Which action should the practical nurse take first
      A)Auscultate for bowel sounds.
      B)Determine if the suction is working.
      C)Administer an as needed (PRN) dose of an antiemetic.
      D)Observe the color of the gastric drainage.
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    Exam Review

    1. A female client who has migraine headaches wants to decrease her intake of foods high in tyramine to see if that will reduce the occurrence of headaches. Which snack choice should the practical nurse recommend that she eliminate from her diet?
      A)Fresh cherries.
      B)Vanilla wafers.
      C)Cheddar cheese.
      D)Hard-boiled egg.
    2. The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turning an older client who had a hip arthroplasty with prosthesis placement four hours ago. Which observation by the PN indicates that the UAPS needs additional information about the turning procedure?
      A)The UAPS keep their backs straight and knees bent when moving the client.
      B)A turning sheet is used under the client for turning and repositioning.
      C)An abduction pillow is placed between the client's legs when positioned.
      D)The client is told to keep both legs straight and together while turning.
    3. Which client finding should the practical nurse (PN) report to the registered nurse (RN) immediately?
      A)Ineffective pain management was reported while using morphine PCA.
      B)Inability to void 4 hours after discontinuing an indwelling catheter.
      C)Oral ice chips for 30 minutes were eaten after vomiting postoperatively.
      D)Coffee-ground secretions draining via nasogastric tube suction.
    4. The practical nurse (PN) administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication's effectiveness, which laboratory values should the PN monitor? (Select all that apply.)(SATA)
      A)AWhite blood cell count.
      B)Capillary glucose.
      C)Sputum culture and sensitivity.
      D)Prothrombin time.
      E)Urinalysis.
      F)Serum potassium
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    Exam Review

    1. 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)Missing pulse.
      B)Thready pulse volume.
      C)Light pressure applied to pulse.
      D)Pulse skips beats.
    2. Which client statement indicates to the practical nurse (PN) that the client understands the goal of the rehabilitation plan of care following a burn injury?
      A)When all wounds are closed, complete recovery has been achieved.
      B)Full recovery means performing all activities of daily living independently.
      C)Recovery attainment is when one's highest level of functioning is achieved.
      D)Continuous rehabilitation will be required for the rest of a life time.
    3. The practical nurse (PN) determines that a client who is one day postpartum has a moderate amount of lochia rubra and the uterus is firm, dextroverted, and three fingerbreadths above the umbilicus. Which should be the PN's initial action?
      A)Provide a stool softener for constipation.
      B)Assess the bladder for distension.
      C)Check the hemoglobin to determine uterine hemorrhage.
      D)Massage the uterus to decrease atony.
    4. The practical nurse (PN) believes that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Which action should the PN take?
      A)Call the healthcare provider and clarify the prescription.
      B)Request verification of the prescription by the charge nurse.
      C)Tell the pharmacy to send an accurate child's dosage.
      D)Ask another nurse if adult dosages are ever given to children.
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    Exam Review

    1. The practical nurse (PN) administers an injection using a syringe with a retractable needle. After the needle is removed from the client's skin, the needle does not retract, and the PN gets stuck in the finger with the used needle. What action should the PN take first?
      A)Call the charge nurse to the room.
      B)Observe the appearance of the injection site.
      C)Cleanse the finger with soap and water.
      D)Explain the occurrence to the client.
    2. Based on annual physical assessments, an older adult female's blood pressure readings have changed from 120/82 to 155/86 mm Hg over the past two years. The practical nurse (PN) should recognize which factors in the client's history are likely to be associated with this finding? (Select all that apply.)(SATA)
      A)Leads an aerobics class.
      B)Increase in age.
      C)Body mass index of 22
      D)History of diabetes mellitus.
      E)Hyperlipidemia
    3. A 2-day-old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal shunt. Which nursing intervention(s) should the practical nurse (PN) implement during postoperative care? (Select all that apply.)(SATA)
      A)Measure head circumference dally.
      B)Document strict intake and output.
      C)Irrigate shunt and pump valve every 12-hours.
      D)Monitor body temperature every 4-hours.
    4. The practical nurse (PN) observes a client's initial postoperative dressing and drain as seen in the picture. Which follow-up actions should the PN implement? (Select all that apply.)(SATA)
      A
      Option A
      A)Document the appearance of the wound as inflamed.
      B)Report the appearance of the dressing to the charge nurse.
      C)Compress the drainage device before closing the tab.
      D)Clamp the drainage tubing for the next four hours.
      E)Remove the drainage device and apply a pressure dressing
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