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    Exam Review

    1. A 16-year-old client is asking the practical nurse (PN) what can be done about acne. Which recommendation should the PN provide?
      A)Refer to the dermatologist for prescribed long-term therapy
      B)Wash the hair and skin daily with mild soap and warm water
      C)Express blackheads and follow with an exfoliating scrub
      D)Omit chocolate, carbonated drinks, and fried foods from the diet
      E)None
      F)None
    2. The practical nurse (PN) observes an unlicensed assistive personnel (UAP) bathing a bedfast client with the bed in the high fowlers position. Which action should the PN take?
      A)Assume care of the client immediately.
      B)Remain in the room to supervise the UAP.
      C)Instruct the UAP to lower the bed for safety.
      D)Determine if the UAP would like assistance.
    3. The practical nurse (PN) is caring for a child who was admited after experiencing a generalized tonic-clonic seizure. When witnessing the child begin the seizure, what should the PN implement immediately? (Select all that apply)(SATA)
      A)Observe the progression of the seizure
      B)Hold the extremities close to the body
      C)Insert a tongue blade between the teeth
      D)Pad the side rails with pillows
      E)Loosen clothing around the neck
    4. A nurse is caring for a client who is requesting to go to the bathroom immediately after a vaginal birth. Which of the following actions should the nurse take?
      A)Inform the client that she can go to the bathroom whenever needed.
      B)Advise the client to remain in bed for the next few hours.
      C)Assist the client to the bathroom and assess the lochia.
      D)Evaluate the side effects of any analgesics used during labor.
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    Exam Review

    1. After completing post anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?
      A)A primigravida whose perineal pain has worsened one hour after being medicated.
      B)A multigravida whose peri-pad is 1/4 saturated with lochia rubra after one hour
      C)A multigravida complaining of strong afterbirth pains when breastfeeding.
      D)A primigravida who passed a small clot when she sat up on the edge of the bed.
    2. The practical nurse (PN) is completing a focused assessment on a client who is prescribed oxygen at 3 liters per minute by nasal cannula. Which assessment finding by the PN requires immediate action?
      A)The flowmeter shows 1 liter of oxygen being delivered
      B)There is no humidifier atached to the delivery system
      C)The client is lying in a supine position in the bed.
      D)The cannula is pressed snugly against the client's cheeks.
    3. Which action should the practical nurse (PNA) prioritize for postoperative patient with a PCA (Patient- Controlled Analgesia) machine?
      A)Coffee ground secretions drainage via nasogastric tube
      B)Nasogastric tube suctioning
      C)Assessing pain management response
      D)Ineffective pain management report
    4. Which statement by a mature adult client with advanced prostate cancer best indicates that he has reached a level of acceptance of his prognosis?
      A)I have found the support I need from my faith and family
      B)I understand this is a disease that occurs mostly in older men.
      C)I do not have any use for those who say this disease is going to win
      D)I think I had this disease for a long time, but the doctor did not find it
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    Exam Review

    1. 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 to perform the procedure?
      A)Gather the procedure tray and equipment.
      B)Cleanse the site and cover with a sterile towel.
      C)Keep the patient NPO (nothing by mouth) and encourage them to void.
      D)Place the patient in an orthopneic position.
    2. The healthcare provider gives a pregnant woman a prescription for one prenatal vitamin with iron daily and tells her to increase iron-rich foods in her diet because her hemoglobin is 8.2 g/dL or (5.09 mmol/L). When a list of iron-rich foods is given to the client, she tells the practical nurse (PN) that she is vegetarian and does not eat anything that "bleeds." Which instruction should the PN provide? (Select all that apply.)(SATA)
      A)Add lentils and black beans to soups
      B)Eat red meat just until the anemia is resolved
      C)Take two prenatal vitamins with iron daily
      D)Oatmeal is a good choice for breakfast
      E)Increase green leafy vegetables in the diet
    3. On the first day after a cesarean section, a client who is a primipara is being assisted to the bathroom for the first time. The client experiences a sudden gush of vaginal blood and notices that several blood clots are in the toilet. Which action should the practical nurse (PN) take?
      A)Insert an indwelling catheter to empty the bladder and contract the fundus
      B)Check fundal consistency and continue to monitor the lochial flow amount
      C)Return the client to bed and maintain bedrest until the lochial flow slows
      D)Massage the fundus and avoid direct pressure on the cesarean incision
    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)Demonstrate how to use the equipment
      B)Observe how UAP obtains temperatures
      C)Show UAP how to chart temperatures
      D)Return the thermometer for recalibration
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    Exam Review

    1. An adult female client with type 1 diabetes mellitus is receiving NPH insulin 35 units each morning. Which finding should the practical nurse (PN) document as evidence that the amount of insulin is inadequate?
      A)States her feet are constantly cold along with feeling numb
      B)Consecutive evening serum glucose greater than 260 mg/dL
      C)A wound on the ankle that starts to drain and becomes painful
      D)Reports nausea in the morning but still able to eat breakfast
    2. The practical nurse (PN) should collect the following information during the admission assessment of a terminally ill client to an acute care facility:
      A)Health care proxy documentation
      B)Name of funeral home to contact
      C)Client's wishes regarding organ donation
      D)Contact information for the client's next of kin
    3. Prior to giving digoxin, the practical nurse (PN) assesses that a 2-month-old infant's heart rate is 120 beats/minute. Based on this, what action should the PN take?
      A)Administer the medication and alert the charge nurse
      B)Hold the medication and document cardiac assessment
      C)Administer the medication and document the heart rate
      D)Hold the medication and recheck the heart rate in 1 hour
    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)Tell the pharmacy to send an accurate child's dosage
      B)Ask another nurse if adult dosages are ever given to children
      C)Call the healthcare provider and clarify the prescription
      D)Request verification of the prescription by the charge nurse
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    Exam Review

    1. A dentist informs the practical nurse (PN) that she has a family history of cancer and has increased the amount of dairy products in her diet to reduce the risk of gingivitis. How should the PN respond?
      A)Suggest an increase in fruits and vegetables is more beneficial
      B)Encourage the client to get plenty of exercise as well as the dietary change
      C)Remind the client to make sure the dairy products are fortified with Vitamin D
      D)Provide writen information about the warning signs of cancer
    2. A male client who has just been told he has cancer asks the practical nurse (PN) to leave his room so he can be alone. Which action should the PN implement?
      A)Consult with the charge nurse about implementing suicide precautions
      B)Sit quietly in the client's room until the client is ready to verbalize his feelings
      C)Notify a member of the client's family of the need to come stay with the client
      D)Leave the room after offering to return to the client's room at a later time
    3. The child is a 2-year-old who fell into a pool. He was retrieved from the pool by a family member but was not breathing. The family member started CPR, and the ambulance brought him to the hospital. 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)Temperature of water
      B)The weight of the child
      C)Oxygen concentration of the ambient air
      D)Whether or not anyone witnessed the fall into the pool
      E)The amount of time the child was submerged
    4. Immediately after log-rolling a client to a lateral position, which intervention should the practical nurse (PN) implement?
      A)Raise the head of the bed 30 degrees
      B)Measure blood pressure and pulse rate
      C)Flex legs and place blanket between legs
      D)Place pillows to maintain alignment.
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    Exam Review

    1. The practical nurse (PN) is preparing cefazolin 400 mg IM for a client with a gram-positive infection. The available vial is labeled, "Cefazolin 1 gram," and the instructions for reconstitution state, for IM use, add 2 mL sterile water for injection. Total volume after reconstitution is 2.5 mL. After reconstitution, how many mL should be administered to the client? (Enter numeric value only. If rounding is required, round to the whole number, nearest tenths/hundredth).
    2. 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)Tell the pharmacy to send an accurate child's dosage
      B)Ask another nurse if adult dosages are ever given to children
      C)Call the healthcare provider and clarify the prescription
      D)Request verification of the prescription by the charge nurse
    3. Before administering an antibiotic that can cause nephrotoxicity, which laboratory value is most important for the practical nurse (PN) to review?
      A)Serum calcium
      B)Serum creatinine
      C)Hemoglobin and Hematocrit
      D)White blood cell count (WBC)
    4. A client who received an open reduction and internal fixation (ORIF) of the right femur after experiencing a fall at home experiences a sudden onset of increasing confusion and agitation.When reporting to the healthcare provider using SBAR (Situation, Background, Assessment, Recommendation) communication, which information should the nurse provide first?
      A)Client's healthcare power of attorney.
      B)Fall at home as reason for admission.
      C)Currently prescribed medications.
      D)Increasing confusion of the client.
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