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    Exam Review

    1. The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?
      A)Review the client's expectations of elimination after surgery.
      B)Verify that the client had nothing by mouth (NPO) for the past 24 hours.
      C)Ask the client if he finished the bowel sterilization prescription.
      D)Determine if this is the first indwelling catheter the client has had.
    2. For the past six hours, a postoperative male client has refused pain medication because he believed that he could "tough it out." When an opioid analgesic is administered, the client has difficulty obtaining a satisfactory level of comfort. Which action is best for the practical nurse (PN) to use in assisting this client to deal with his pain?
      A)Dim the lights in the room and close the door.
      B)Guide the client through slow, rhythmic breathing.
      C)Turn the television on to the client's favorite show.
      D)Obtain a prescription for a higher dose of pain medication.
    3. A 15-year-old adolescent 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 best for the PN to provide?
      A)The size of my breasts is of no concern to you.
      B)That language is not allowed.
      C)Do you really think so?
      D)If you talk like that again, I will tell your parents.
    4. The practical nurse (PN) is reviewing a client's recent ophthalmic screening test results. Findings of optic neuropathy, loss of peripheral vision, and increased intraocular pressure are consistent with which medical condition?
      A)Glaucoma
      B)Macular edema.
      C)Cataract
      D)Diabetic retinopathy
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    Exam Review

    1. A client who is at full-term gestation is in active labor and complains of a cramp in her leg. Which intervention should the practical nurse (PN) implement?
      A)Massage the calf and foot.
      B)Extend the leg and flex the foot.
      C)Check the pedal pulse in the affected leg.
      D)Elevate the leg above the heart.
      E)None
      F)None
    2. 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)Thready pulse volume
      B)Missing pulse.
      C)Light pressure applied to pulse
      D)Pulse skips beats
    3. 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)Administer a prescribed PRN dose of analgesic.
      B)Obtain an oxygen tank for home administration.
      C)Give the next prescribed dose of antiviral medication.
      D)Notify the nursing supervisor of the uncontrolled pain.
    4. The practical nurse (PN) is providing care for a client who is ordered nothing by mouth (NPO) after a small bowel resection. The client's nasogastric (NG) tube is connected to low intermitent suction. The client reports dizziness and tingling in digits. Which assessment finding by the PN should be reported to the healthcare provider?
      A)Hyperactive bowel sounds on assessment.
      B)Heart rate of 90 beats per minute with premature ventricular contractions (PVCs) noted on telemetry.
      C)Hypoactive bowel sounds on assessment
      D)Regular heart rate of 100 beats per minute on telemetry
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    Exam Review

    1. 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)Instruct an unlicensed assistive personnel (UAP) to stay with the client.
      B)Notify the client's healthcare provider
      C)Administer an as needed (PRN) medication for agitation
      D)Escort the client to a calm and quiet place.
    2. The practical nurse (PN) is preparing for shift change. Which task has the highest priority and should be completed first?
      A)Clean up and organize the nurses' work-station.
      B)Verify completion of all new prescriptions.
      C)Calculate and record intake and output totals.
      D)Write a narrative shift summary for each client.
    3. An unlicensed assistive personnel (UAP) is completing an orientation assignment and is caring for a client who needs assistance with bathing. What is the best way for the practical nurse (PN) to evaluate this UAP's performance?
      A)Ask another UAP to help the orientee to ensure satisfactory care
      B)Verify with the client that the bath was complete and thorough
      C)Inspect the client's skin near the end of the bathing procedure
      D)Observe the UAP's technique and communication skills during the bath
    4. A male client atends a community support program for mentally impaired and chemical abusing clients. The client tells the practical nurse (PN) that his drugs of choice are cocaine and heroin. What is the greatest health risk for this client?
      A)Glaucoma.
      B)Hepatitis.
      C)Diabetes.
      D)Hypertension.
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    Exam Review

    1. The practical nurse (PN) finds a postoperative client lying in bed with an unsecured surgical dressing. After reinforcing the dressing, which follow-up assessment is most important for the PN to implement?
      A)Vital sign measurement.
      B)Fluid volume intake and output.
      C)Volume of peripheral pulses.
      D)Incisional pain scale rating.
    2. 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 client's risk for falls?
      A)Ankle ulcer that is healing slowly.
      B)History of alcohol abuse and cigarete smoking.
      C)Recent weight gain of twenty pounds.
      D)Newly prescribed antihypertensive medication.
    3. Prior to an invasive examination of a hospitalized client, a consent form should be obtained. Which action best describes the responsibility of the practical nurse (PN)?
      A)Explains the examination and asks the client to sign the consent form.
      B)Obtains the medical record for the correct signed consent form prior to the examination.
      C)Asks if the client understands the exam and why the consent form must be signed.
      D)Witnesses the client's signature on the consent form after it is explained by the provider.
    4. The practical nurse (PN) receives shift report for four newborns in the full-term newborn nursery. Which infant should the PN assess first?
      A)The ten-hour-old with circumoral cyanosis.
      B)The one-day-old with a positive Babinski's reflex
      C)The two-day old with negative Ortolani's sign
      D)The six-hour-old with a large sacral "stork bite"
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    Exam Review

    1. While changing the dressing of a client who is immobile, the practical nurse (PN) observes a red and swollen wound with a moderate amount of yellow and green drainage and a foul odor. Before reporting this finding to the healthcare provider, the PN should evaluate which of the client's laboratory values?
      A)C-reactive protein level
      B)Culture for sensitive organisms.
      C)Serum albumin.
      D)Serum blood glucose (BG) level.
    2. 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)Exhale through the mouth.
      B)Gently blow the nose.
      C)Check glucose level before and after administration.
      D)Deep breathe and cough.
    3. The practical nurse (PN) is charting vital signs on a hand-writen flow sheet and realizes that an error has been made. What should the PN do to rectify this error?
      A)Obliterate the entry and insert the correct information
      B)Draw one line through the entry and insert the correct information
      C)Chart the correct information in the next column.
      D)Notify the charge nurse that the entry needs to be revised
    4. Which finding should the practical nurse (PN) instruct the postpartum client to report to the charge nurse?
      A)Increased diaphoresis during the day and night.
      B)Breast engorgement on the fourth postpartum day.
      C)Lochia color that changes to light pink or white.
      D)Sudden or persistent temperature above 100.5 F (38.0 C).
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    Exam Review

    1. Before administering an antibiotic that can cause nephrotoxicity, which laboratory value is most important for the practical nurse (PN) to review?
      A)White blood cell count (WBC).
      B)Serum creatinine.
      C)Hemoglobin and Hematocrit.
      D)Serum calcium
    2. The practical nurse (PN) determines that a client's pupils constrict as they change focus from a far object to a near object. How should the PN document this finding?
      A)Peripheral vision intact.
      B)Nystagmus present with pupillary focus.
      C)Consensual pupillary constriction present
      D)Pupils reactive to accommodation
    3. Which information should the practical nurse (PN) collect during admission assessment of a terminally ill client to an acute care facility?
      A)Name of funeral home to contact.
      B)Contact information for client's next of kin.
      C)Health care proxy documentation
      D)Client's wishes regarding organ donation.
    4. During the past 30 days, an elderly client has exhibited a progressively decreasing appetite, is spending increasing amounts of the daytime hours in bed, and refuses to participate in planned daytime activities. Which action should the practical nurse (PN) take?
      A)Record the findings and report the symptoms to the charge nurse
      B)Ask the family members to visit more often to stimulate the client
      C)Motivate the client by offering favorite foods as a prize
      D)Withhold any medications that may cause these side effects
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