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    Exam Review

    1. A male preoperative client who has already signed the informed consent for a surgical procedure confides in the practical nurse (PN) that he is really frightened and unsure about undergoing the surgery. Which priority action should the PN take?
      A)Encourage the client to continue with the scheduled surgery.
      B)Document that the client has expressed concerns about the surgery.
      C)Notify the charge nurse of the client's concerns about surgery.
      D)Remind the client that the consent has already been obtained.
    2. The parents of a one-year-old child with the diagnosis of hypospadias informed the practical nurse (PN) that they plan to delay corrective surgery to see if the child will outgrow the problem. Which information should the PN provide to these parents?
      A)Whatever the parents decide, the staff will be available to support the decision.
      B)The child's prognosis will not develop complications if surgery is delayed.
      C)Some children do outgrow this type of problem and waiting may be beneficial.
      D)Ask the parents to explain what they understand about the child's diagnosis.
    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)Haemoglobin and hematocrit
      C)White blood cell count (WBC)
      D)Blood urea nitrogen (BUN) and creatinine
    4. The practical nurse (PN) is assessing an older client with left-sided heart failure (HF). What intervention is most important for the PN to implement?
      A)Inspect for sacral edema.
      B)Measure urinary output.
      C)Auscultate all lung fields.
      D)Check mental acuity.
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    Exam Review

    1. The practical nurse (PN) receives a report of a stable client who experienced partial-thickness burns over 30% of the body surface area (BSA) 3 days ago. Which complication is most important for the PN to anticipate?
      A)Elevated blood pressure.
      B)Curling's ulcer.
      C)Compartment syndrome.
      D)Excruciating pain.
    2. The practical nurse (PN) is providing care for a client who is receiving an aminoglycoside to treat a bacterial infection. To assess for signs of ototoxicity, which action should the PN take?
      A)Check for changes in vision.
      B)Monitor the client's hearing.
      C)Observe the skin for a rash.
      D)Measure the urinary output.
    3. A client who is reaching saturation with medication reports the onset of muscle soreness and fatigue, and the practical nurse (PN) notes that the client's skin is warm to the touch. Which action by the PN is a priority?
      A)Administer a PRN dose of acetaminophen.
      B)Encourage the client to drink fluids.
      C)Report the findings to the charge nurse.
      D)Monitor the client's serum lipid levels.
    4. A college student brings his roommate to the clinic because the roommate has been talking to someone who is not present. The student tells the practical nurse (PN) that his roommate is acting strange. Which question should the PN ask the client next?
      A)"Are you planning to obey the voices?"
      B)"Have you taken any hallucinogens?"
      C)"When did these voices begin?"
      D)"Do you believe the voices are real?"
      E)None
      F)None
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    Exam Review

    1. 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 the thermometer. Which action should the PN take first?
      A)Show the UAP how to chart temperatures.
      B)Return the thermometer for recalibration.
      C)Observe how the UAP obtains temperatures.
      D)Demonstrate how to use the equipment.
    2. At the first dressing change, the practical nurse (PN) tells the client that her mastectomy incision is healing well, but the client refuses to look at the incision and refuses to talk about it. Which response by the PN to the client's silence is best?
      A)"It's okay if you don't want to look or talk about the mastectomy. It will be available when you're ready."
      B)"Would you like me to call another nurse to be here while I show you the wound?"
      C)"Part of recovery is accepting your new body image, and you will need to look at your incision."
      D)"You will feel beter when you see that the incision is not as bad as you may think."
    3. The practical nurse (PN) is auscultating a client's lung sounds. Which description should the PN use to document this sound? (Please listen to the audio clip provided). Audio: [Wheezing sound]
      A)Wheeze
      B)Rhonchi
      C)Stridor.
      D)Fine crackles.
    4. The medication aide at a long-term care facility is sick and requests to go home before all medications are administered. Which action should the practical nurse (PN) take in this situation?
      A)Deny the medication aide's request to leave before all medications are given.
      B)Ask each unlicensed assistive personnel (UAP) to give medications to their assigned residents.
      C)Assign the remainder of medication administration to another PN who is performing treatments.
      D)Document why all the medications were not given to each of the residents.
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    Exam Review

    1. The medication aide at a long-term care facility is sick and requests to go home before all medications are administered. Which action should the practical nurse (PN) in charge take?
      A)Deny the medication aide's request to leave before all medications are given.
      B)Ask each unlicensed assistive personnel (UAP) to give medications to their assigned residents.
      C)Assign the remainder of medication administration to another PN who is performing treatments.
      D)Document why all the medications were not given to each of the residents.
    2. A male client tells the practical nurse (PN) that the pill he has been taking at home is a different color and size than the one the PN is trying to give him now. How should the PN respond?
      A)Explain that the healthcare provider probably prescribed a different medication while he is hospitalized.
      B)Tell the client that he is probably confused since being hospitalized tends to disorient clients.
      C)Tell the client that the PN will verify that the dispensed medication is the valid prescription.
      D)Explain that the pharmacy often substitutes generic equivalents for more expensive brands.
    3. The practical nurse (PN) learns that a client who is receiving chemotherapy has developed stomatitis. Which information should the PN obtain from the client during a focused assessment?
      A)Urinary output.
      B)Ability to swallow.
      C)Frequency of bowel movements.
      D)Blood pressure while standing.
    4. In assessing a client with an indwelling urinary catheter following the provision of care by an unlicensed assistive personnel (UAP), the practical nurse (PN) observes that the catheter drainage bag, which is half- full, is attached to the side rail and the tubing is looped on the bed. Which action should the PN implement?
      A)Apply gloves and empty the drainage bag
      B)Remove the looped tubing from the bed
      C)Measure the urinary output in the bag
      D)Attach the drainage bag to the bed frame
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    Exam Review

    1. The unlicensed assistive personnel (UAP) tells the practical nurse (PN) that a male client is angry because the night shift took over 2 hours to bring him the pain medication, he had to request three times. Which action should the PN implement first?
      A)Ask the client to describe what happened
      B)Inform the charge nurse of the situation
      C)Complete a client adverse incident report
      D)Call the agency-based client advocate
    2. The mother of a school-aged boy tells the practical nurse (PN) that he fell out of a tree and hurt his arm and shoulder. The mother says the boy is in pain and needs medical help. The nurse should assess the injury and decide the appropriate action to take. Help the nurse reason out the best assessment.
      A)The injury may require medical attention, as the mother mentioned that the boy is in pain
      B)The abrasions on the boy's leg and hand have healed
      C)The mother describes what she did after her child got injured
      D)The boy lacks coordination when answering the nurse's questions
    3. Which information should the practical nurse (PN) collect 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
    4. When performing a focused gastrointestinal system assessment, the practical nurse (PN) asks a male client when his last bowel movement occurred. The client answers, "Three days ago." Which action should the PN implement first?
      A)Administer a prescribed PRN stool softener
      B)Determine the client's usual bowel patern
      C)Encourage the client to ambulate more frequently
      D)Recommend increasing high-fiber foods daily
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    Exam Review

    1. The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is counting a client's radial pulse as seen in the picture. Which action should the PN take?
      A)Instruct the UAP to report any abnormal findings.
      B)Remind the UAP to check the client's pulse volume
      C)Demonstrate the correct pulse site to the UAP
      D)Confirm the accuracy of the pulse rate obtained by the UAP
    2. When the practical nurse (PN) atempts 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 says, "PN, 'Get out of here! I'll get up when I'm ready!" Which response is best for the PN to make?
      A)A. "You must ambulate to avoid complications which could cause more discomfort than ambulating."
      B)B. "I know you feel angry about the pain of ambulation, but this is a necessary part of getting well."
      C)C. "Your healthcare provider has left specific instructions to ambulate on the first postoperative day."
      D)D. "I will be back in 30 minutes to help you get out of bed and walk around the room today."
    3. 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.
      E)Increasing confusion of the client.
    4. A nurse is teaching a client with hypertension about antihypertensive drugs. Which of the following statements by the client indicates an understanding of the teaching?
      A)“Antihypertensive drugs work by increasing the blood flow to my heart and kidneys.”
      B)“Antihypertensive drugs can lower my blood pressure by affecting different parts of my cardiovascular system.”
      C)“Antihypertensive drugs are safe to use with any other medications or supplements I might take.”
      D)“Antihypertensive drugs will cure my hypertension if I take them as prescribed.”.
      E)“Antihypertensive drugs will cure my hypertension if I take them as prescribed.”.
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