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    Exam Review

    1. The practical nurse (PN) observes an unlicensed assistive personnel (UAP) performing oral hygiene on an unconscious client who is lying in a flat side-lying position with an emesis basin on the bedside table near the chin. Which action should the PN take?
      A)Enroll the UAP in a hospital education class on conducting safe client care
      B)Stop the procedure and tell the UAP to place the client in a Fowler's position
      C)Praise the UAP for doing oral hygiene but encourage family participation
      D)Tell the UAP to continue because the unconscious client is positioned safely
    2. A woman who delivered a normal newborn 24 hours ago reports, "I seem to be urinating every hour or so. Is that OK?" Which action should the practical nurse (PN) implement?
      A)Catheterize the client for residual urine volume
      B)Measure the next voiding, then palpate the client's bladder
      C)Evaluate for normal involution, then massage the fundus
      D)Obtain a specimen for urine culture and sensitivity
    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 finding, 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. 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).
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    Exam Review

    1. While receiving report for a client with carcinoma in situ of the left breast, the practical nurse (PN) reviews a pending lab report and notices increased levels of Anti-Glycan Neu5Gc Antibodies (AGNA). Which changes should the PN anticipate to be included in the client's plan of care?
      A)Initiation of changes in infection control measures
      B)Increasing the client's dietary servings of fruits and vegetables
      C)Limiting the client's fluid intake to avoid hemodilution
      D)Avoiding the client's exposure to cold temperatures
    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 OK if you don't want to look or talk about the mastectomy. I 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. 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.
    4. The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine. Which behavior is most likely seen in this client?
      A)Elevated energy level
      B)Powerful craving for more
      C)High self-esteem
      D)Euphoria
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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
      Option A
      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 accuracy of the pulse rate obtained by the UAP.
    2. The practical nurse (PN) is told that she keeps her 2-year-old child in a playpen so he will not get dirty. Which statement should the PN use in responding to this concern about using a playpen?
      A)Overconcern about appearance can be harmful.
      B)Playpens provide a sense of security for the child
      C)Playpens provide a safe environment for a toddler.
      D)Children need time to actively explore their environment.
    3. An oil retention enema is prescribed for a hospitalized client. The practical nurse (PN) should administer the enema solution at which temperature?
      A)The solution temperature should be determined by the client's comfort level.
      B)The temperature of the enema is unrelated to the enema's effectiveness.
      C)The solution should approximate the client's body temperature (98°F or 36°C).
      D)The temperature should be higher (110°F or 43°C) than the client's body temperature.
    4. In caring for a client who requires seizure precautions, the practical nurse (PN) should ensure the ready availability of equipment to perform which procedure?
      A)Suction the trachea.
      B)Insert a urinary catheter.
      C)Apply soft restraints.
      D)Insert a nasogastric tube.
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    Exam Review

    1. A client who had a knee replacement surgery and received a prescription for enoxaparin 30 mg subcutaneously every 12 hours for 10 days. The medication is available in 30 mg per 0.3 mL pre-filled syringes. How many mL should the practical nurse (PN) administer each day? (Enter numerical value only.)
    2. At a prenatal visit, a primigravida client confides to the practical nurse (PN) that her partner is abusive. Which information should the PN provide?
      A)Contact information for a women's shelter.
      B)Safety plan to keep in a purse at all times.
      C)Visit summary documenting the report of abuse.
      D)Paperwork needed to file a restraining order.
    3. The practical nurse (PN) applies and then releases pressure to a client's fingernail as seen in the photo. Normal nail color returns in 2 seconds. Which action should the PN take?
      A)Report abnormal findings to the charge nurse.
      B)Observe for blanching of the nailbed.
      C)Repeat the process with a different nailbed.
      D)Document the capillary refill time.
    4. A nurse is caring for a client who has a prescription for 1 unit of packed RBCs. Five minutes after beginning the transfusion, the client becomes febrile with chills. After stopping the transfusion, which of the following actions should the nurse take?
      A)Administer epinephrine subcutaneously.
      B)Place the blood bag in a biohazard bag before discarding.
      C)Document the reaction in the medical record.
      D)Infuse 500 ml lactated Ringer's IV.
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    Exam Review

    1. A nurse is caring for a client who is receiving positive end-expiratory pressure (PEEP) via mechanical ventilation. The nurse should monitor the client for which of the following adverse effects of PEEP?
      A)Hypoxemia
      B)Tension pneumothorax.
      C)Malignant hypertension
      D)Atelectasis
    2. A nurse must recommend clients for discharge in order to make room for several critically injured clients from a local disaster. Which of the following clients should the nurse recommend for discharge?
      A)A client who has cellulitis and is receiving oral antibiotics every 8 hr
      B)A client who is postoperative following an upper endoscopy procedure and is alert but does not have a gag reflex
      C)A mother and their newborn 12 hr postdelivery
      D)A client who has lower extremity weakness and is newly admitted for observation
    3. A nurse must recommend clients for discharge in order to make room for several critically injured clients from a local disaster. Which of the following clients should the nurse recommend for discharge?
      A)A client who has cellulitis and is receiving oral antibiotics every 8 hr
      B)A client who is postoperative following an upper endoscopy procedure and is alert but does not have a gag reflex
      C)A mother and their newborn 12 hr postdelivery
      D)A client who has lower extremity weakness and is newly admitted for observation
    4. A nurse is providing information to a client immediately before his scheduled Romberg test. Which of the following statements should the nurse make?
      A)"You will be standing with your feet 1 foot apart."
      B)You will place and hold your hands on your hips."
      C)"I will be standing across the room from you to evaluate your sense of balance."
      D)"I will be checking you once with your eyes open and once with them closed."
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    Exam Review

    1. A nurse administers an incorrect dose of medication to a client. The nurse recognizes the error immediately and completes an incident report. Which of the following facts related to the incident should the nurse document in the client's medical record?
      A)Completion of the incident report
      B)Time the medication was given
      C)Reason for the medication error
      D)Notification of the pharmacist
    2. A nurse preceptor is evaluating the performance of a newly licensed nurse. Which of the following actions by the newly licensed nurse requires intervention by the preceptor?
      A)Documents client tasks upon completion
      B)Starts a task then determines what supplies are needed
      C)Completes a client assessment while infusing an IV antibiotic over 30 min
      D)Returns to the nurses' station after completing several tasks in the same location
    3. A nurse is assessing a client who is at 11 weeks of gestation and reports drinking ginger tea. Which of the following findings indicates the client's use of ginger tea is effective?
      A)The client reports a decrease in episodes of nausea.
      B)The client reports a decrease in breast tenderness.
      C)The client reports a decrease in headaches.
      D)The client reports a decrease in urinary frequency.
    4. A nurse is preparing a client for a paracentesis. Which of the following actions should the nurse take?
      A)Instruct the client to void.
      B)Position the client on their left side.
      C)Insert an IV catheter.
      D)Prepare the client for moderate (conscious) sedation.
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