Which client information is most important for the PN Urinary output of 50 mL/hour.
to consider when providing instructions to the
unlicensed assistive personnel about providing
morning care to a postoperative client?
The PN is caring for a client with coronary artery The lab results indicate myocardial damage, and the client is at risk for
disease who is admitted with intermittent chest pain. cardiac dysrhythmias
The admission laboratory results indicate elevations in
troponin I and creatine phosphokinase myoglobin
isoenzyme (CK-MB) levels. What should the PN
consider the most significant risk for this client on the
second day of admission?
The practical nurse explains to a client how to obtain a The PN should teach the client to a client how to obtain a septum specimen
sputum specimen and the client indicates and if the client does not correctly collect the specimen the PN should assist
understanding the procedure. After the PN leaves the the client in obtaining another specimen coughed directly into a sterile cup
room the client obtains the specimen and notifies the
PN. When the PN arrives to collect the specimen it
appears as seen in the picture. Which action should the
PN take.
,The practical nurse (PN) and unlicened assistive Demonstrate to the UAP how to approach the client from the client's left side
personal (UAP) are providing care for a client who
exhibits signs of neglect syndrome following a stroke
affecting the right hemisphare. Which action should
the PN implement?
The practical nurse (PN) ask an unlicensed assistive Approach the UAP to discuss the behavior and obtain the information needed
personnel (UAP) for feedback about an assigned client about the client
instead of responding, the UAP walks away from the
PN, ignoring the question. What action is best for the
PN?
While assisting the RN with the admission of a toddler, Do a complete head-to-toe exam in sequence
which intervention should the practical nurse (PN)
implement to make the experience least stressful for
the child?
An older adult female is admitted with syncope and Aspirin
laboratory findings indicate that her hemoglobin is 8.0
grams/dl. She has a recent history of headaches and
frequent falls. Admission prescription orders includes
continuation of all home medication. Which
medication should the practical nurse (PN) withhold
until consulting with the charge nurse?
,The spouse of a hospitalized client asked the practical Explain that medication can only be provided to clients.
nurse PN for acetaminophen for tension headache.
Which action should the PN take?
Prior to administering pain medication to an adult - Time of last administration of pain medication
postoperative client, what information should the - Client's pain rating on a scale of 1 to 10
practical nurse PN obtain? (Select all that apply) - Effectiveness of last pain medication administered
The practical nurse (PN) notifies the health care Cholecystectomy 24 hours ago
provider about client information using the situation,
background, assessment, recommendation SBAR
technique. Which information should the PM provide
first?
The practical nurse (PN) is caring for a client with Implement ongoing assessments for signs of shallow or slow breathing.
fractured metatarsals after slamming a hand in the car
door. After administering the prescribed
hydrocodone/acetaminophen for pain, which
intervention should the PN include in the clients care?
The practical nurse peeing and ministers an Remind the client to protect skin from sunlight
anticonvulsant That causes photosensitivity. Which
action should the PN take after administering the
medication?
, An order client with metastatic breast cancer is - Instructions for care should be included in the client's living will
experiencing shortness of breath as a result of bilateral - Care can be provided in the home where the client resides
pneumonia. The client has a living will, and the family - Care focuses on comfort, dignity, and emotional support
is requesting Hospice care. Which information should
the practical nurse (PN) reinforce with the client and
family regarding Hospice care? (select all that apply)
The single mother of a child with a head injury is This must appear devastating to you at this moment
sitting at the child's bedside crying when the practical
nurse (PN) enters the room. The mother states, why
did this happen to my child? I just can't cope with this,
what is the best initial response by the PN?
The practical nurse (PN) is working in a cancer An older male who drinks a six pack of beer nightly and smokes heavily
detection mobile clinic. Four individuals come for
screening with a complaint of hoarseness, a dangerous
sign for cancer of the larynx. Which client has the
highest risk for development of cancer of the larynx
that the PN should refer to the healthcare provider?
The practical nurse (PN) is giving medications to a 8 units
client who was admitted to the hospital with a
diagnosis of diabetes mellitus. After checking the
finger stick glucose at 1630, which dose of insulin
should the (PN) administer?
to consider when providing instructions to the
unlicensed assistive personnel about providing
morning care to a postoperative client?
The PN is caring for a client with coronary artery The lab results indicate myocardial damage, and the client is at risk for
disease who is admitted with intermittent chest pain. cardiac dysrhythmias
The admission laboratory results indicate elevations in
troponin I and creatine phosphokinase myoglobin
isoenzyme (CK-MB) levels. What should the PN
consider the most significant risk for this client on the
second day of admission?
The practical nurse explains to a client how to obtain a The PN should teach the client to a client how to obtain a septum specimen
sputum specimen and the client indicates and if the client does not correctly collect the specimen the PN should assist
understanding the procedure. After the PN leaves the the client in obtaining another specimen coughed directly into a sterile cup
room the client obtains the specimen and notifies the
PN. When the PN arrives to collect the specimen it
appears as seen in the picture. Which action should the
PN take.
,The practical nurse (PN) and unlicened assistive Demonstrate to the UAP how to approach the client from the client's left side
personal (UAP) are providing care for a client who
exhibits signs of neglect syndrome following a stroke
affecting the right hemisphare. Which action should
the PN implement?
The practical nurse (PN) ask an unlicensed assistive Approach the UAP to discuss the behavior and obtain the information needed
personnel (UAP) for feedback about an assigned client about the client
instead of responding, the UAP walks away from the
PN, ignoring the question. What action is best for the
PN?
While assisting the RN with the admission of a toddler, Do a complete head-to-toe exam in sequence
which intervention should the practical nurse (PN)
implement to make the experience least stressful for
the child?
An older adult female is admitted with syncope and Aspirin
laboratory findings indicate that her hemoglobin is 8.0
grams/dl. She has a recent history of headaches and
frequent falls. Admission prescription orders includes
continuation of all home medication. Which
medication should the practical nurse (PN) withhold
until consulting with the charge nurse?
,The spouse of a hospitalized client asked the practical Explain that medication can only be provided to clients.
nurse PN for acetaminophen for tension headache.
Which action should the PN take?
Prior to administering pain medication to an adult - Time of last administration of pain medication
postoperative client, what information should the - Client's pain rating on a scale of 1 to 10
practical nurse PN obtain? (Select all that apply) - Effectiveness of last pain medication administered
The practical nurse (PN) notifies the health care Cholecystectomy 24 hours ago
provider about client information using the situation,
background, assessment, recommendation SBAR
technique. Which information should the PM provide
first?
The practical nurse (PN) is caring for a client with Implement ongoing assessments for signs of shallow or slow breathing.
fractured metatarsals after slamming a hand in the car
door. After administering the prescribed
hydrocodone/acetaminophen for pain, which
intervention should the PN include in the clients care?
The practical nurse peeing and ministers an Remind the client to protect skin from sunlight
anticonvulsant That causes photosensitivity. Which
action should the PN take after administering the
medication?
, An order client with metastatic breast cancer is - Instructions for care should be included in the client's living will
experiencing shortness of breath as a result of bilateral - Care can be provided in the home where the client resides
pneumonia. The client has a living will, and the family - Care focuses on comfort, dignity, and emotional support
is requesting Hospice care. Which information should
the practical nurse (PN) reinforce with the client and
family regarding Hospice care? (select all that apply)
The single mother of a child with a head injury is This must appear devastating to you at this moment
sitting at the child's bedside crying when the practical
nurse (PN) enters the room. The mother states, why
did this happen to my child? I just can't cope with this,
what is the best initial response by the PN?
The practical nurse (PN) is working in a cancer An older male who drinks a six pack of beer nightly and smokes heavily
detection mobile clinic. Four individuals come for
screening with a complaint of hoarseness, a dangerous
sign for cancer of the larynx. Which client has the
highest risk for development of cancer of the larynx
that the PN should refer to the healthcare provider?
The practical nurse (PN) is giving medications to a 8 units
client who was admitted to the hospital with a
diagnosis of diabetes mellitus. After checking the
finger stick glucose at 1630, which dose of insulin
should the (PN) administer?
