1. TheBFpracticalBFnurseBF(PN)BFisBFassistingBFwithBFpreparationBFofBFaBFclientBFforBFfec
alBFdiversionBFsurgery.BFWhileBFinsertingBFanBFindwellingBFurinaryBFcatheter,BFtheBFcl
ientBFasksBFifBFtheBFsurgicalBFopeningBFwillBFbeBFvisible.BFWhichBFactionBFshouldBFtheBF
PNBFimple-ment?:BFReviewBFtheBFclient'sBFexpectationsBFofBFeliminationBFafterBFsurgery
2. WhichB F actionB F isB F bestB F forB F theB F practicalB F nurseB F (PN)B F toB F useB F inB F assistingB F thi
sB F clientBFtoBFdealBFwithBFhisBFpain?:BFGuideBFtheBFclientBFthroughBFslow,BFrhythmicBFbreathing.
3. ABF15-year-
oldBFadolescentBFmaleBFwithBFaBFmildBFmentalBFdisabilityBFisBFhospitalizedBFforBFmino
rBFsurgeryBFandBFtellsBFtheBFpracticalBFnurseBF(PN),BF"Wow!BFYouBFhaveBFbigBFbreasts.
BFWhichBFresponseBFisBFbestBFforBFtheBFPNBFtoBFprovide?:BFB.BFThatBFlanguageBFisBFnotBFallowed.
4. TheBFpracticalBFnurseBF(PN)BFisBFreviewingBFaBFclient'sBFrecentBFophthalmicBFscree
ningBFtestBFresults.BFFindingsBFofBFopticBFneuropathy,BFlossBFofBFperipheralBFvision,BF
andBFin-
creasedBFintroBFocularBFpressureBFareBFconsistentBFwithBFwhichBFmedicalBFcondition?
:BFA.BFGlaucoma
5. AB F clientB F whoB F isB F atB F full-
termB F gestationB F isB F inB F activeB F laborB F andB F complainsB F ofB F aBFcrampB F inB F herB F le
g.B F WhichB F interventionB F shouldB F theB F practicalB F nurseB F (PN)B F imple-
ment?:BFExtendBFtheBFlegBFandBFflexBFtheBFfoot.
6. TheBFpracticalBFnurseBF(PN)BFpalpatesBFaBFclient'sBFradialBFpulseBFandBFnotesBFthat
BFtheBFpulseBFdisappears BFwhen BFlightBFpressureBFisBFapplied.BFHowBFshouldBFtheBFP
NBFdocu-mentBFthisBFfinding?:BFThreadyBFpulseBFvolume
7. TheBFpracticalBFnurseBF(PN)BFisBFmakingBFaBFhomeBFvisitBFtoBFanBFolderBFmaleBFadultBFw
hoBFwasBFrecentlyBFdiagnosedBFwithBFHerpesBFzosterBF(shingles).BFTheBFclientBFreportsBF
theBFonsetBFofBFsevereBFburningBFpainBFalongBFtheBFrightBFsideBFofBFhisBFtrunk.
WhatBFactionBFshouldBFtheBFPNBFtake?:BFAdministerBFaBFprescribedBFPRNBFdoseBFofBFanalgesic.
8. TheB F practicalB F nurseB F (PN)B F isB F providingB F careB F forB F aB F clientB F whoB F isB F orderedB F
nothingBFbyB F mouthB F (NPO)B F afterB F aB F smallB F bowelB F resection.B F TheB F client'sB F nas
ogastricB F (NG)BFtubeB F isB F connectedB F toB F lowB F intermittentB F suction.B F TheB F clientB F r
eportsB F dizzinessB F andBFtinglingB F inB F digits.B F WhichB F assessmentB F findingB F byB F theB
F PNB F shouldB F beB F reportedB F toBFtheBFhealthcareBFprovider?:BFHeartBFrateBFofBF90BFbeatsBFperBFminuteBF
withBFprematureBFventricularBFcontractionsBF(PVCs)
,notedBFonBFtelemetry.
, 9. AB F clientB F inB F theB F psychiatricB F unit'sB F dayroomB F isB F becomingB F agitated,B F talking
BFincessantly,B F andB F startingB F toB F yellB F andB F swearB F atB F theB F otherB F clients.B F Which
B F actionBFshouldBFtheBFpracticalBFnurseBF(PN)BFimplement BFfirst?:B F EscortBFtheBFclientBFtoBFaBFcalmBFa
ndBFquietBFplace.
10. TheB F practicalB F nurseB F (PN)B F isB F preparingB F forB F shiftB F change.B F WhichB F taskB F
hasB F theBFhighestB F priorityB F andB F shouldB F beB F completedB F first?:B F VerifyBFcompletionBFofBFallBFn
ewBFprescriptions.
11. AnBFunlicensedBFassistiveBFpersonnelBF(UAP)BFisBFcompletingBFanBForientationBFas
-
signmentBFandBFisBFcaringBFforBFaBFclientBFwhoBFneedsBFassistanceBFwithBFbathing.BFWh
atBFisBFtheBFbestBFwayBFforBFtheBFpracticalBFnurseBF(PN)BFtoBFevaluateBFthisBFUAP'sBFperfor
mance?-
:BFObserveBFtheBFUAP'sBFtechniqueBFandBFcommunicationBFskillsBFduringBFtheBFbath
12. ABFmaleBFclientBFattendsBFaBFcommunityBFsupportBFprogramBFforBFmentallyBFimpaired
B F andBFchemicalBFabusingBFclients.BFTheBFclientBFtellsBFtheBFpracticalBFnurseBF(PN)BFthatBF
hisBFdrugsBFofBFchoiceBFareBFcocaineBFandBFheroin.
WhatB F isB F theB F greatestB F healthB F riskB F forB F thisB F client?:B F Hepatitis.
13. TheBFpracticalBFnurseBF(PN)BFfindsBFaBFpostoperativeBFclientBFlyingBFinBFbedBFwithBFanBF
un-
securedBFsurgicalBFdressingBFasBFseenBFinBFtheBFpicture.BFAfterBFreinforcingBFtheBFdressi
ng,BFwhichBFfollow-
upBFassessmentBFisBFmostBFimportantBFforBFtheBFPNBFtoBFimplement?:BFVitalBFsignBFmeasur
ement.
14. TheBFpracticalBFnurseBF(PN)BFreviewsBFtheBFhistoryBFofBFanBFolderBFadultBFwhoBFisBFnew
lyBFadmittedBFtoBFaBFlongBFtermBFcareBFfacility.
WhichB F factorB F inB F theB F resident'sB F historyB F shouldB F theB F PNB F considerB F theB F mos
tB F likelyBFtoBFincreaseBFtheBFclient'sBFriskBFforBFfalls?:BFNewlyBFprescribedBFantihypertensiveBFmedica
tion.
15. PriorB F toB F anB F invasiveB F examinationB F ofB F aB F hospitalizedB F client,B F aB F consent
B F formBFshouldB F beB F obtained.B F WhichB F actionB F bestB F describesB F theB F responsibi
lityB F ofB F theBFpracticalBFnurseBF(PN)?:BFWitnessesBFtheBFclient'sBFsignatureBFonBFtheBFconsentBFformBFafterBF
itBFisBFexplainedBFbyBFtheBFprovider.
alBFdiversionBFsurgery.BFWhileBFinsertingBFanBFindwellingBFurinaryBFcatheter,BFtheBFcl
ientBFasksBFifBFtheBFsurgicalBFopeningBFwillBFbeBFvisible.BFWhichBFactionBFshouldBFtheBF
PNBFimple-ment?:BFReviewBFtheBFclient'sBFexpectationsBFofBFeliminationBFafterBFsurgery
2. WhichB F actionB F isB F bestB F forB F theB F practicalB F nurseB F (PN)B F toB F useB F inB F assistingB F thi
sB F clientBFtoBFdealBFwithBFhisBFpain?:BFGuideBFtheBFclientBFthroughBFslow,BFrhythmicBFbreathing.
3. ABF15-year-
oldBFadolescentBFmaleBFwithBFaBFmildBFmentalBFdisabilityBFisBFhospitalizedBFforBFmino
rBFsurgeryBFandBFtellsBFtheBFpracticalBFnurseBF(PN),BF"Wow!BFYouBFhaveBFbigBFbreasts.
BFWhichBFresponseBFisBFbestBFforBFtheBFPNBFtoBFprovide?:BFB.BFThatBFlanguageBFisBFnotBFallowed.
4. TheBFpracticalBFnurseBF(PN)BFisBFreviewingBFaBFclient'sBFrecentBFophthalmicBFscree
ningBFtestBFresults.BFFindingsBFofBFopticBFneuropathy,BFlossBFofBFperipheralBFvision,BF
andBFin-
creasedBFintroBFocularBFpressureBFareBFconsistentBFwithBFwhichBFmedicalBFcondition?
:BFA.BFGlaucoma
5. AB F clientB F whoB F isB F atB F full-
termB F gestationB F isB F inB F activeB F laborB F andB F complainsB F ofB F aBFcrampB F inB F herB F le
g.B F WhichB F interventionB F shouldB F theB F practicalB F nurseB F (PN)B F imple-
ment?:BFExtendBFtheBFlegBFandBFflexBFtheBFfoot.
6. TheBFpracticalBFnurseBF(PN)BFpalpatesBFaBFclient'sBFradialBFpulseBFandBFnotesBFthat
BFtheBFpulseBFdisappears BFwhen BFlightBFpressureBFisBFapplied.BFHowBFshouldBFtheBFP
NBFdocu-mentBFthisBFfinding?:BFThreadyBFpulseBFvolume
7. TheBFpracticalBFnurseBF(PN)BFisBFmakingBFaBFhomeBFvisitBFtoBFanBFolderBFmaleBFadultBFw
hoBFwasBFrecentlyBFdiagnosedBFwithBFHerpesBFzosterBF(shingles).BFTheBFclientBFreportsBF
theBFonsetBFofBFsevereBFburningBFpainBFalongBFtheBFrightBFsideBFofBFhisBFtrunk.
WhatBFactionBFshouldBFtheBFPNBFtake?:BFAdministerBFaBFprescribedBFPRNBFdoseBFofBFanalgesic.
8. TheB F practicalB F nurseB F (PN)B F isB F providingB F careB F forB F aB F clientB F whoB F isB F orderedB F
nothingBFbyB F mouthB F (NPO)B F afterB F aB F smallB F bowelB F resection.B F TheB F client'sB F nas
ogastricB F (NG)BFtubeB F isB F connectedB F toB F lowB F intermittentB F suction.B F TheB F clientB F r
eportsB F dizzinessB F andBFtinglingB F inB F digits.B F WhichB F assessmentB F findingB F byB F theB
F PNB F shouldB F beB F reportedB F toBFtheBFhealthcareBFprovider?:BFHeartBFrateBFofBF90BFbeatsBFperBFminuteBF
withBFprematureBFventricularBFcontractionsBF(PVCs)
,notedBFonBFtelemetry.
, 9. AB F clientB F inB F theB F psychiatricB F unit'sB F dayroomB F isB F becomingB F agitated,B F talking
BFincessantly,B F andB F startingB F toB F yellB F andB F swearB F atB F theB F otherB F clients.B F Which
B F actionBFshouldBFtheBFpracticalBFnurseBF(PN)BFimplement BFfirst?:B F EscortBFtheBFclientBFtoBFaBFcalmBFa
ndBFquietBFplace.
10. TheB F practicalB F nurseB F (PN)B F isB F preparingB F forB F shiftB F change.B F WhichB F taskB F
hasB F theBFhighestB F priorityB F andB F shouldB F beB F completedB F first?:B F VerifyBFcompletionBFofBFallBFn
ewBFprescriptions.
11. AnBFunlicensedBFassistiveBFpersonnelBF(UAP)BFisBFcompletingBFanBForientationBFas
-
signmentBFandBFisBFcaringBFforBFaBFclientBFwhoBFneedsBFassistanceBFwithBFbathing.BFWh
atBFisBFtheBFbestBFwayBFforBFtheBFpracticalBFnurseBF(PN)BFtoBFevaluateBFthisBFUAP'sBFperfor
mance?-
:BFObserveBFtheBFUAP'sBFtechniqueBFandBFcommunicationBFskillsBFduringBFtheBFbath
12. ABFmaleBFclientBFattendsBFaBFcommunityBFsupportBFprogramBFforBFmentallyBFimpaired
B F andBFchemicalBFabusingBFclients.BFTheBFclientBFtellsBFtheBFpracticalBFnurseBF(PN)BFthatBF
hisBFdrugsBFofBFchoiceBFareBFcocaineBFandBFheroin.
WhatB F isB F theB F greatestB F healthB F riskB F forB F thisB F client?:B F Hepatitis.
13. TheBFpracticalBFnurseBF(PN)BFfindsBFaBFpostoperativeBFclientBFlyingBFinBFbedBFwithBFanBF
un-
securedBFsurgicalBFdressingBFasBFseenBFinBFtheBFpicture.BFAfterBFreinforcingBFtheBFdressi
ng,BFwhichBFfollow-
upBFassessmentBFisBFmostBFimportantBFforBFtheBFPNBFtoBFimplement?:BFVitalBFsignBFmeasur
ement.
14. TheBFpracticalBFnurseBF(PN)BFreviewsBFtheBFhistoryBFofBFanBFolderBFadultBFwhoBFisBFnew
lyBFadmittedBFtoBFaBFlongBFtermBFcareBFfacility.
WhichB F factorB F inB F theB F resident'sB F historyB F shouldB F theB F PNB F considerB F theB F mos
tB F likelyBFtoBFincreaseBFtheBFclient'sBFriskBFforBFfalls?:BFNewlyBFprescribedBFantihypertensiveBFmedica
tion.
15. PriorB F toB F anB F invasiveB F examinationB F ofB F aB F hospitalizedB F client,B F aB F consent
B F formBFshouldB F beB F obtained.B F WhichB F actionB F bestB F describesB F theB F responsibi
lityB F ofB F theBFpracticalBFnurseBF(PN)?:BFWitnessesBFtheBFclient'sBFsignatureBFonBFtheBFconsentBFformBFafterBF
itBFisBFexplainedBFbyBFtheBFprovider.
