Question 1
An elderly client who is 12 hours postoperative for a hernia repair suddenly becomes
agitated, staggers out into the corridor and demands to be set free. After assisting the
client back to bed and administering pain medication. Which intervention is best for the
practical nurse (PN) to implement?
A. Notify the healthcare provider and request a prescription for restraints to minimize the
client's danger to self.
B. Raise the side and notify the family to come sit with the client to reorientate and
cooperative.
C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic
accumulation.
D. Instruct a UAP to keep the upper side rails up and check on the client every 15 minutes
until the client is resting.
CORRECT ANSWER
C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic
accumulation.
Question 2
A male client attends a community support program for mentally impaired and chemical
abusing clients. The client tells the practical nurse (PN) that his drug of choice are cocaine
and heroin. What is the greatest health risk for the client?
A. Hepatitis
B. Glaucoma
C. Diabetes
D. Hypotension
1
@THE STUDY VAULT
,CORRECT ANSWER
A. Hepatitis
Question 3
The practical nurse (PN) is charting vital signs on a hand-written flow sheet and realizes
that an error has been made. What should the PN do to rectify the error?
A. Draw one line through the entry and insert the correct information.
B. Chart the correct information in the column.
C. Obliterate the entry and insert the correct information.
D. Notify the charge nurse that the entry needs to be revised.
CORRECT ANSWER
A. Draw one line through the entry and insert the correct information.
Question 5
The Charge nurse brings a #18 catheter with a 30 mL balloon to the practical nurse (PN)
who is preparing to insert a catheter in a female client who weighs 50kg. Which action
should the PN take first?
A. Ask the client if she has previously been catheterized.
B. Obtain a 30 mL syringe and a vial of sterile water.
C. Consult with the charge nurse about the catheter.
D. Position the client and observe the urinary meatus.
CORRECT ANSWER
C. Consult with the charge nurse about the catheter.
2
@THE STUDY VAULT
, Question 6
The practical nurse (PN) is caring for a client newly diagnosed with diabetes mellitus (DM).
Which finding is an early sign of hypoglycemia?
A. Bradycardia
B. Tremors
C. Polyuria
D. Difficulty swallowing
CORRECT ANSWER
B. Tremors
Question 7
While caring for a client with Gillian Barres syndrome. Which finding should the practical
nurse (PN) report to the charge nurse?
While caring for a client with Gillian Barres syndrome. Which finding should the practical
nurse (PN) report to the charge nurse?
A. Lower leg weakness/cramping
B. Irregular heart rate
C. Profuse Diaphoresis
D. Full facial flushing
CORRECT ANSWER
A. Lower leg weakness/cramping
Question 8
A client at 39 weeks gestation is admitted in early labor. During the focused assessment
the practical nurse (PN) reviews the obstetrical history with the client who states that she
has been pregnant five times but only has two living children, both of whom were full-
term. The other three pregnancies were miscarriages during the first trimester. Which
3
@THE STUDY VAULT
An elderly client who is 12 hours postoperative for a hernia repair suddenly becomes
agitated, staggers out into the corridor and demands to be set free. After assisting the
client back to bed and administering pain medication. Which intervention is best for the
practical nurse (PN) to implement?
A. Notify the healthcare provider and request a prescription for restraints to minimize the
client's danger to self.
B. Raise the side and notify the family to come sit with the client to reorientate and
cooperative.
C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic
accumulation.
D. Instruct a UAP to keep the upper side rails up and check on the client every 15 minutes
until the client is resting.
CORRECT ANSWER
C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic
accumulation.
Question 2
A male client attends a community support program for mentally impaired and chemical
abusing clients. The client tells the practical nurse (PN) that his drug of choice are cocaine
and heroin. What is the greatest health risk for the client?
A. Hepatitis
B. Glaucoma
C. Diabetes
D. Hypotension
1
@THE STUDY VAULT
,CORRECT ANSWER
A. Hepatitis
Question 3
The practical nurse (PN) is charting vital signs on a hand-written flow sheet and realizes
that an error has been made. What should the PN do to rectify the error?
A. Draw one line through the entry and insert the correct information.
B. Chart the correct information in the column.
C. Obliterate the entry and insert the correct information.
D. Notify the charge nurse that the entry needs to be revised.
CORRECT ANSWER
A. Draw one line through the entry and insert the correct information.
Question 5
The Charge nurse brings a #18 catheter with a 30 mL balloon to the practical nurse (PN)
who is preparing to insert a catheter in a female client who weighs 50kg. Which action
should the PN take first?
A. Ask the client if she has previously been catheterized.
B. Obtain a 30 mL syringe and a vial of sterile water.
C. Consult with the charge nurse about the catheter.
D. Position the client and observe the urinary meatus.
CORRECT ANSWER
C. Consult with the charge nurse about the catheter.
2
@THE STUDY VAULT
, Question 6
The practical nurse (PN) is caring for a client newly diagnosed with diabetes mellitus (DM).
Which finding is an early sign of hypoglycemia?
A. Bradycardia
B. Tremors
C. Polyuria
D. Difficulty swallowing
CORRECT ANSWER
B. Tremors
Question 7
While caring for a client with Gillian Barres syndrome. Which finding should the practical
nurse (PN) report to the charge nurse?
While caring for a client with Gillian Barres syndrome. Which finding should the practical
nurse (PN) report to the charge nurse?
A. Lower leg weakness/cramping
B. Irregular heart rate
C. Profuse Diaphoresis
D. Full facial flushing
CORRECT ANSWER
A. Lower leg weakness/cramping
Question 8
A client at 39 weeks gestation is admitted in early labor. During the focused assessment
the practical nurse (PN) reviews the obstetrical history with the client who states that she
has been pregnant five times but only has two living children, both of whom were full-
term. The other three pregnancies were miscarriages during the first trimester. Which
3
@THE STUDY VAULT
