PN Comprehensive Online Practice, Exam
Review Questions & Answers
A nurse is caring for a client who is in Buck's traction. Which of the following
actions should the nurse take?
- Allow the weights to hang freely.
nurse should ensure the weights hang freely to provide the appropriate
counterweight to facilitate reduction and alignment of the client's fracture.
A nurse is caring for a client who takes prednisone daily for the treatment of
chronic asthma. The nurse should plan to monitor the client for which of the
following adverse effects?
- Gastric ulcer formation
*The nurse should monitor the client for indications of a gastric ulcer formation,
which is a common adverse effect of prednisone.
A nurse is receiving change-of-shift report for a group of clients. The nurse should
plan to implement which of the following time-management strategies?
- Prepare a priority list of client needs for the shift.
*The nurse should prepare a client priority to-do list, which could include
administering time-critical medications. This will allow the nurse to determine
which clients should receive care first.
A nurse is reinforcing teaching about home care for conjunctivitis with the parent
of a school-age child. Which of the following information should the nurse
include?
- separate the Childs used washcloth form those of others.
Due to the contagious nature of the infection, it is necessary to separate the
washcloth of a child who has conjunctivitis from those of others to prevent the
spread of infection.
,A nurse is caring for a client who has a prescription for famotidine 160 mg PO
every 6 hr. Available is famotidine oral suspension 40 mg/5 mL. How many mL
should the nurse administer per dose? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)
- 20 mL
A nurse is discussing alopecia with a client who is scheduled to begin
chemotherapy. Which of the following statements should the nurse make?
- your oncologist might prescribe a cold cap to war during treatment to reduce hair
loss
The nurse should inform the client that cold caps cause vasoconstriction, which can
help to decrease hair loss by reducing the ability of the chemotherapy medication
to reach the hair follicles.
A nurse on a medical-surgical unit is delegating tasks to an assistive personnel
(AP). Which of the following tasks should the nurse delegate to the
AP?
- Obtaining a client's vital signs prior to discharge
Obtaining vital signs does not require use of the nursing process and is within the
range of function for an AP, Therefore, the nurse should delegate this task to the
AP.
A nurse is preparing to insert an indwelling urinary catheter for a female client.
Which of the following actions should the nurse take?
- open the outer package flap of the catheterization kit away form the body
A home health nurse is caring for an older adult client who just returned home
following a total knee arthroplasty. Which of the following actions should the
nurse take first?
- Determine the client's mobility status.
,*The first action the nurse should take when using the nursing process is to
determine the client's mobility status. The nurse should begin collecting data about
the client's ability to move freely within their environment while preventing injury.
The nurse should begin by placing the client in the position providing the most
support, then moving in increments to positions requiring less support and higher
levels of tolerance.
A nurse is delegating the collection of a sputum specimen to an assistive personnel
(AP). At which of the following times should the nurse instruct the AP to collect
the specimen?
- As soon as the client awakens in the morning
*Sputum from the base of the lungs provides the best specimen for collection. The
AP should obtain the specimen early in the morning because overnight fluid
accumulates in the base of the lungs while the client is sleeping.
Complete the following sentence by using the lists of options.
A nurse on the medical-surgical unit is assisting with the care of a client who was
admitted from the emergency department (ED).
- The client is at risk for developing confusion due to sodium level
Upon analyzing cues, the nurse should identify that the client is at risk for
confusion due to a sodium level that is greater than the expected reference range.
Hypernatremia places the client at risk for a decreased level of consciousness, falls,
and seizure activity. Therefore, the nurse should assist in monitoring the client's
level of consciousness and place the client on fall and seizure precautions.
A nurse is reviewing the laboratory results for a client who is at 29 weeks of
gestation. For which of the following results should the nurse notify the provider?
- Platelet count 95,000 mm3
A nurse is collecting data from an older adult client during a routine physical
examination. Which of the following client statements should the nurse identify as
a possible indication of maltreatment?
, - "My son took my wallet so he can keep track of what I'm spending."
The nurse should identify taking the client's wallet and controlling the client's
spending as possible indicators of financial maltreatment. The nurse should collect
further data about this situation to determine if abuse is present.
A nurse is reviewing laboratory reports for a client who has an Escherichie coll
infection and is receiving gentamicin. Which of the following results should the
nurse report to the provider before administering the next dose?
- Creatinine 2.5 mg/dL
The nurse should report the creatinine level of 2.5 mg/dl to the provider prior to
administering any further doses of the medication because gentamicin is
nephrotoxic and can result in acute tubular necrosis. A creatinine level above the
expected reference range is an indication of kidney impairment.
A nurse in a pediatric clinic is collecting data from a school-age child whose
injuries are inconsistent with the parent's stated cause. Which of the following
actions should the nurse take?
- Report the suspected abuse to the appropriate agency
It is the nurse's legal and professional responsibility to immediately report
suspected abuse to the proper child protective service agency.
A nurse is collecting data from a postpartum client who had a vaginal birth 2 days
ago. Which of the following findings is the nurse's priority to report to the
provider?
- client reports burning with urination.
rationale: When using the urgent vs. nonurgent approach to client care, the nurse
should determine that dysuria is a manifestation of a urinary tract infection.
Therefore, the nurse should identify this as the priority finding to report to the
provider.
Review Questions & Answers
A nurse is caring for a client who is in Buck's traction. Which of the following
actions should the nurse take?
- Allow the weights to hang freely.
nurse should ensure the weights hang freely to provide the appropriate
counterweight to facilitate reduction and alignment of the client's fracture.
A nurse is caring for a client who takes prednisone daily for the treatment of
chronic asthma. The nurse should plan to monitor the client for which of the
following adverse effects?
- Gastric ulcer formation
*The nurse should monitor the client for indications of a gastric ulcer formation,
which is a common adverse effect of prednisone.
A nurse is receiving change-of-shift report for a group of clients. The nurse should
plan to implement which of the following time-management strategies?
- Prepare a priority list of client needs for the shift.
*The nurse should prepare a client priority to-do list, which could include
administering time-critical medications. This will allow the nurse to determine
which clients should receive care first.
A nurse is reinforcing teaching about home care for conjunctivitis with the parent
of a school-age child. Which of the following information should the nurse
include?
- separate the Childs used washcloth form those of others.
Due to the contagious nature of the infection, it is necessary to separate the
washcloth of a child who has conjunctivitis from those of others to prevent the
spread of infection.
,A nurse is caring for a client who has a prescription for famotidine 160 mg PO
every 6 hr. Available is famotidine oral suspension 40 mg/5 mL. How many mL
should the nurse administer per dose? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)
- 20 mL
A nurse is discussing alopecia with a client who is scheduled to begin
chemotherapy. Which of the following statements should the nurse make?
- your oncologist might prescribe a cold cap to war during treatment to reduce hair
loss
The nurse should inform the client that cold caps cause vasoconstriction, which can
help to decrease hair loss by reducing the ability of the chemotherapy medication
to reach the hair follicles.
A nurse on a medical-surgical unit is delegating tasks to an assistive personnel
(AP). Which of the following tasks should the nurse delegate to the
AP?
- Obtaining a client's vital signs prior to discharge
Obtaining vital signs does not require use of the nursing process and is within the
range of function for an AP, Therefore, the nurse should delegate this task to the
AP.
A nurse is preparing to insert an indwelling urinary catheter for a female client.
Which of the following actions should the nurse take?
- open the outer package flap of the catheterization kit away form the body
A home health nurse is caring for an older adult client who just returned home
following a total knee arthroplasty. Which of the following actions should the
nurse take first?
- Determine the client's mobility status.
,*The first action the nurse should take when using the nursing process is to
determine the client's mobility status. The nurse should begin collecting data about
the client's ability to move freely within their environment while preventing injury.
The nurse should begin by placing the client in the position providing the most
support, then moving in increments to positions requiring less support and higher
levels of tolerance.
A nurse is delegating the collection of a sputum specimen to an assistive personnel
(AP). At which of the following times should the nurse instruct the AP to collect
the specimen?
- As soon as the client awakens in the morning
*Sputum from the base of the lungs provides the best specimen for collection. The
AP should obtain the specimen early in the morning because overnight fluid
accumulates in the base of the lungs while the client is sleeping.
Complete the following sentence by using the lists of options.
A nurse on the medical-surgical unit is assisting with the care of a client who was
admitted from the emergency department (ED).
- The client is at risk for developing confusion due to sodium level
Upon analyzing cues, the nurse should identify that the client is at risk for
confusion due to a sodium level that is greater than the expected reference range.
Hypernatremia places the client at risk for a decreased level of consciousness, falls,
and seizure activity. Therefore, the nurse should assist in monitoring the client's
level of consciousness and place the client on fall and seizure precautions.
A nurse is reviewing the laboratory results for a client who is at 29 weeks of
gestation. For which of the following results should the nurse notify the provider?
- Platelet count 95,000 mm3
A nurse is collecting data from an older adult client during a routine physical
examination. Which of the following client statements should the nurse identify as
a possible indication of maltreatment?
, - "My son took my wallet so he can keep track of what I'm spending."
The nurse should identify taking the client's wallet and controlling the client's
spending as possible indicators of financial maltreatment. The nurse should collect
further data about this situation to determine if abuse is present.
A nurse is reviewing laboratory reports for a client who has an Escherichie coll
infection and is receiving gentamicin. Which of the following results should the
nurse report to the provider before administering the next dose?
- Creatinine 2.5 mg/dL
The nurse should report the creatinine level of 2.5 mg/dl to the provider prior to
administering any further doses of the medication because gentamicin is
nephrotoxic and can result in acute tubular necrosis. A creatinine level above the
expected reference range is an indication of kidney impairment.
A nurse in a pediatric clinic is collecting data from a school-age child whose
injuries are inconsistent with the parent's stated cause. Which of the following
actions should the nurse take?
- Report the suspected abuse to the appropriate agency
It is the nurse's legal and professional responsibility to immediately report
suspected abuse to the proper child protective service agency.
A nurse is collecting data from a postpartum client who had a vaginal birth 2 days
ago. Which of the following findings is the nurse's priority to report to the
provider?
- client reports burning with urination.
rationale: When using the urgent vs. nonurgent approach to client care, the nurse
should determine that dysuria is a manifestation of a urinary tract infection.
Therefore, the nurse should identify this as the priority finding to report to the
provider.
