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Mosby's Comprehensive Test Bank Review Questions for the Canadian PN Exam

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Mosby's Comprehensive Test Bank Review Questions for the Canadian PN Exam

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Mosby's Comprehensive Review Questions for the
Canadian PN Exam



Practice questions for this set


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3. Circumcision is not recommended as a routine practice.




Choose matching term




The practical nurse determines that Sam probably has a fracture close to or at the ankle. What is the
most appropriate first aid to apply before transporting him to the hospital?

1 1. Wrap the leg in a soft blanket.
2. Immobilize the foot, ankle, and lower leg in a rolled magazine.
3. Splint the left leg against the right leg.
4. Apply ice to the fracture site.
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It is determined that Mrs. Marshall has pre-eclampsia. What is the recommended treatment for mild
pre-eclampsia?

2 1. Complete bed rest in hospital
2. Restricted activity at home
3. Sodium-restricted diet
4. Administration of magnesium sulphate

, The practical nurse measures Mrs. Sloane and finds her to be 110 cm. Mrs. Sloane states that she used
to be 114 cm and asks why she is now shorter. What is the primary reason older adults lose height as
they age?

3
1. Decreased muscle mass
2. Thinning of the vertebral discs
3. Many older adults develop osteoporosis
4. Most older adults have some degree of kyphosis




Ms. Viraj and her partner have been discussing whether they are going to have their son circumcised.
Ms. Viraj tells the practical nurse that she has heard it is healthier for the baby. The practical nurse's
best response would include which of the following information?

4
1. That circumcision should be performed only for religious reasons.
2. The practical nurse's personal beliefs regarding the need for circumcision should be shared.
3. Circumcision is not recommended as a routine practice.
4. There is clear evidence that circumcision is beneficial and should be performed in infancy.



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Terms in this set (539)


Systemic opioid analgesics, such as
morphine sulphate, may be used for
maternal pain management. Which
statement best describes the nursing
considerations for administering systemic
opiate analgesics?


1. Systemic opioids are often administered
up to the second stage of labour.
2. An opioid antagonist such as naloxone
(Narcan) should be administered to the
mother to reverse the effects if birth is
imminent.
3. An opioid antagonist such as naloxone
(Narcan) should be administered to the
newborn if signs of central nervous system
(CNS) depression are present.
4. Systemic opioids should not be used for
postpartum pain management, as these
drugs cross into breast milk and may cause
CNS depression in the newborn.

,How would the action and effect of a drug 4. The action and effects of the drug on the body will be prolonged.
that is metabolized by the liver be affected
in a client with severe cirrhosis of the liver?


1. The rate of the excretion of the drug will
increase.
2. The duration of the action of the drug will
decrease.
3. The action and effects of the drug on
body c4. The action and effects of the drug
on the body will be prolonged.ells will be
blocked—hence no effect.

A nurse educator has revised the hospital's 3. Abbreviations that have been approved by the hospital
orientation program in anticipation of the
hospital orientating many new graduate
practical nurses within the next 3 months.
The nurse educator decides to use sample
client health records to highlight areas of
professional practice. He conducts his first
education session with the new graduates.


Questions 1-5 refer to this case.


During the documentation session, one of
the new practical nurses asks what
abbreviations can be used within the
client's health record. What abbreviations
should the practical nurse use?


1. Abbreviations learned in nursing school
2. Abbreviations that have been approved
by the Canadian Nurses Association
3. Abbreviations that have been approved
by the hospital
4. Abbreviations that are in common use on
specific units within the hospital

, Which of the following statements is the 2. The healthcare provider proposing the procedure requiring written consent is the
most accurate information with regard to person who must ensure that written client consent is obtained.
client consent?


1. Practical nurses are responsible for
ensuring that clients sign all consent forms
on the health record.
2. The healthcare provider proposing the
procedure requiring written consent is the
person who must ensure that written client
consent is obtained.
3. Verbal consent for an operative
procedure is acceptable, and signed
consents are not always necessary.
4. When a client is admitted to the hospital,
the client signs a written consent that
covers all treatments.

In the sample client's health record, the 1. Verbal orders are to be avoided, except in an emergency situation.
new graduate practical nurses discover that
a nurse has written "Verbal Order,
acetaminophen (Tylenol), 325 mg, PO, prn,
for pain." There is no evidence that this was
an emergency situation. Which of the
following describes best practice in
relation to verbal medication orders?


1. Verbal orders are to be avoided, except
in an emergency situation.
2. Practical nurses should follow the same
practice for verbal orders as for telephone
orders.
3. Verbal orders should never be accepted,
including in emergency situations.
4. Only registered nurses may receive
verbal orders for medications from a
physician.

The new graduate practical nurses review a 2. Acetaminophen 325-650 mg PO for pain q4-6h prn
variety of orders on the sample health (The dose is accurate, the route is identified, the frequency is identified, and the
records. Which of the following is a correct qualifier is identified).
medication order?


1. Acetaminophen 325 mg PO for pain
2. Acetaminophen 325-650 mg PO for pain
q4-6h prn
3. Acetaminophen 325-650 mg PO for pain
as needed
4. Acetaminophen 325 or 650 mg q4-6h
prn

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