A newborn with apnea is being discharged from the hospital with home
| | | | | | | | | | |
monitoring. What information concerning the infant's care should the practical
| | | | | | | | | |
nurse review with the parents?
| | | | |
A. Cardiopulmonary resuscitation (CPR).
| | | |
B. Administration of intravenous antibiotics.
| | | | |
C. Reassurance that the infant cannot be electrocuted during monitoring.
| | | | | | | | | |
D. Advise that the infant not be left with caretakers, such as babysitters. -
| | | | | | | | | | | | |
correct answer -✔A. Cardiopulmonary resuscitation (CPR).
| | | | | |
Rationale: Apnea of infancy (AOI) engenders great anxiety in parents, and the
| | | | | | | | | | |
initiation of home monitoring presents additional emotional stress. When
| | | | | | | | |
home monitoring is required the parents should receive instructions that
| | | | | | | | | |
include cardiopulmonary resuscitation(A). (B) does not indicate Apnea
| | | | | | | |
Which protocol regarding standard policies about prescriptions should the
| | | | | | | |
practical nurse (PN) question?
| | | |
A. All drug prescriptions should have the date, time, and prescriber's signature.
| | | | | | | | | | | |
B.Verbal orders are accepted from prescribers and should include signatures.
| | | | | | | | | |
C. Prescribers may write specific times at which the medications are to be
| | | | | | | | | | | |
given.
| |
,D. Preoperative prescriptions should be resumed after a client returns from
| | | | | | | | | |
surgery - correct answer -✔D. Preoperative prescriptions should be resumed
| | | | | | | | | |
after a client returns from surgery.
| | | | | |
Rationale: A standard policy about preoperative medications that preoperative
| | | | | | | |
prescriptions are automatically canceled for surgery and should be rewritten, if
| | | | | | | | | | |
indicated , in the postoperatively so the (PN) should question (D). (A,B,C) are
| | | | | | | | | | | | |
correct statements.
| |
When reviewing the safety precautions regarding newborns, what information
| | | | | | | |
should the practical nurse communicate to the parents?
| | | | | | | |
A. Position the infant to sleep on the baby's back.
| | | | | | | | | |
B. Use a crib with slats no more than 4 inches apart.
| | | | | | | | | | | |
C. Propping a bottle can be done when the infant gets older.
| | | | | | | | | | | |
D. Place the infant a front-facing car seat in the automobile. - correct answer -
| | | | | | | | | | | | | |
✔A. Position the infant to sleep on the baby's back.
| | | | | | | | | |
Rationale: The incident of sudden infant death syndrome (SIDS) decline when
| | | | | | | | | |
infants are positioned on their backs (A), instead of prone for sleeping. Crib
| | | | | | | | | | | | |
slats (B) 2.375 inches apart to prevent the baby from slipping. (C) Never prop a
| | | | | | | | | | | | | | |
babies bottle. (D)Infant who weighs less than 30lbs should be placed in a rear
| | | | | | | | | | | | | |
facing car seat.
| | |
When monitoring a newborn, which observation should the practical nurse
| | | | | | | | |
report to the healthcare provider?
| | | | |
A. Rectal temperature of 37.6° C.
| | | | | |
,B. Axillary temperature of 37.1° C.
| | | | | |
C. Heart rate of 110 beats per minute. Correct
| | | | | | | | |
D. Respiration rate of 40 breaths per minute. - correct answer -✔C. Heart rate
| | | | | | | | | | | | |
of 110 beats per minute
| | | | |
Rationale: The normal range for a heart beat for an infant is 120-160 so a heart
| | | | | | | | | | | | | | |
rate of 110 should be reported to the healthcare provider. Newborn
| | | | | | | | | | |
temperature ranges from 97.7,99.4,36.5,37.5 and normal respiratory rate is 30-
| | | | | | | | | |
60
After reviewing discharge instructions with a male client who has hepatitis C,
| | | | | | | | | | |
what statement by the client indicates to the practical nurse that the client
| | | | | | | | | | | | |
understands his disease?
| | |
A. "I will avoid taking any products with acetaminophen, such as Tylenol."
| | | | | | | | | | | |
B. "I will eliminate alcohol consumption until my infection subsides."
| | | | | | | | | |
C. "I should eat a diet rich in dark green leafy vegetables."
| | | | | | | | | | | |
D. "I understand that my other medications doses need to be increased." -
| | | | | | | | | | | |
correct answer -✔A. "I will avoid taking any products with acetaminophen,
| | | | | | | | | | |
such as Tylenol."
| | | |
Rationale: Tylenol is metabolized in the liver and should be avoided with clients
| | | | | | | | | | | |
with liver disease
| | |
Which action should the practical nurse perform first for a child who is injured
| | | | | | | | | | | | |
on the school grounds and has an obvious mis-alignment of the lower forearm?
| | | | | | | | | | | | |
, A. Remove the child's finger rings.
| | | | | |
B. Assess and document the child's level of pain.
| | | | | | | | |
C. Evaluate the child's range of motion.
| | | | | | |
D. Place arm in a sling at level of the child's heart. - correct answer -✔A.
| | | | | | | | | | | | | | |
Remove the child's finger rings.
| | | | | |
Rationale: The child is a risk for swelling in the distal areas of the affected arm
| | | | | | | | | | | | | | |
and hand. Removal of finger rings (A) should be implemented first to remove
| | | | | | | | | | | | |
any potential constriction that may occur after tissue injury or fracture of the
| | | | | | | | | | | | |
lower arm
| |
The practical nurse (PN) is participating in a group interview of an applicant
| | | | | | | | | | | |
who will work in the clinic as a staff PN. Which question is best to ask the
| | | | | | | | | | | | | | | | |
applicant?
|
A. "This position requires working on-call every fourth weekend. Can you do
| | | | | | | | | | |
that?"
| |
B. "Do you have child care arrangements for your children?"
| | | | | | | | | |
C. "Do you have any religious requirements that need scheduling
| | | | | | | | |
accommodation?"
| |
D. "Are you going to be the sole supporter for your family?" - correct answer -
| | | | | | | | | | | | | | |
✔A. "This position requires working on-call every fourth weekend. Can you do
| | | | | | | | | | |
that?"
| |
Rationale: Job interview questions must be specifically job related (A)
| | | | | | | | |
A client in a nursing home becomes violent and verbally threatens an
| | | | | | | | | | |
unlicensed assistive personnel (UAP). Which is the best way for the practical
| | | | | | | | | | | |
| | | | | | | | | | |
monitoring. What information concerning the infant's care should the practical
| | | | | | | | | |
nurse review with the parents?
| | | | |
A. Cardiopulmonary resuscitation (CPR).
| | | |
B. Administration of intravenous antibiotics.
| | | | |
C. Reassurance that the infant cannot be electrocuted during monitoring.
| | | | | | | | | |
D. Advise that the infant not be left with caretakers, such as babysitters. -
| | | | | | | | | | | | |
correct answer -✔A. Cardiopulmonary resuscitation (CPR).
| | | | | |
Rationale: Apnea of infancy (AOI) engenders great anxiety in parents, and the
| | | | | | | | | | |
initiation of home monitoring presents additional emotional stress. When
| | | | | | | | |
home monitoring is required the parents should receive instructions that
| | | | | | | | | |
include cardiopulmonary resuscitation(A). (B) does not indicate Apnea
| | | | | | | |
Which protocol regarding standard policies about prescriptions should the
| | | | | | | |
practical nurse (PN) question?
| | | |
A. All drug prescriptions should have the date, time, and prescriber's signature.
| | | | | | | | | | | |
B.Verbal orders are accepted from prescribers and should include signatures.
| | | | | | | | | |
C. Prescribers may write specific times at which the medications are to be
| | | | | | | | | | | |
given.
| |
,D. Preoperative prescriptions should be resumed after a client returns from
| | | | | | | | | |
surgery - correct answer -✔D. Preoperative prescriptions should be resumed
| | | | | | | | | |
after a client returns from surgery.
| | | | | |
Rationale: A standard policy about preoperative medications that preoperative
| | | | | | | |
prescriptions are automatically canceled for surgery and should be rewritten, if
| | | | | | | | | | |
indicated , in the postoperatively so the (PN) should question (D). (A,B,C) are
| | | | | | | | | | | | |
correct statements.
| |
When reviewing the safety precautions regarding newborns, what information
| | | | | | | |
should the practical nurse communicate to the parents?
| | | | | | | |
A. Position the infant to sleep on the baby's back.
| | | | | | | | | |
B. Use a crib with slats no more than 4 inches apart.
| | | | | | | | | | | |
C. Propping a bottle can be done when the infant gets older.
| | | | | | | | | | | |
D. Place the infant a front-facing car seat in the automobile. - correct answer -
| | | | | | | | | | | | | |
✔A. Position the infant to sleep on the baby's back.
| | | | | | | | | |
Rationale: The incident of sudden infant death syndrome (SIDS) decline when
| | | | | | | | | |
infants are positioned on their backs (A), instead of prone for sleeping. Crib
| | | | | | | | | | | | |
slats (B) 2.375 inches apart to prevent the baby from slipping. (C) Never prop a
| | | | | | | | | | | | | | |
babies bottle. (D)Infant who weighs less than 30lbs should be placed in a rear
| | | | | | | | | | | | | |
facing car seat.
| | |
When monitoring a newborn, which observation should the practical nurse
| | | | | | | | |
report to the healthcare provider?
| | | | |
A. Rectal temperature of 37.6° C.
| | | | | |
,B. Axillary temperature of 37.1° C.
| | | | | |
C. Heart rate of 110 beats per minute. Correct
| | | | | | | | |
D. Respiration rate of 40 breaths per minute. - correct answer -✔C. Heart rate
| | | | | | | | | | | | |
of 110 beats per minute
| | | | |
Rationale: The normal range for a heart beat for an infant is 120-160 so a heart
| | | | | | | | | | | | | | |
rate of 110 should be reported to the healthcare provider. Newborn
| | | | | | | | | | |
temperature ranges from 97.7,99.4,36.5,37.5 and normal respiratory rate is 30-
| | | | | | | | | |
60
After reviewing discharge instructions with a male client who has hepatitis C,
| | | | | | | | | | |
what statement by the client indicates to the practical nurse that the client
| | | | | | | | | | | | |
understands his disease?
| | |
A. "I will avoid taking any products with acetaminophen, such as Tylenol."
| | | | | | | | | | | |
B. "I will eliminate alcohol consumption until my infection subsides."
| | | | | | | | | |
C. "I should eat a diet rich in dark green leafy vegetables."
| | | | | | | | | | | |
D. "I understand that my other medications doses need to be increased." -
| | | | | | | | | | | |
correct answer -✔A. "I will avoid taking any products with acetaminophen,
| | | | | | | | | | |
such as Tylenol."
| | | |
Rationale: Tylenol is metabolized in the liver and should be avoided with clients
| | | | | | | | | | | |
with liver disease
| | |
Which action should the practical nurse perform first for a child who is injured
| | | | | | | | | | | | |
on the school grounds and has an obvious mis-alignment of the lower forearm?
| | | | | | | | | | | | |
, A. Remove the child's finger rings.
| | | | | |
B. Assess and document the child's level of pain.
| | | | | | | | |
C. Evaluate the child's range of motion.
| | | | | | |
D. Place arm in a sling at level of the child's heart. - correct answer -✔A.
| | | | | | | | | | | | | | |
Remove the child's finger rings.
| | | | | |
Rationale: The child is a risk for swelling in the distal areas of the affected arm
| | | | | | | | | | | | | | |
and hand. Removal of finger rings (A) should be implemented first to remove
| | | | | | | | | | | | |
any potential constriction that may occur after tissue injury or fracture of the
| | | | | | | | | | | | |
lower arm
| |
The practical nurse (PN) is participating in a group interview of an applicant
| | | | | | | | | | | |
who will work in the clinic as a staff PN. Which question is best to ask the
| | | | | | | | | | | | | | | | |
applicant?
|
A. "This position requires working on-call every fourth weekend. Can you do
| | | | | | | | | | |
that?"
| |
B. "Do you have child care arrangements for your children?"
| | | | | | | | | |
C. "Do you have any religious requirements that need scheduling
| | | | | | | | |
accommodation?"
| |
D. "Are you going to be the sole supporter for your family?" - correct answer -
| | | | | | | | | | | | | | |
✔A. "This position requires working on-call every fourth weekend. Can you do
| | | | | | | | | | |
that?"
| |
Rationale: Job interview questions must be specifically job related (A)
| | | | | | | | |
A client in a nursing home becomes violent and verbally threatens an
| | | | | | | | | | |
unlicensed assistive personnel (UAP). Which is the best way for the practical
| | | | | | | | | | | |
