2024/2025 Update) | Comprehensive Study Guide |
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Following The Dressing Change Of An Abdominal Surgical Wound, A Client Expresses Concern To The
Practical Nurse (P) About The Scar That Might Result From The Wound. Which Response Is Best For The
PN To Provide?
A."You Can Always Wear Clothing To Cover The Scar."
B." Know You Are Frightened About How You Will Appear Later."
C. "Tell Me More About Your Concerns Regarding An Abdominal Scar."
D." Have Heard That Rubbing Coco Butter On The Scar Helps It Fade Away
CORRECT ANS: C
The Practical Nurse (P) Is Caring For A 17-Year-Old Client Who Fell 20 Feet While Climbing The Side Of A
Cliff And Has Been In A Sustained Vegetative State For 5 Months Since The Accident. Which Intervention
Should The PN Implement?
A.Inquire About Food Allergies And Food Likes And Dislikes.
B Monitor Vital Signs And Neurological Status Every 2 Hours.
C Talk Directly To The Adolescent While Providing Care.
D Initiate Open Communication With The Teens Parents.
CORRECT ANS: C
The Practical Nurse (P) Is Assisting With The Development Of A Plan Of Care For An Older Adult Client
Who Reports Blurred Vision And Who Is Newly Diagnosed With Type 2 Diabetes (DM). Which Outcome
Should The PN Include In The Plan Of Care?
, Reference Ranges:
Glycosylated Hemoglobin (A1C) [4% To 5.9%]
Fasting Blood Glucose [74 To 106 Mg/Dl (4.1 To 5.9 Mmol/L)]
A .The Client's Fasting Glucose Reading Will Be Greater Than 140 Mg/Dl (8 Mmol/L) Every Day.
B. The Client Will Express Acceptance Of Their Newly Diagnosed Health Status.
C. The Client's Hemoglobin Alc Will Be Less Than 7.0 % In 3 Months.
D. The PN Will Reinforce With The Client On How To Perform Stress Management Techniques.
CORRECT ANS: C
At 39 Weeks Gestation Is Admitted In Early Labor. During The Focused Assessment, The Practical Nurse
(PN) Reviews The Obstetrical History With The Client O Reports That She Has Been Pregnant Five Times
But Has Only Two Living Children, Both Of Whom Were Full Term. The Other Three Pregnancies Were
Miscarriages Ing The First Trimester. Which Parity Should The PN Document For Term, Premature,
Abortion, And Living Children (TPAL) For This Client?
A.Term 2, Premature 1, Abortion 0,Living 3.
B.Term 3, Premature 0, Abortion 3,Living 2.
C.Term 2, Premature 3, Abortion 3,Living 2
D. Term 6, Premature 3, Abortion 3,Living 2.
CORRECT ANS: B
The Home Health Practical Nurse (P) Visits A Young Male Client With AIDS Who Has Kaposi's Sarcoma
And Peripheral Neuropathies. His Parents, Who Provide Care For The Client, State That Their Son Sleeps
Most Of The Time. The PN Observes The Client Is Semi-Conscious With Stable Vital Signs And Cries Out
In Pain When Turned Or Moved. A Fentanyl Patch Is In Place And Skin Lesions Are Closed And Dried.
Which Intervention Should The PN Implement?
A. Call For Ambulance Transportation To The Hospital Immediately.
B. Give A Complete Bed Bath To Further Assess The Client.