Naxlex 1-50 Questions With Complete
Solutions
The practical nurse (PN) applies and then releases pressure to a client's fingernail
as seen in the photo. Normal nail color returns in 2 seconds. Which action should
the PN take?
A. Report abnormal findings to the charge nurse.
B. Observe for blanching of the nailbed.
C. Repeat the process with a different nailbed.
D. Document the capillary refill time.
D. Document the capillary refill time.
A client who had a knee replacement surgery and received a prescription for
enoxaparin 30 mg subcutaneously every 12 hours for 10 days. The medication is
available in 30 mg per 0.3 mL pre-filled syringes. How many mL should the
practical nurse (PN) administer each day? (Enter numerical value only.)
To calculate how many milliliters (mL) the practical nurse (PN) should administer
each day, we can first determine the total daily dosage of enoxaparin.
The prescribed dosage is 30 mg every 12 hours, so the total daily dosage is:
,30 mg + 30 mg = 60 mg
Next, we can calculate the number of milliliters (mL) needed to deliver the total
daily dosage. Since the medication is available in a concentration of 30 mg per 0.3
mL, we can set up a proportion to find the equivalent mL for 60 mg:
30 mg / 0.3 mL = 60 mg / x mL
Cross-multiplying, we get:
30 mg x mL = 60 mg 0.3 mL
30x = 18
Dividing both sides by 30, we find:
x = 0.6 mL
At the first dressing change, the practical nurse (PN) tells the client that her
mastectomy incision is healing well, but the client refuses to look at the incision
and refuses to talk about it. Which response by the PN to the client's silence is
best?
, A. "It's OK if you don't want to look or talk about the mastectomy. I will be
available when you're ready."
B. "Would you like me to call another nurse to be here while I show you the
wound?"
C. "Part of recovery is accepting your new body image, and you will need to look
at your incision."
D. "You will feel better when you see that the incision is not as bad as you may
think."
A. "It's OK if you don't want to look or talk about the mastectomy. I will be
available when you're ready."
Prior to giving digoxin, the practical nurse (PN) assesses that a 2-month-old
infant's heart rate is 120 beats/minute. Based on this finding, what action should
the PN take?
A. Administer the medication and alert the charge nurse.
B. Hold the medication and document cardiac assessment.
C. Administer the medication and document the heart rate.
D. Hold the medication and recheck the heart rate in 1 hour.
C. Administer the medication and document the heart rate.
Which information should the practical nurse (PN) collect during the admission
assessment of a terminally ill client to an acute care facility?
Solutions
The practical nurse (PN) applies and then releases pressure to a client's fingernail
as seen in the photo. Normal nail color returns in 2 seconds. Which action should
the PN take?
A. Report abnormal findings to the charge nurse.
B. Observe for blanching of the nailbed.
C. Repeat the process with a different nailbed.
D. Document the capillary refill time.
D. Document the capillary refill time.
A client who had a knee replacement surgery and received a prescription for
enoxaparin 30 mg subcutaneously every 12 hours for 10 days. The medication is
available in 30 mg per 0.3 mL pre-filled syringes. How many mL should the
practical nurse (PN) administer each day? (Enter numerical value only.)
To calculate how many milliliters (mL) the practical nurse (PN) should administer
each day, we can first determine the total daily dosage of enoxaparin.
The prescribed dosage is 30 mg every 12 hours, so the total daily dosage is:
,30 mg + 30 mg = 60 mg
Next, we can calculate the number of milliliters (mL) needed to deliver the total
daily dosage. Since the medication is available in a concentration of 30 mg per 0.3
mL, we can set up a proportion to find the equivalent mL for 60 mg:
30 mg / 0.3 mL = 60 mg / x mL
Cross-multiplying, we get:
30 mg x mL = 60 mg 0.3 mL
30x = 18
Dividing both sides by 30, we find:
x = 0.6 mL
At the first dressing change, the practical nurse (PN) tells the client that her
mastectomy incision is healing well, but the client refuses to look at the incision
and refuses to talk about it. Which response by the PN to the client's silence is
best?
, A. "It's OK if you don't want to look or talk about the mastectomy. I will be
available when you're ready."
B. "Would you like me to call another nurse to be here while I show you the
wound?"
C. "Part of recovery is accepting your new body image, and you will need to look
at your incision."
D. "You will feel better when you see that the incision is not as bad as you may
think."
A. "It's OK if you don't want to look or talk about the mastectomy. I will be
available when you're ready."
Prior to giving digoxin, the practical nurse (PN) assesses that a 2-month-old
infant's heart rate is 120 beats/minute. Based on this finding, what action should
the PN take?
A. Administer the medication and alert the charge nurse.
B. Hold the medication and document cardiac assessment.
C. Administer the medication and document the heart rate.
D. Hold the medication and recheck the heart rate in 1 hour.
C. Administer the medication and document the heart rate.
Which information should the practical nurse (PN) collect during the admission
assessment of a terminally ill client to an acute care facility?
