NURSING 101 PN practice test 8 Questions/Answers

Independent questions Questions 1 to 20 do not refer to a case. 1. A client has an IV infusing at 100 ml/hr; 100mls is left to be absorbed. The client is to be transported to x-ray. What should the practical nurse do? a. Send down a bag of IV fluid with the client in case the client is longer than one hour. b. Change the IV bag prior to the client leaving for the x-ray department c. Slow the IV rate to 50ml/hr while the client is in the x-ray department d. Hang a new bag of IV fluid when 50mls are left 2. Two units of packed red blood cells are ordered for a male client. What should the practical nurse do before the infusion is started? a. Assess and record vital signs. b. Ask the client what his blood type is. c. Administer prophylactic antipyretic medication. d. Determine if the client is HIV or Hep C positive. 3. During shift report the practical nurse is informed that Mr. Pie’s IV is running at 125mls/hr. When the nurse enters Mr. Pie’s room he states the physician was in earlier and decreased the IV rate. What should the practical nurse do first? a. Check the chart to verify the physician’s order for the IV rate. b. Leave the IV rate as set by the physician. c. Contact the physician for clarification. d. Increase the rate to 125ml/hr. 4. A client has an IV infusing gravity fed (no IV pump). The client is ambulatory. Which elements of the infusion should the practical nurse check first? a. Solution type and position for gravity. b. Amount to be absorbed and rate of flow. c. Solution type and amount to be absorbed. d. Pole position and amount to be absorbed. 5. To assess lung sounds of a thin, elderly man, how should the practical nurse auscultate the chest? a. Use the bell of the stethoscope pressed lightly on the chest. b. Use the bell of the stethoscope pressed firmly on the chest. c. Use the diaphragm of the stethoscope pressed firmly on the chest. d. Use the diaphragm of the stethoscope pressed lightly on the chest. 6. What should the practical nurse do when Ms. Rowan expresses concern that, prior to the administration of blood products, her IV solution was changed from dextrose to normal saline? a. Verify the physician’s order on the clients chart. b. Check with a co-worker for the reason for the solution change. c. Explain that normal saline and dextrose can be used interchangeably. d. Explain that normal saline is given prior to blood product administration. 7. While discontinuing an IV infusion, the practical nurse observes a leakage of fluid from the catheter. Which action is most appropriate for the practical nurse to take? a. Check the site for infiltration b. Inspect the tubing for breaks c. Assess the catheter and tubing joint for leaks d. Ensure that the tubing roller clamp is turned off 8. Mrs. Willis, 70 years old, is presently receiving a blood transfusion. Which observation should the practical nurse recognize as an adverse reaction? a. Cool extremities b. Leg cramps c. Urticaria d. Polyuria 9. A client asks the practical nurse if she will be having the IV tubing changed today. The practical nurse reads on the chart that the tubing was changed yesterday. Which response by the practical nurse is most accurate? a. “We will change the tubing every 48 to 72 hours.” b. “I will check to see what the doctor ordered.” c. “The tubing is changed once a week.” d. “Yes, we change the tubing daily.” 10. Mrs. Terry, 63 years old, had a left radical mastectomy 20 years ago. Her left arm is edematous. What action should the practical nurse take to assess Mrs. Terry’s blood pressure? a. Palpate the radial pulse on the cuffed left arm and record. b. Allow the mercury to fall at a rate of 2 to 5 mmHg/sec. c. Notify the charge nurse or attending physician d. Take the blood pressure on the right arm. 11. When changing IV solution, what data should be included in the documentation by the practical nurse? a. Time, type of solution, total IV intake b. Time, type of solution, volume infused, IV rate c. Volume infused, type of solution, total IV intake d. Time, type of solution, volume infused, volume to be absorbed 12. While caring for a client with an IV infusion, which is ordered to run at 125 ml/hr, the practical nurse observes that there are 100mls remaining in the solution bag. Which action should the practical nurse take first? a. Check the physician’s order. b. Hang a new bag of solution. c. Assess the infusion site. d. Slow the infusion rate. 13. Which of the following constitutes a complete medication order? a. Mrs. Moira Sieves- Ferrous gluconate tab b.i.d. with meals, May 7, 2010~Dr. J Smith b. Mr. Jim Smitt-Meperidine 50 mg q4h prn for 24 hours, May 7, 2010~Dr. J Smith c. Mr. Sam Hussien- Dulcolax Supp p.o. every morning, May 7, 2010~Dr. J Smith d. Mrs. Rose Brown- Digoxin 0.25 mg p.o. daily, May 7, 2010~Dr. J Smith 14. A 70 year old client is scheduled to have a tub bath. Which activity should the practical nurse initiate first? a. Explain the procedure to the client. b. Discuss the benefits of having a tub bath. c. Collaborate with the client about the bath and respect the client’s wishes. d. Collaborate with the other care providers, inform the client of the bath time. 15. What should the practical nurse do when preparing a liquid medication for administration? a. Hold the medication bottle with the label facing the medication cup b. Read the medication amount at eye level when pouring the drug c. Read the medication dosage at eh highest level of the meniscus d. Discard any excess poured medication into the sink 16. How should the practical nurse administer eye drops to a client? a. Onto the pupil b. Onto the sclera c. Into the inner canthus d. Into the lower conjuctival sac 17. Which action would be most appropriate for the practical nurse to take immediately following the expected death of a client? a. Discontinue the oxygen b. Document the exact time of death c. Place the body in a natural alignment d. Notify the nurse in charge or physician 18. The practical nurse is dressing a 3 day old infant to go home from hospital. Which action is most likely to prevent heat loss in the newborn? a. Bundle the baby in a warm blanket b. Use an undershirt under the baby’s sleeper c. Ensure the baby has socks or booties covering the feet d. Place a stocking cap or bonnet on the baby’s head 19. A practical nurse is doing a home visit for a recently discharged post-operative client. What assessment of wound drainage is most important for the nurse to report and record immediately? a. Dressing is saturated with serosanguineous drainage. b. Dressing is saturated with yellow, watery discharge. c. Dressing is saturated with brown, water discharge. d. Dressing is saturated with bright red drainage. 20. Mr. Smythe is receiving a metered-dose steroid inhaler. What should the practical nurse do when administering the inhaler? a. Direct the client to exhale the medication through his nose b. Place the client in a sitting position with head tilted forward c. Ask the client to hold his breath for 15 to 20 seconds after administration d. Ask the client to rinse his mouth and gargle following the administration