Question 1
A male preoperative client who has already signed the informed consent for a surgical
procedure confides in the practical nurse (PN) that he is really frightened and unsure
about undergoing the surgery. Which priority action should the PN take?
A. Encourage the client to continue with the scheduled surgery.
B. Document that the client has expressed concerns about the surgery.
C. Notify the charge nurse of the client's concerns about surgery.
D. Remind the client that the consent has already been obtained.
CORRECT ANSWER
C. Notify the charge nurse of the client's concerns about surgery.
Question 2
The parents of a one-year-old child with the diagnosis of hypospadias informed the
practical nurse (PN) that they plan to delay corrective surgery to see if the child will
outgrow the problem. Which information should the PN provide to these parents?
A. Whatever the parents decide, the staff will be available to support the decision.
B. The child's prognosis will not develop complications if surgery is delayed.
C. Some children do outgrow this type of problem and waiting may be beneficial.
D. Ask the parents to explain what they understand about the child's diagnosis.
CORRECT ANSWER
D. Ask the parents to explain what they understand about the child's diagnosis.
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,Question 3
Before administering an antibiotic that can cause nephrotoxicity, which laboratory value is
most important for the practical nurse (PN) to review?
A. Serum calcium
B. Haemoglobin and hematocrit
C. White blood cell count (WBC)
D. Blood urea nitrogen (BUN) and creatinine
CORRECT ANSWER
D. Blood urea nitrogen (BUN) and creatinine
Question 4
The practical nurse (PN) is assessing an older client with left-sided heart failure (HF). What
intervention is most important for the PN to implement?
A. Inspect for sacral edema.
B. Measure urinary output.
C. Auscultate all lung fields.
D. Check mental acuity.
CORRECT ANSWER
C. Auscultate all lung fields.
Question 5
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,The practical nurse (PN) receives a report of a stable client who experienced partial-
thickness burns over 30% of the body surface area (BSA) 3 days ago.
Which complication is most important for the PN to anticipate?
A. Elevated blood pressure.
B. Curling's ulcer.
C. Compartment syndrome.
D. Excruciating pain.
CORRECT ANSWER
B. Curling's ulcer.
Question 6
The practical nurse (PN) is providing care for a client who is receiving an aminoglycoside to
treat a bacterial infection.
To assess for signs of ototoxicity, which action should the PN take?
A. Check for changes in vision.
B. Monitor the client's hearing.
C. Observe the skin for a rash.
D. Measure the urinary output.
CORRECT ANSWER
B. Monitor the client's hearing.
Question 7
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, A client who is reaching saturation with medication reports the onset of muscle soreness
and fatigue, and the practical nurse (PN) notes that the client's skin is warm to the touch.
Which action by the PN is a priority?
A. Administer a PRN dose of acetaminophen.
B. Encourage the client to drink fluids.
C. Report the findings to the charge nurse.
D. Monitor the client's serum lipid levels.
CORRECT ANSWER
C. Report the findings to the charge nurse.
Question 8
A college student brings his roommate to the clinic because the roommate has been
talking to someone who is not present. The student tells the practical nurse (PN) that his
roommate is acting strange.
Which question should the PN ask the client next?
A. "Are you planning to obey the voices?"
B. "Have you taken any hallucinogens?"
C. "When did these voices begin?"
D. "Do you believe the voices are real?"
CORRECT ANSWER
A. "Are you planning to obey the voices?"
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A male preoperative client who has already signed the informed consent for a surgical
procedure confides in the practical nurse (PN) that he is really frightened and unsure
about undergoing the surgery. Which priority action should the PN take?
A. Encourage the client to continue with the scheduled surgery.
B. Document that the client has expressed concerns about the surgery.
C. Notify the charge nurse of the client's concerns about surgery.
D. Remind the client that the consent has already been obtained.
CORRECT ANSWER
C. Notify the charge nurse of the client's concerns about surgery.
Question 2
The parents of a one-year-old child with the diagnosis of hypospadias informed the
practical nurse (PN) that they plan to delay corrective surgery to see if the child will
outgrow the problem. Which information should the PN provide to these parents?
A. Whatever the parents decide, the staff will be available to support the decision.
B. The child's prognosis will not develop complications if surgery is delayed.
C. Some children do outgrow this type of problem and waiting may be beneficial.
D. Ask the parents to explain what they understand about the child's diagnosis.
CORRECT ANSWER
D. Ask the parents to explain what they understand about the child's diagnosis.
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@THE STUDY VAULT
,Question 3
Before administering an antibiotic that can cause nephrotoxicity, which laboratory value is
most important for the practical nurse (PN) to review?
A. Serum calcium
B. Haemoglobin and hematocrit
C. White blood cell count (WBC)
D. Blood urea nitrogen (BUN) and creatinine
CORRECT ANSWER
D. Blood urea nitrogen (BUN) and creatinine
Question 4
The practical nurse (PN) is assessing an older client with left-sided heart failure (HF). What
intervention is most important for the PN to implement?
A. Inspect for sacral edema.
B. Measure urinary output.
C. Auscultate all lung fields.
D. Check mental acuity.
CORRECT ANSWER
C. Auscultate all lung fields.
Question 5
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,The practical nurse (PN) receives a report of a stable client who experienced partial-
thickness burns over 30% of the body surface area (BSA) 3 days ago.
Which complication is most important for the PN to anticipate?
A. Elevated blood pressure.
B. Curling's ulcer.
C. Compartment syndrome.
D. Excruciating pain.
CORRECT ANSWER
B. Curling's ulcer.
Question 6
The practical nurse (PN) is providing care for a client who is receiving an aminoglycoside to
treat a bacterial infection.
To assess for signs of ototoxicity, which action should the PN take?
A. Check for changes in vision.
B. Monitor the client's hearing.
C. Observe the skin for a rash.
D. Measure the urinary output.
CORRECT ANSWER
B. Monitor the client's hearing.
Question 7
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, A client who is reaching saturation with medication reports the onset of muscle soreness
and fatigue, and the practical nurse (PN) notes that the client's skin is warm to the touch.
Which action by the PN is a priority?
A. Administer a PRN dose of acetaminophen.
B. Encourage the client to drink fluids.
C. Report the findings to the charge nurse.
D. Monitor the client's serum lipid levels.
CORRECT ANSWER
C. Report the findings to the charge nurse.
Question 8
A college student brings his roommate to the clinic because the roommate has been
talking to someone who is not present. The student tells the practical nurse (PN) that his
roommate is acting strange.
Which question should the PN ask the client next?
A. "Are you planning to obey the voices?"
B. "Have you taken any hallucinogens?"
C. "When did these voices begin?"
D. "Do you believe the voices are real?"
CORRECT ANSWER
A. "Are you planning to obey the voices?"
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