Mosby's Comprehensive Review Questions for the Canadian PN Exam Questions With Complete Solutions

Based on his signs and symptoms, the practical nurse should suspect that Sean has which of the following infectious viral conditions? 1. Pharyngitis 2. Croup 3. Bronchiolitis 4. Epiglottitis correct answer: 3. Bronchiolitis Bronchiolitis, most often caused by the respiratory syncytial virus (RSV), is common in infants during the fall and winter. It often begins with an upper respiratory infection. Symptoms include dyspnea, paroxysmal nonproductive cough, tachypnea with retractions and nasal flaring, and wheezing. The pediatrician indicates that Sean needs to go to the children's hospital. The practical nurse explains to the parents that Sean requires which of the following? 1. Antiviral agents 2. Humidified oxygen 3. Cough suppressants 4. Antibiotic agents correct answer: 2. Humidified oxygen Mist therapy is generally combined with oxygen to alleviate the dyspnea and hypoxia. The practical nurse calls an ambulance to transport the infant to the hospital. Where is the most appropriate location for Sean and his parents to wait for the ambulance? 1. In the waiting room to watch other children play 2. In an office at the back of the clinic to maintain airborne precautions 3. With adults in the waiting room 4. In an examining room close by the nursing station to monitor Sean's respiratory status correct answer: 4. In an examining room close by the nursing station to monitor Sean's respiratory status Sean's parents are upset concerning Sean's illness and tell the practical nurse they would like to stay at the hospital with their son. What is the practical nurse's best response to this request? 1. "It is best for Sean if you take a break, go home, and get some rest." 2. "The children's hospital practises family-centred care, and parents are encouraged to stay." 3. "It will help if you do stay at the hospital because there is a nursing shortage." 4. "The pediatrician can write a prescription requesting that the children's hospital allow you to stay." correct answer: 2. "The children's hospital practises family-centred care, and parents are encouraged to stay." The practical nurse assists the physician to insert a peripherally inserted central catheter (PICC) line at the bedside of Mr. Blazevic. Immediately after the insertion, what should be the priority assessment? 1. Hemorrhage at the insertion site 2. Blood pressure monitoring 3. Circulation distal to the insertion site 4. Ability to withdraw blood from the catheter correct answer: 1. Hemorrhage at the insertion site This is the priority assessment. As with any invasive procedure, bleeding from an arterial access device carries considerable risk and could be life-threatening. The practical nurse teaches colostomy care to Mr. Singh following his colon resection surgery. Mr. Singh asks why he has to irrigate the colost