PN Comprehensive Online Practice 2020
B
A nurse is caring for a client who has a prescription for famotidine 160 mg PO every 6 hr.
Available is famotidine oral suspenision 40 mg/5 mL. How many mL should the nurse
administer per dose? - ANS20 mL
A nurse is collecting data from a client who has an iron deficiency anemia. Which of the
following findings should the nurse expect? - ANSDifficulty concentrating
*In clients who have iron deficiency anemia, body cells do not receive the required oxygen
because there is less hemoglobin for binding. The nurse should recognize that impaired
oxygenation of brain tissue can lead to dizziness and difficulty concentrating.
A nurse manager is preparing to complete a performance analysis for a group of assistive
personnel (AP). The manager asks a staff nurse for feedback on each AP's abilities. Which
of the following actions should the staff nurse take? - ANSDiscuss how each AP's actions
measure against the job description.
*To provide objective information, the staff nurse should compare the behavior of each AP to
the facility job description. The nurse can provide specific information about how each AP
either meets the standard or demonstrates a need for improvement.
A nurse is reviewing a client's electronic medical record and kids that an assistive personnel
(AP) recorded the client's temperature as 35.5°C (95.5°F) 2 hr earlier. Which of the following
actions should the nurse take first? - ANSCheck the client's temperature
*According to the nursing process, the first action the nurse should take is to collect data
from the client. Therefore, the nurse should retake the client's temperature.
A nurse on an acute care unit is collecting data from a school-age child who has cystic
fibrosis (CF). Which of the following findings is the priority for the nurse to report to the
provider? - ANSReports lack of appetite
*The nurse should identify that the greatest risk to a child who has a decreased appetite is
pulmonary infection. Anorexia, along with other manifestations, such as loss of weight and
lethargy, are commonly seen in children who have CF which an infection exacerbation.
Typical manifestations of pulmonary infection, such as fever and tachypnea, might now be
seen in a child who has CF. Additionally, a child who is anorexic is at increased risk for
diminished lung function.
A nurse in a long-term care facility is observing a newly licensed nurse who is providing
tracheostomy care for a client. The nurse identifies proper performance of the procedure
, when the newly licensed nurse selects which of the following solutions to clean the inner
cannula? - ANSHydrogen peroxide
*The nurse should identify that sterile hydrogen peroxide solution is used to loosen
secretions from the inner cannula during cleaning. If the client skin becomes irritated, the
nurse should choose 9% sodium chloride solution.
A nurse is reinforcing discharge teaching with a client who is postoperative following an open
radical prostatectomy. Which of the following instruction should the nurse include in the
teaching? - ANS"Perform Kegel exercises daily."
*The nurse should instruct the client to perform Keagle exercises to promote the control of
urine flow and reduce incontinence.
A nurse is reinforcing teaching with a group of clients about the Heimlich maneuver during a
first aid class. The nurse should include the teaching that which of the following
manifestations indicates the need for the Heimlich maneuver to be performed? -
ANSDifficulty breathing
Coughing
Presence of stridor
*The Heimlich maneuver is performed when the airway is obstructed by foreign body. A
client who has an obstructed airway may exhibit manifestation such as coughing, choking,
gagging, difficulty breathing, cyanosis, and stridor.
A nurse is reinforcing discharge teaching with a client who has undergone been litigation and
stripping to treat varicose veins. Which of the following instruction should the nurse include
in the teaching? - ANSWalk for 1 to 2 hr each day.
* the nurse should instruct the client to walk at least 1 to 2 hours per day after surgery to
promote venous return.
A nurse is caring for a client following a bronchoscopy. Which of the following action should
the nurse take first? - ANSCheck for a gag reflex
*The greatest race to this client is injury from aspiration. Therefore, the first action the nurse
should take is to check for a gag reflex.
A nurse is assisting with the admission of a client who has major depressive disorder. Which
of the following communication technique shut the nurse used to establish a trusting
relationship with the client? - ANSOffering general leads
*Offering general leads is therapeutic and will enhance positive interaction with the client
because it demonstrates to the client that the nurse is listening and is interested in what the
client is sharing.
B
A nurse is caring for a client who has a prescription for famotidine 160 mg PO every 6 hr.
Available is famotidine oral suspenision 40 mg/5 mL. How many mL should the nurse
administer per dose? - ANS20 mL
A nurse is collecting data from a client who has an iron deficiency anemia. Which of the
following findings should the nurse expect? - ANSDifficulty concentrating
*In clients who have iron deficiency anemia, body cells do not receive the required oxygen
because there is less hemoglobin for binding. The nurse should recognize that impaired
oxygenation of brain tissue can lead to dizziness and difficulty concentrating.
A nurse manager is preparing to complete a performance analysis for a group of assistive
personnel (AP). The manager asks a staff nurse for feedback on each AP's abilities. Which
of the following actions should the staff nurse take? - ANSDiscuss how each AP's actions
measure against the job description.
*To provide objective information, the staff nurse should compare the behavior of each AP to
the facility job description. The nurse can provide specific information about how each AP
either meets the standard or demonstrates a need for improvement.
A nurse is reviewing a client's electronic medical record and kids that an assistive personnel
(AP) recorded the client's temperature as 35.5°C (95.5°F) 2 hr earlier. Which of the following
actions should the nurse take first? - ANSCheck the client's temperature
*According to the nursing process, the first action the nurse should take is to collect data
from the client. Therefore, the nurse should retake the client's temperature.
A nurse on an acute care unit is collecting data from a school-age child who has cystic
fibrosis (CF). Which of the following findings is the priority for the nurse to report to the
provider? - ANSReports lack of appetite
*The nurse should identify that the greatest risk to a child who has a decreased appetite is
pulmonary infection. Anorexia, along with other manifestations, such as loss of weight and
lethargy, are commonly seen in children who have CF which an infection exacerbation.
Typical manifestations of pulmonary infection, such as fever and tachypnea, might now be
seen in a child who has CF. Additionally, a child who is anorexic is at increased risk for
diminished lung function.
A nurse in a long-term care facility is observing a newly licensed nurse who is providing
tracheostomy care for a client. The nurse identifies proper performance of the procedure
, when the newly licensed nurse selects which of the following solutions to clean the inner
cannula? - ANSHydrogen peroxide
*The nurse should identify that sterile hydrogen peroxide solution is used to loosen
secretions from the inner cannula during cleaning. If the client skin becomes irritated, the
nurse should choose 9% sodium chloride solution.
A nurse is reinforcing discharge teaching with a client who is postoperative following an open
radical prostatectomy. Which of the following instruction should the nurse include in the
teaching? - ANS"Perform Kegel exercises daily."
*The nurse should instruct the client to perform Keagle exercises to promote the control of
urine flow and reduce incontinence.
A nurse is reinforcing teaching with a group of clients about the Heimlich maneuver during a
first aid class. The nurse should include the teaching that which of the following
manifestations indicates the need for the Heimlich maneuver to be performed? -
ANSDifficulty breathing
Coughing
Presence of stridor
*The Heimlich maneuver is performed when the airway is obstructed by foreign body. A
client who has an obstructed airway may exhibit manifestation such as coughing, choking,
gagging, difficulty breathing, cyanosis, and stridor.
A nurse is reinforcing discharge teaching with a client who has undergone been litigation and
stripping to treat varicose veins. Which of the following instruction should the nurse include
in the teaching? - ANSWalk for 1 to 2 hr each day.
* the nurse should instruct the client to walk at least 1 to 2 hours per day after surgery to
promote venous return.
A nurse is caring for a client following a bronchoscopy. Which of the following action should
the nurse take first? - ANSCheck for a gag reflex
*The greatest race to this client is injury from aspiration. Therefore, the first action the nurse
should take is to check for a gag reflex.
A nurse is assisting with the admission of a client who has major depressive disorder. Which
of the following communication technique shut the nurse used to establish a trusting
relationship with the client? - ANSOffering general leads
*Offering general leads is therapeutic and will enhance positive interaction with the client
because it demonstrates to the client that the nurse is listening and is interested in what the
client is sharing.
