Naxlex exam 2!!! With 100% Verified Answers Graded A+
The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery.
While inserting an indwelling urinary catheter, the client asks if the surgical opening will be
visible.
Which action should the PN implement?
A. Review the client's expectations of elimination after surgery.
B. Verify that the client had nothing by mouth (NPO) for the past 24 hours.
C. Ask the client if he finished the bowel sterilization prescription.
D. Determine if this is the first indwelling catheter the client has had. - - A.Review the
client's expectations of elimination after surgery.
For the past six hours, a postoperative male client has refused pain medication because he
believed that he could "tough it out." When an opioid analgesic is administered, the client
has difficulty obtaining a satisfactory level of comfort.
Which action is best for the practical nurse (PN) to use in assisting this client to deal with
his pain?
A. Dim the lights in the room and close the door.
B. Guide the client through slow, rhythmic breathing.
C. Turn the television on to the client's favorite show.
D. Obtain a prescription for a higher dose of pain medication. - - B.Guide the client
through slow, rhythmic breathing.
,A 15-year-old adolescent male with a mild mental disability is hospitalized for minor
surgery and tells the practical nurse (PN), "Wow! You have big breasts."
Which response is best for the PN to provide?
A. The size of my breasts is of no concern to you.
B. That language is not allowed.
C. Do you really think so?
D. If you talk like that again, I will tell your parents. - - B.That language is not allowed.
The practical nurse (PN) is reviewing a client's recent ophthalmic screening test results.
Findings of optic neuropathy, loss of peripheral vision, and increased intraocular pressure
are consistent with which medical condition?
A. Glaucoma
B. Macular edema.
C. Cataract
D. Diabetic retinopathy - - A.Glaucoma
A client who is at full-term gestation is in active labor and complains of a cramp in her leg.
Which intervention should the practical nurse (PN) implement?
A. Massage the calf and foot.
B. Extend the leg and flex the foot.
C. Check the pedal pulse in the affected leg.
,D. Elevate the leg above the heart. - - B.Extend the leg and flex the foot.
The practical nurse (PN) palpates a client's radial pulse and notes that the pulse
disappears when light pressure is applied.
How should the PN document this finding?
A. Thready pulse volume
B. Missing pulse.
C. Light pressure applied to pulse
D. Pulse skips beats - - A.Thready pulse volume
The practical nurse (PN) is making a home visit to an older male adult who was recently
diagnosed with Herpes zoster (shingles). The client reports the onset of severe burning pain
along the right side of his trunk.
What action should the PN take?
A. Administer a prescribed PRN dose of analgesic.
B. Obtain an oxygen tank for home administration.
C. Give the next prescribed dose of antiviral medication.
D. Notify the nursing supervisor of the uncontrolled pain. - - A.Administer a
prescribed PRN dose of analgesic.
The practical nurse (PN) is providing care for a client who is ordered nothing by mouth
(NPO) after a small bowel resection. The client's nasogastric (NG) tube is connected to low
intermitent suction. The client reports dizziness and tingling in digits.
, Which assessment finding by the PN should be reported to the healthcare provider?
A. Hyperactive bowel sounds on assessment.
B. Heart rate of 90 beats per minute with premature ventricular contractions (PVCs) noted
on telemetry.
C. Hypoactive bowel sounds on assessment
D. Regular heart rate of 100 beats per minute on telemetry - - B.Heart rate of 90 beats
per minute with premature ventricular contractions (PVCs) noted on telemetry.
A client in the psychiatric unit's dayroom is becoming agitated, talking incessantly, and
starting to yell and swear at the other clients.
Which action should the practical nurse (PN) implement first?
A. Instruct an unlicensed assistive personnel (UAP) to stay with the client.
B. Notify the client's healthcare provider
C. Administer an as needed (PRN) medication for agitation
D. Escort the client to a calm and quiet place. - - D.Escort the client to a calm and
quiet place.
The practical nurse (PN) is preparing for shift change.
Which task has the highest priority and should be completed first?
A. Clean up and organize the nurses' work-station.
The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery.
While inserting an indwelling urinary catheter, the client asks if the surgical opening will be
visible.
Which action should the PN implement?
A. Review the client's expectations of elimination after surgery.
B. Verify that the client had nothing by mouth (NPO) for the past 24 hours.
C. Ask the client if he finished the bowel sterilization prescription.
D. Determine if this is the first indwelling catheter the client has had. - - A.Review the
client's expectations of elimination after surgery.
For the past six hours, a postoperative male client has refused pain medication because he
believed that he could "tough it out." When an opioid analgesic is administered, the client
has difficulty obtaining a satisfactory level of comfort.
Which action is best for the practical nurse (PN) to use in assisting this client to deal with
his pain?
A. Dim the lights in the room and close the door.
B. Guide the client through slow, rhythmic breathing.
C. Turn the television on to the client's favorite show.
D. Obtain a prescription for a higher dose of pain medication. - - B.Guide the client
through slow, rhythmic breathing.
,A 15-year-old adolescent male with a mild mental disability is hospitalized for minor
surgery and tells the practical nurse (PN), "Wow! You have big breasts."
Which response is best for the PN to provide?
A. The size of my breasts is of no concern to you.
B. That language is not allowed.
C. Do you really think so?
D. If you talk like that again, I will tell your parents. - - B.That language is not allowed.
The practical nurse (PN) is reviewing a client's recent ophthalmic screening test results.
Findings of optic neuropathy, loss of peripheral vision, and increased intraocular pressure
are consistent with which medical condition?
A. Glaucoma
B. Macular edema.
C. Cataract
D. Diabetic retinopathy - - A.Glaucoma
A client who is at full-term gestation is in active labor and complains of a cramp in her leg.
Which intervention should the practical nurse (PN) implement?
A. Massage the calf and foot.
B. Extend the leg and flex the foot.
C. Check the pedal pulse in the affected leg.
,D. Elevate the leg above the heart. - - B.Extend the leg and flex the foot.
The practical nurse (PN) palpates a client's radial pulse and notes that the pulse
disappears when light pressure is applied.
How should the PN document this finding?
A. Thready pulse volume
B. Missing pulse.
C. Light pressure applied to pulse
D. Pulse skips beats - - A.Thready pulse volume
The practical nurse (PN) is making a home visit to an older male adult who was recently
diagnosed with Herpes zoster (shingles). The client reports the onset of severe burning pain
along the right side of his trunk.
What action should the PN take?
A. Administer a prescribed PRN dose of analgesic.
B. Obtain an oxygen tank for home administration.
C. Give the next prescribed dose of antiviral medication.
D. Notify the nursing supervisor of the uncontrolled pain. - - A.Administer a
prescribed PRN dose of analgesic.
The practical nurse (PN) is providing care for a client who is ordered nothing by mouth
(NPO) after a small bowel resection. The client's nasogastric (NG) tube is connected to low
intermitent suction. The client reports dizziness and tingling in digits.
, Which assessment finding by the PN should be reported to the healthcare provider?
A. Hyperactive bowel sounds on assessment.
B. Heart rate of 90 beats per minute with premature ventricular contractions (PVCs) noted
on telemetry.
C. Hypoactive bowel sounds on assessment
D. Regular heart rate of 100 beats per minute on telemetry - - B.Heart rate of 90 beats
per minute with premature ventricular contractions (PVCs) noted on telemetry.
A client in the psychiatric unit's dayroom is becoming agitated, talking incessantly, and
starting to yell and swear at the other clients.
Which action should the practical nurse (PN) implement first?
A. Instruct an unlicensed assistive personnel (UAP) to stay with the client.
B. Notify the client's healthcare provider
C. Administer an as needed (PRN) medication for agitation
D. Escort the client to a calm and quiet place. - - D.Escort the client to a calm and
quiet place.
The practical nurse (PN) is preparing for shift change.
Which task has the highest priority and should be completed first?
A. Clean up and organize the nurses' work-station.
