1. "The practical nurse (PN) notices that a client's urine is pale yellow, with a cloudy
appearance,
and has a foul odor.Which assessment should the PN complete next Ans: B. Ask the
client about urinary frequency
2. 2. "The practical nurse (PN) is caring for a client with a new prescription for
fluticasone furoate nasal spray prescribed for the client's allergy symptoms. While
reinforcing instructions about self-administration of the nasal spray, the PN should
emphasize the need for the client to take which action before self-administration?"
A. Gently blow the nose
B. Check glucose level before and after administration
C. Exhale through the mouth
D. Deep breathe and cough Ans: A. Gently blow the nose
3. 3. "An older adult client who resides in a long-term care facility has a friend of the
opposite sex who often visits in the evenings. The practical nurse (PN) enters the
client's room to administer medications and finds the couple in bed together. Which
action should the PN take?"
A. Report the incident to the family
B. Exit the room and quietly close the door.
,C. Ask when the nurse should return
D. Request that the friend get up and leave Ans: B. Exit the room and quietly close
the door.
4. 4. "Several residents of a long-term care facility are receiving eye drops to treat
glaucoma. The practical nurse (PN) should caution the unlicensed
assistive personnel (UAPs) caring for these clients to observe for which effect because it
places the clients at risk for falls?
A. Pupillary constriction
B. Increased heart rate
C. Conjunctival redness
D. Elevated blood pressure Ans: A. Pupillary constriction
5. 5. Which action by a practical nurse (PN) indicates the best understanding of the
principles related to medical asepsis and effective handwashing?"
A. Dry the hands above the wrists first to dry from clean to dirty
B. Use antibacterial hand gel instead of handwashing between clients
C. Turn the water volume to a low level to decrease splashing.
D. Hold the hands lower than the elbows to promote microbe removal Ans: D. Hold
the hands lower than the elbows to promote microbe removal
6. 6. "The practical nurse (PN) is removing the personal protective equipment (PPE)
,worn when caring for a client. Which PPE should be removed first?"
, A. Disposable gloves
B. gloves
C. Face Mask
D. Cap Ans: B. gloves
7. 7. "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. Palpate skin beats
B. Measuring pulse
C. Light preassure applied to pulse
D. Thready pulse volume Ans: D. Thready pulse volume
8. 8. "The practical nurse (PN) is caring for a primigravida five hours after a vaginal
delivery.Which finding should the PN report immediately to the charge nurse?"
A. Firm fundus between umbillicus and the symphysis
B. Heart rate of 90 bpm
C. Rubra lochia saturating three perineal pads per hour.
D. Pelvical pain Ans: C. Rubra lochia saturating three perineal pads per hour.
9. 9. Following the dressing change of an abdominal surgical wound, a client
expresses concern to the practical nurse (PN) about the scar that might result from the
wound. Which response is best for the PN to provide?"