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The practical nurse enters a male client's
room to administer routine morning med-
ications, and the client is on the phone.
Which action is best for the PN to take?
A. Ask another nurse to go back with the
medication when the client's hung up the
phone
B. Wait for the client to excuse himself B
from the telephone conversation, and
observe the client taking the medication
C. Return the medication to the client's
drawer on the cart and document the
client refused the dose
D. Leave the medication with the client,
and let him take it when he finishes the
conversation.
A client is admitted to the postoperative
surgical unit with two test tubes after a
left lobectomy. The ON observed that the
chambers are set at the prescribed suc-
tion of 20 cm water pressure and tidying
occurs with respirations and bubbling.
What action should the PN implement?
C
A. Clamp the chest tube to see if the
activity stops
B. Notify the registered nurse of the mal-
function
C. Maintain system integrity to promote
lung reexpansion
D. Apply a partially occlusive dressing
toterm-10 chest
The mother of a 9-month-child who
was diagnosed with respiratory syncytial
virus yesterday calls the clinic to inquire
if it will be all right to take her infant to the
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first birthday party of a friend's child for
the following day. Which response should
the PN provide the mother?
A. Do not expose other children as the
virus is very contagious even without di-
rect contact
A
B. The child will no longer be contagious,
no need to take any further precautions
C. The child can be around other children
but should wear a mask
D. Make sure there are no children under
the age of 5 months around the infected
child.
The practical nurse is assisting the
nurse with the admission of a young
adult female Korean exchange student
with acute abdominal pain. Although the
client has been able to easily answer
questions, when asked about sexual ac-
tivity, she looks away. What action should
the PN take?
D
A. Omit compelling this section of the
assessment form
B. Ask her if she would like an interpreter
to ask her the question
C. Reword the question in case the client
did not understand
D. Watch the client's response when
asked a different question
During immediate postoperative period
following a total hip placement, which
intervention is most important for the PN
to implement?
A. Encourage client to use walker or
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cane when ambulating
B. Keep client's hip aligned with knees
abducted
C. Teach client to sit on the side of the B
bed before standing
D. Monitor urinary flow via indwelling
catheter
A client confides to the PN that the
client has been substituting herbal sup-
plements for high blood pressure in-
stead of the prescribed medication. How
should the PN respond first?
A. Ask the client's reason for choosing to
take herbs instead of prescribed drugs A
B. Reinforce that the healthcare provider
prescribed the medication for a reason
C. Have client use own words to describe
complications of high blood pressure
D. Point out the risks of not taking
the herbal medications rather than pre-
scribed
The PN is assigned to administer med-
ications in a long term care facility. A
disoriented resident has no identification
band or picture. What is the best nursing
action for the PN to take prior adminis-
tering the medications this resident?
term-14
A. Ask a regular staff member to confirm D
the resident's identity
B. Hold the medication until a family
member again
C. Re-orient the resident to name, place,
and situation
D. Confirm the room and bed numbers
with those on the medication record.
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An adult client who weighs 150 pounds
has partial-thickness and full-thickness
burns over 40% of the body from a house
fire. After admission, which observation
is most important for the practical nurse
to report immediately? D
A. Poor appetite and refusing to eat
B. Systolic blood pressure at 102
C. Painful moaning and crying
D. Urinary Output of 20ml/hr
A 12-year-old child is receiving a blood
transfusion per infusion pump and be-
gins to complain of "itchy" skin 15 min-
utes after the unit of blood is started.
The child appears flushed. What action
should the practical nurse take first? B
A. Apply lotion to the skin
B. Stop the transfusion
C. Inspect the infusion site
D. Obtain the vital signs
A PN is competing a focused assess-
ment of an older adult's skin. The PN
notes a crusted 0.7 cm lesion on the
client's forehead. Which action should
the PN take in response to this finding?
A. Report the finding to the healthcare
C
provider
B. Place a clear occlusive dressing over
the site
C. Apply a warm compress to remove the
crusted area
D. Explain that this is a normal skin
change with aging