(Latestl 2025/l 2026l Update)l |l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)
Q:l Thel Glasgowl comal scalel isl beingl usedl tol monitorl al clientl whol experiencel al
traumaticl brainl injury.l Whatl primaryl assessmentl shouldl thel practicall nursel PNl evaluate?
Answer:
Levell ofl consciousness
Q:l Thel practicall nursel (PN)l preparingl tol assistl anl elderlyl clientl tol thel bathroom.l
Thel PNl knowsl thatl anl elderlyl adult'sl centerl orl gravityl changesl froml thel hipsl tol
anotherl areal ofl thel body.l Andl planningl tol safelyl assistl thisl clientl thel PNl knowsl thatl
thel centerl ofl gravityl forl thel elderlyl clientl isl inl whichl areal ofl thel body?
Answer:
Upperl torso
Q:l Thel practicall nursel pinl isl assignedl tol carel forl al clientl whol hadl inl endoscopicl
procedurel inl whichl al locall anestheticl wasl sprayedl onl thel throat.l Whichl priorityl actionsl
shouldl thel PNl includel inl thisl client'sl planl ofl care?
Answer:
Assessl thel gagl reflux
Q:l Thel practicall nursel (PN)l assessesl al childl inl 90-90l skeletall traction.l Itl isl mostl
importantl forl thel PNl tol assessl forl signsl ofl informationl atl whatl location?
Answer:
Toe
,Q:l Atl thel beginningl ofl thel shift,l inl whichl orderl ofl priorityl shouldl thel practicall
nursel PNl assessl thesel fourl clients?
Answer:
1.l Anl olderl adultl withl dizzinessl who'sl O2l saturationl isl 86%
2.l Anl adultl womanl withl vomitingl whosel potassiuml isl 2.8l mEq/L
3.l Al youngl adultl withl al historyl ofl asthmal who'sl arteriall pHl isl 7.48
4.l Anl adultl clientl withl anl ulcerl whosel hemoglobinl isl 9.5l grams/dL
Q:l Whichl foodl providesl thel bestl sourcel ofl vitaminl B12?
Answer:
Hamburger
Q:l Thel practicall nursel (PN)l isl planningl eveningl shiftl roundsl forl al groupl ofl
postoperativel clientsl whol alll hadl surgeryl earlierl thatl day.l Whichl clientl shouldl thel PNl
checkl first?
Answer:
Al preschoolerl whol hadl anl emergencyl appendectomyl forl appendicitis
Q:l Whichl findingl forl al clientl withl anl arteriovenousl Fistulal (AVl fistula)l shouldl thel
practicall nursel PNl reportl tol thel healthcarel provider?
Answer:
Radiol pulsel distall tol AVFl isl absentl andl ulnarl pulsel isl presentB.l bruisingl atl thel AVFl
sitel isl purplel andl greenl inl color
Q:l Thel practicall nursel PNl isl auscultatingl al client'sl lungl sounds.l Whichl descriptionl
shouldl thel PNl usel tol documentl thisl sound?
Answer:
Finel crackles
,Q:l Thel practicall nursel peerl viewsl thel midlinel episiotomyl ofl al clientl whosel reportsl
painl inl herl stitches.l Whichl actionl shouldl thel PNl takel first?
Answer:
Observel suturel linel forl separationl andl hematomal formation
Q:l Thel practicall nursel peeingl isl documentingl thel insertionl ofl al urinaryl catheterl forl al
femalel clientl withl urinaryl retention.l Whichl informationl shouldl thel PNl includel duringl
thel electronicl documentationl ofl thel procedure?l (Selectl alll thatl apply)
Answer:
-l Sizel ofl urinaryl catheter
-l Amountl ofl urinel obtained
-l Appearancel ofl urinel obtained
Q:l Thel practicall nursel PNl isl assistingl withl thel planl ofl carel forl al clientl withl
costochondritisl whol isl nowl experiencingl increasedl discomfortl inl breathing.l Thel clientl
receivesl al prescriptionl forl tramadol.l Whatl interventionl shouldl thel PNl includel inl thel
client'sl planl ofl care?
Answer:
Implementl ongoingl assessmentsl forl signsl ofl shallowl orl slowl breathing
Q:l Thel practicall nursel PNl determinesl thatl al client'sl pupilsl constrictl asl theyl changel
focusl froml al farl objectl tol al nearl object.l Howl shouldl thel PNl documentl thisl finding?
Answer:
Pupilsl reactivel tol accommodation
Q:l Thel practicall nursel PNl isl performingl stomachl carel withl thel client.l Whilel cleaningl
aroundl thel stoma,l thel PNl noticesl bloodl onl thel washcloth.l Whichl actionl shouldl thel PNl
takel next?
Answer:
Continuel tol cleanl aroundl thel skinl surroundingl thel stomall site
, Q:l Thel practicall nursel PNl learnsl thatl al clientl whol isl receivingl chemotherapyl hasl
developedl stomatitis.l Whichl informationl shouldl thel PNl obtainl froml thel clientl duringl al
focusedl assessment?
Answer:
Abilityl tol swallow
Q:l Al clientl receivel Ondansetronl Priorl tol al chemotherapyl treatment.l Howl shouldl thel
practicall nursel evaluatel thel effectivenessl ofl thel medication?
Answer:
Monitorl thel clientl forl nauseal orl vomitingl followingl thel treatment
Q:l Al 2-dayl oldl infantl withl hydrocephalusl returnsl froml surgeryl followingl placementl
ofl al ventriculoperitoneall shunt.l Whichl nursingl interventionsl shouldl thel practicall nursel
PNl implementl duringl postoperativel care?l (Selectl alll thatl apply)
Answer:
-l Measurel headl circumferencel daily
-l Documentl strictl intakel andl output
-l Monitorl bodyl temperaturel everyl fourl hours
Q:l Inl administeringl nystatinl suspensionl tol thel gumsl ofl anl infantl withl al candidal
infection,l whichl approachl shouldl thel practicall nursel (PN)l use?
Answer:
Usel al glovedl fingerl tol rubl thel suspensionl overl thel infectedl area
Q:l Al clientl isl diagnosedl withl Clostridiuml difficile.l Whichl actionl shouldl thel practicall
nursel (PN)l implementl tol preventl thel spreadl ofl Organism?
Answer:
Donl nonl sterilel glovesl whenl performingl directl care