CORRECT ANSWERS
What steps should you take for an older female client who was just admitted to a long-term facility
and is confused about the day of the week?
CORRECT ANSWER Remind the client what day of the week it is
Which information about end-of-life care should a practical nurse (PN) ensure the client has?
CORRECT ANSWER Instructions for care should be included in the clients living will
(Advance directives)
After a routine vaginal delivery of a healthy newborn, a client who is pregnant is taken to the
recovery room. You notice the client is shaking asks if she's cold. What's next?
CORRECT ANSWER Apply light warm blanket and assure her that this is normal following
delivery
The practical nurse (PN) is assessing an older client with left sided heart failure what intervention is
most important for the PN to implement
CORRECT ANSWER Auscultate all the lung fields
What is the most crucial step for the practical nurse to take while giving prescription medication to
an elderly resident of an extended care home who is having trouble hearing?
CORRECT ANSWER Determine if client has had difficulty hearing in the past
A full term 24 hour old infant in the nursery regulates and suddenly turns cyanotic which
immediate interventions should the practical nurse (PN) take?
CORRECT ANSWER Turn the infant to the right side
The practical nurse (PN) views the midline episiotomy of a client who reports pain in her stiches.
What action should the action should the PN take first?
CORRECT ANSWER Observe suture line for separation and hematoma formation
The practical nurse (PN) is obtaining fetal heart rates on a client in their third trimester of
pregnancy what fetal heart rate should be reported to the registered nurse?
CORRECT ANSWER 180
, Which problem has happened in an older client with these issues?
CORRECT ANSWER Evisceration
Which location should the practical nurse palpate to determine if a client submandibular lymph
node are enlarged?
CORRECT ANSWER Beneath the lower jaw
The most significant side effect that a practical nurse (PN) should check for after administering an
epidural to a client during labor is observation of the side effect.
CORRECT ANSWER Maternal hypotension
Which person has the highest risk of developing laryngeal cancer?
CORRECT ANSWER A older male who drinks a 6 pack of beer nightly and smokes heavily
A home health practical nurse (PN) visits and older client living with offspring who exhibits fear
unkept and has lost a lot of weight which action should the PN take>
CORRECT ANSWER Report suspected abuse to supervisor and protective services
Which interventions should the practical nurse (PN) reinforce for a client with pruritis?
CORRECT ANSWER Keep fingernails trimmed short.
When gathering data about a client with dark skin tones which site should the practical nurse (PN)
observe?
CORRECT ANSWER Finger and toe nails
What important intervention does the nurse need to ensure?
CORRECT ANSWER Measure head circumference
If a baby is born to a diabetic mother what should the nurse encourage?
CORRECT ANSWER Offer nipple feedings or 10% dextrose
, The practical nurse (PN) and unlicensed assistive personal (UAP) enters a clients room and finds
the client lying on the bed the PN determines that the client is unresponsive which action should the
PN give the UAP first .
CORRECT ANSWER obtain emergency help
Which intervention should the practice nurse (PN) include in the client's care if the client has
broken metatarsals as a result of slamming a hand in a car door after taking the
hydrocodone/acetaminophen prescription for pain?
CORRECT ANSWER Implement ongoing assessments for signs of shortness or slowed
breathing
The response of the practical nurse (PN) is based on understanding which prevalent manifestations
of the illness. The PN overhears the female client with crushing syndrome telling her family to leave
her room and not return.
CORRECT ANSWER Mood adherence
A child receiving chemotherapy develops a cough that productive of yellow tinged sputum after
determine that the client is afebrile which priority action for the practice nurse (PN) to take?
CORRECT ANSWER Provide oral hygiene
The Glasgow scale is being used to monitor a client who experienced a traumatic brain injury what
primary assessment should the PN evaluate
CORRECT ANSWER Level of consciousness
The practical nurse (PN) is assigned to care for a client who had an endoscopic procedure in which
a local anesthetic was sprayed on their throat which priority action should the PN include in this
care of plan?
CORRECT ANSWER Assess the gag reflexes
What is the best course of action for the practical nurse (PN) to take when the parents of a child
with pre-diabetes inform the PN that the youngster wants to join the soccer team?
CORRECT ANSWER Reassure the patents that increased physical activity reduces risk for
diabetes
While assisting the RN with the admission of a toddler which intervention should the practical
nurse (PN) implement to make the experience lease stressful for the client
CORRECT ANSWER Remove child's clothing down to the diaper