PN Comprehensive Online Practice 2023 B
A community health nurse is helping to reinforce teaching about hepatitis A with a group of
employees at a childcare facility. Which of the following characteristics should the nurse identify
as an external factor that can impede learning for the participants? - ANS-Poor lighting in the
learning setting
A home health nurse is caring for a client who just returned home following a total knee
arthroplasty. Which of the following actions should the nurse take first? - ANS-Determine the
client's mobility status.
A nurse assisting with a childbirth class is discussing nonpharmacological strategies used
during labor. ANS: "I should use counterpressure for back pain during labor." Which of the
following client statements indicates an understanding of cutaneous stimulation? A nurse enters
a client's room and sees smoke coming from a wastebasket next to the bed. Which of the
following actions should the nurse take first? - ANS-Assist the client to a nearby waiting area.
A nurse has administered medications to a group of clients. For which of the following client
situations should the nurse complete an incident report? - ANS-The nurse administered insulin
lispro to a client who has diabetes mellitus and is NPO.
A nurse in a long-term care facility is auscultating the lung sounds of a client who reports
shortness of breath and increased fatigue. The nurse notices high-pitched popping sounds
during auscultation. The nurse should report which of the following to the provider after hearing
this sound? - ANS-Fine crackles
A nurse in a long-term care facility is contributing to the plan of care for a client who has a new
ostomy. Which of the following interventions should the nurse include? - ANS-Change the
appliance two times each week.
A nurse in a long-term care facility is reviewing standard precaution guidelines with an assistive
personnel (AP). The nurse should instruct the AP to use which of the following to clean up a
blood spill? - ANS-Chlorine bleach solution
A nurse in a pediatric clinic is collecting data from a school-age child whose injuries are
inconsistent with the guardian's stated cause. Which of the following actions should the nurse
take? - ANS-Report the suspected child maltreatment to the appropriate agency.
A nurse in a pediatric clinic is collecting data from a toddler. Which of the following findings
should the nurse identify as a possible indication of physical neglect? - ANS-The toddler is
inadequately dressed for the weather.
A nurse in a provider's office is obtaining a health history from a client who is scheduled to
undergo a cardiac catheterization in 2 days. Which of the following questions is the priority for
the nurse to ask? - ANS-"Do you know if you're allergic to iodine?"
A nurse in a provider's office is reinforcing discharge teaching with a client who is postoperative
following cataract removal from one eye. Which of the following instructions should the nurse
include? - ANS-Avoid lying on the affected side.
, A nurse in a provider's office is reinforcing teaching with a client who is to follow a 2,000 mg
sodium-restricted diet. Which of the following client food selections indicates an understanding
of the teaching? - ANS-Canned peaches
A nurse in a provider's office is reviewing the medical record of a client who requests a
prescription for an oral contraceptive. Which of the following findings should the nurse identify
as a contraindication for oral contraceptive use? - ANS-Coronary artery disease
A nurse in an inpatient mental health facility is caring for a newly admitted client who has
alcohol use disorder. During a therapy session, the client asks about Alcoholics Anonymous
(AA). ANS: "What is your current understanding about the purpose of AA?" Which of the
following responses should the nurse provide? A nurse in an outpatient surgery center is
reinforcing discharge teaching with a client following a lithotripsy for uric acid stones. Which of
the following instructions should the nurse plan to include in the teaching? - ANS-Strain the
urine to collect stone fragments.
A nurse is administering lorazepam to a client who is scheduled for surgery within 1 hr. Which
of the following actions should the nurse take after administering the medication? - ANS-Instruct
the client not to get out of the bed.
A nurse is assisting a client who is postoperative to sit on the side of the bed. Which of the
following actions should the nurse take? - ANS-Elevate the head of the client's bed.
A nurse is assisting in the care of a client who is 1 hr postpartum. Select the 6 actions the
nurse should take. - ANS-- firmly massage the uterine fundus
- administer methylergonovine
- weigh the perineal pads
- provide emotional support
- insert an indwelling urinary catheter
- administer oxygen at 12 L/min via nonrebreather face mask
A nurse is assisting in the care of a client who is postoperative following administration of
general anesthesia. - ANS-ACTIONS:
- administer dantrolene
- administer oxygen
CONDITION:
-malignant hyperthermia
PARAMETERS:
- monitor for hypercapnia
- Keep an eye out for muscle tension. A nurse is assisting in the care of an adolescent. Select
the 4 findings that require follow-up. - ANS-- capillary refill
- pedal pulse
- skin temp
- pain
A nurse is assisting with a discussion about STIs with a group of adolescents at a health fair.
Which of the following statements should the nurse make? - ANS-"An infection with gonorrhea
can result in infertility."
A nurse is assisting with an in-service about hepatitis A for a group of staff nurses. The nurse
should include that hepatitis A is transmitted through which of the following methods? -
ANS-Consumption of contaminated food
A community health nurse is helping to reinforce teaching about hepatitis A with a group of
employees at a childcare facility. Which of the following characteristics should the nurse identify
as an external factor that can impede learning for the participants? - ANS-Poor lighting in the
learning setting
A home health nurse is caring for a client who just returned home following a total knee
arthroplasty. Which of the following actions should the nurse take first? - ANS-Determine the
client's mobility status.
A nurse assisting with a childbirth class is discussing nonpharmacological strategies used
during labor. ANS: "I should use counterpressure for back pain during labor." Which of the
following client statements indicates an understanding of cutaneous stimulation? A nurse enters
a client's room and sees smoke coming from a wastebasket next to the bed. Which of the
following actions should the nurse take first? - ANS-Assist the client to a nearby waiting area.
A nurse has administered medications to a group of clients. For which of the following client
situations should the nurse complete an incident report? - ANS-The nurse administered insulin
lispro to a client who has diabetes mellitus and is NPO.
A nurse in a long-term care facility is auscultating the lung sounds of a client who reports
shortness of breath and increased fatigue. The nurse notices high-pitched popping sounds
during auscultation. The nurse should report which of the following to the provider after hearing
this sound? - ANS-Fine crackles
A nurse in a long-term care facility is contributing to the plan of care for a client who has a new
ostomy. Which of the following interventions should the nurse include? - ANS-Change the
appliance two times each week.
A nurse in a long-term care facility is reviewing standard precaution guidelines with an assistive
personnel (AP). The nurse should instruct the AP to use which of the following to clean up a
blood spill? - ANS-Chlorine bleach solution
A nurse in a pediatric clinic is collecting data from a school-age child whose injuries are
inconsistent with the guardian's stated cause. Which of the following actions should the nurse
take? - ANS-Report the suspected child maltreatment to the appropriate agency.
A nurse in a pediatric clinic is collecting data from a toddler. Which of the following findings
should the nurse identify as a possible indication of physical neglect? - ANS-The toddler is
inadequately dressed for the weather.
A nurse in a provider's office is obtaining a health history from a client who is scheduled to
undergo a cardiac catheterization in 2 days. Which of the following questions is the priority for
the nurse to ask? - ANS-"Do you know if you're allergic to iodine?"
A nurse in a provider's office is reinforcing discharge teaching with a client who is postoperative
following cataract removal from one eye. Which of the following instructions should the nurse
include? - ANS-Avoid lying on the affected side.
, A nurse in a provider's office is reinforcing teaching with a client who is to follow a 2,000 mg
sodium-restricted diet. Which of the following client food selections indicates an understanding
of the teaching? - ANS-Canned peaches
A nurse in a provider's office is reviewing the medical record of a client who requests a
prescription for an oral contraceptive. Which of the following findings should the nurse identify
as a contraindication for oral contraceptive use? - ANS-Coronary artery disease
A nurse in an inpatient mental health facility is caring for a newly admitted client who has
alcohol use disorder. During a therapy session, the client asks about Alcoholics Anonymous
(AA). ANS: "What is your current understanding about the purpose of AA?" Which of the
following responses should the nurse provide? A nurse in an outpatient surgery center is
reinforcing discharge teaching with a client following a lithotripsy for uric acid stones. Which of
the following instructions should the nurse plan to include in the teaching? - ANS-Strain the
urine to collect stone fragments.
A nurse is administering lorazepam to a client who is scheduled for surgery within 1 hr. Which
of the following actions should the nurse take after administering the medication? - ANS-Instruct
the client not to get out of the bed.
A nurse is assisting a client who is postoperative to sit on the side of the bed. Which of the
following actions should the nurse take? - ANS-Elevate the head of the client's bed.
A nurse is assisting in the care of a client who is 1 hr postpartum. Select the 6 actions the
nurse should take. - ANS-- firmly massage the uterine fundus
- administer methylergonovine
- weigh the perineal pads
- provide emotional support
- insert an indwelling urinary catheter
- administer oxygen at 12 L/min via nonrebreather face mask
A nurse is assisting in the care of a client who is postoperative following administration of
general anesthesia. - ANS-ACTIONS:
- administer dantrolene
- administer oxygen
CONDITION:
-malignant hyperthermia
PARAMETERS:
- monitor for hypercapnia
- Keep an eye out for muscle tension. A nurse is assisting in the care of an adolescent. Select
the 4 findings that require follow-up. - ANS-- capillary refill
- pedal pulse
- skin temp
- pain
A nurse is assisting with a discussion about STIs with a group of adolescents at a health fair.
Which of the following statements should the nurse make? - ANS-"An infection with gonorrhea
can result in infertility."
A nurse is assisting with an in-service about hepatitis A for a group of staff nurses. The nurse
should include that hepatitis A is transmitted through which of the following methods? -
ANS-Consumption of contaminated food
