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1. Which client information is most important for the PN Urinary output of 50
to consider when providing instructions to the unli- mL/hour.
censed assistive personnel about providing morning
care to a postoperative client?
2. The PN is caring for a client with coronary artery dis- The lab results indicate
ease who is admitted with intermittent chest pain. myocardial damage, and
The admission laboratory results indicate elevations the client is at risk for car-
in troponin I and creatine phosphokinase myoglobin diac dysrhythmias
isoenzyme (CK-MB) levels. What should the PN consid-
er the most significant risk for this client on the second
day of admission?
3. The practical nurse explains to a client how to obtain The PN should teach the
a sputum specimen and the client indicates under- client to a client how to
standing the procedure. After the PN leaves the room obtain a septum specimen
the client obtains the specimen and notifies the PN. and if the client does not
When the PN arrives to collect the specimen it appears correctly collect the speci-
as seen in the picture. Which action should the PN men the PN should assist
take. the client in obtaining an-
other specimen coughed
directly into a sterile cup
4. The practical nurse (PN) and unlicened assistive per- Demonstrate to the UAP
sonal (UAP) are providing care for a client who exhibits how to approach the client
signs of neglect syndrome following a stroke affecting from the client's left side
the right hemisphare. Which action should the PN
implement?
5. The practical nurse (PN) ask an unlicensed assistive Approach the UAP to dis-
personnel (UAP) for feedback about an assigned client cuss the behavior and ob-
instead of responding, the UAP walks away from the
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PN, ignoring the question. What action is best for the tain the information need-
PN? ed about the client
6. While assisting the RN with the admission of a toddler, Do a complete
which intervention should the practical nurse (PN) im- head-to-toe exam in se-
plement to make the experience least stressful for the quence
child?
7. An older adult female is admitted with syncope and Aspirin
laboratory findings indicate that her hemoglobin is
8.0 grams/dl. She has a recent history of headaches
and frequent falls. Admission prescription orders in-
cludes continuation of all home medication. Which
medication should the practical nurse (PN) withhold
until consulting with the charge nurse?
8. The spouse of a hospitalized client asked the practical Explain that medication
nurse PN for acetaminophen for tension headache. can only be provided to
Which action should the PN take? clients.
9. Prior to administering pain medication to an adult - Time of last administra-
postoperative client, what information should the tion of pain medication
practical nurse PN obtain? (Select all that apply) - Client's pain rating on a
scale of 1 to 10
- Effectiveness of last pain
medication administered
10. The practical nurse (PN) notifies the health care Cholecystectomy 24 hours
provider about client information using the sit- ago
uation, background, assessment, recommendation
SBAR technique. Which information should the PM
provide first?
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11. The practical nurse (PN) is caring for a client with Implement ongoing as-
fractured metatarsals after slamming a hand in the sessments for signs of
car door. After administering the prescribed hy- shallow or slow breathing.
drocodone/acetaminophen for pain, which interven-
tion should the PN include in the clients care?
12. The practical nurse peeing and ministers an anti- Remind the client to pro-
convulsant That causes photosensitivity. Which action tect skin from sunlight
should the PN take after administering the medica-
tion?
13. An order client with metastatic breast cancer is expe- - Instructions for care
riencing shortness of breath as a result of bilateral should be included in the
pneumonia. The client has a living will, and the family client's living will
is requesting Hospice care. Which information should - Care can be provided in
the practical nurse (PN) reinforce with the client and the home where the client
family regarding Hospice care? (select all that apply) resides
- Care focuses on com-
fort, dignity, and emotion-
al support
14. The single mother of a child with a head injury is This must appear devas-
sitting at the child's bedside crying when the practical tating to you at this mo-
nurse (PN) enters the room. The mother states, why ment
did this happen to my child? I just can't cope with this,
what is the best initial response by the PN?
15. The practical nurse (PN) is working in a cancer detec- An older male who drinks
tion mobile clinic. Four individuals come for screening a six pack of beer nightly
with a complaint of hoarseness, a dangerous sign for and smokes heavily
cancer of the larynx. Which client has the highest risk
for development of cancer of the larynx that the PN
should refer to the healthcare provider?
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16. The practical nurse (PN) is giving medications to a 8 units
client who was admitted to the hospital with a diagno-
sis of diabetes mellitus. After checking the finger stick
glucose at 1630, which dose of insulin should the (PN)
administer?
17. The practical nurse (PN) is obtaining fetal heart rates 180
on four antepartum clients in their third trimester of
pregnancy. Which fetal heart rate should be reported
to the registered nurse RN immediately?
18. A college student arrives at the clinic for a physical Examine the testicles dur-
examination and asks the practical nurse (PN) how he ing bathing
should perform testicle self-examination TSE. Which
information should PN provide?
19. A male client tells the practical nurse (PN) that the pill Tell the client that the PN
he has been taking at home is a different color and will verify that the dis-
size then the one the PN is trying to give him now. How pense medication is the
should the PN respond? valid prescription
20. The Glasgow coma scale is being used to monitor a Level of consciousness
client who experience a traumatic brain injury. What
primary assessment should the practical nurse PN
evaluate?
21. The practical nurse (PN) preparing to assist an elderly Upper torso
client to the bathroom. The PN knows that an elderly
adult's center or gravity changes from the hips to
another area of the body. And planning to safely assist
this client the PN knows that the center of gravity for
the elderly client is in which area of the body?