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1. The practical nurse enters a male client's room to ad- B
minister routine morning medications, 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 from the tele-
phone 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.
2. A client is admitted to the postoperative surgical unit C
with two test tubes after a left lobectomy. The ON
observed that the chambers are set at the prescribed
suction of 20 cm water pressure and tidying occurs
with respirations and bubbling. What action should
the PN implement?
A. Clamp the chest tube to see if the activity stops
B. Notify the registered nurse of the malfunction
C. Maintain system integrity to promote lung reexpan-
sion
D. Apply a partially occlusive dressing toterm-10 chest
3. The mother of a 9-month-child who was diagnosed A
with respiratory syncytial virus yesterday calls the clin-
ic to inquire if it will be all right to take her infant
to the first birthday party of a friend's child for the
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following day. Which response should the PN provide
the mother?
A. Do not expose other children as the virus is very
contagious even without direct contact
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.
4. The practical nurse is assisting the nurse with the ad- D
mission of a young adult female Korean exchange stu-
dent with acute abdominal pain. Although the client
has been able to easily answer questions, when asked
about sexual activity, she looks away. What action
should the PN take?
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 un-
derstand
D. Watch the client's response when asked a different
question
5. During immediate postoperative period following a B
total hip placement, which intervention is most impor-
tant for the PN to implement?
A. Encourage client to use walker or cane when ambu-
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lating
B. Keep client's hip aligned with knees abducted
C. Teach client to sit on the side of the bed before
standing
D. Monitor urinary flow via indwelling catheter
6. A client confides to the PN that the client has A
been substituting herbal supplements for high blood
pressure instead 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
B. Reinforce that the healthcare provider prescribed
the medication for a reason
C. Have client use own words to describe complica-
tions of high blood pressure
D. Point out the risks of not taking the herbal medica-
tions rather than prescribed
7. The PN is assigned to administer medications in a D
long term care facility. A disoriented resident has no
identification band or picture. What is the best nurs-
ing action for the PN to take prior administering the
medications this resident?
term-14
A. Ask a regular staff member to confirm 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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8. An adult client who weighs 150 pounds has par- D
tial-thickness and full-thickness burns over 40% of the
body from a house fire. After admission, which ob-
servation is most important for the practical nurse to
report immediately?
A. Poor appetite and refusing to eat
B. Systolic blood pressure at 102
C. Painful moaning and crying
D. Urinary Output of 20ml/hr
9. A 12-year-old child is receiving a blood transfusion B
per infusion pump and begins to complain of "itchy"
skin 15 minutes after the unit of blood is started. The
child appears flushed. What action should the practi-
cal nurse take first?
A. Apply lotion to the skin
B. Stop the transfusion
C. Inspect the infusion site
D. Obtain the vital signs
10. A PN is competing a focused assessment of an older C
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 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
11. B