PN Comprehensive Online Practice 2020 B
A nurse at a long-term care facility is caring for a client
who requires oral suctioning. Which of the following
supplies should the nurse plan to use for this task?
Yankauer catheter
A nurse in a long-term care facility is serving on the
ethics committee, which is addressing a client care
dilemma. Which of the following strategies will facilitate
resolving the dilemma? (Select all that apply)
Determine the facts related to the dilemma
Identify possible solutions
Consider the client's wishes
A nurse is talking with a client whose son died in a motor-
vehicle crash 2 weeks ago. The client states, "I really
thought I'd be back to my usual routines by now, but I
can't think of anything else except that my son is gone."
Which of the following responses should the nurse make?
"Grieving for your son is hard work. It will take as much
time as you need to come to terms with your loss."
A nurse is reinforcing teaching with a client about cancer
prevention. The nurse should include that frequent
consumption of which of the following foods increases the
risk for developing cancer?
,Lamb
A nurse notices an assistive personnel (AP) taking a nap
in the break room during meal time. The nurse also notes
that the AP is drowsy while performing routine tasks.
Which of the following actions should the nurse take?
Report the observations about the AP to the unit's nurse
manager
A nurse on a pediatric unit is collecting data from four
newly admitted clients. Which of the following clients
should the nurse identify as being at risk for urinary
retention?
A school-age child who has allergic rhinitis and is taking
diphenhydramine
A nurse is caring for a client following a bronchoscopy.
Which of the following actions should the nurse take first?
Check for a gag reflex
A nurse is assisting with the admission of a client who has
a latex allergy. The nurse should identify that which of the
following supplies has the potential to contain latex?
Indwelling urinary catheter
A nurse is performing postmortem care for a client prior
to the arrival of the client's family for viewing of the body.
Which of the following actions should the nurse take?
Gently close the client's eyelids
,A nurse is reinforcing teaching with a client who has
dumping syndrome about measures to reduce
manifestations. Which of the following instructions should
the nurse include in the teaching?
Avoid foods with a high sugar content
A nurse is collecting data from a client who is
experiencing a situational crisis following the loss of a job.
The client states, "I don't think I can go through this
again." Which of the following actions is the nurse's
priority?
Determine if the client is experiencing psychotic thinking
A nurse is contributing to the plan of care for a client
following a transurethral resection of the prostate (TURP).
Which of the following interventions should the nurse
include?
Irrigate the bladder using sterile technique
A nurse is caring for an infant who is receiving IV fluids
for dehydration. Which of the following should the nurse
recognize as a positive response to therapy?
Moist mucous membranes
A nurse is assisting with the admission of a client who is
experiencing alcohol withdrawal. Which of the following
medications should the nurse expect the provider to
prescribe for the client?
Chlordiazepoxide
, A nurse is caring for a client who is scheduled for surgery
in the morning. The nurse learns that the client has
decided not to have surgery even though they have
already signed the informed consent form. Which of the
following actions should the nurse take?
Report the situation to the provider who obtained the
informed consent
A nurse is collecting data from a client who is in severe
pain. Which of the following questions should the nurse
ask first?
"Where is your pain located?"
A nurse in a provider's office is reinforcing teaching with a
client who has a new prescription for ferrous sulfate elixir.
Which of the following statements by the client should
indicate to the nurse an understanding of the teaching?
"I will rinse my mouth after taking this medication"
A nurse is contributing to the plan of care for a client who
is postoperative following a rhinoplasty. Which of the
following interventions should the nurse recommend?
Instruct the client to avoid the Valsalva maneuver
A nurse is collecting data from a postpartum client who
had a vaginal birth 2 days ago. Which of the following
findings is the nurse's priority to report to the provider?
Client reports burning with urination
A nurse at a long-term care facility is caring for a client
who requires oral suctioning. Which of the following
supplies should the nurse plan to use for this task?
Yankauer catheter
A nurse in a long-term care facility is serving on the
ethics committee, which is addressing a client care
dilemma. Which of the following strategies will facilitate
resolving the dilemma? (Select all that apply)
Determine the facts related to the dilemma
Identify possible solutions
Consider the client's wishes
A nurse is talking with a client whose son died in a motor-
vehicle crash 2 weeks ago. The client states, "I really
thought I'd be back to my usual routines by now, but I
can't think of anything else except that my son is gone."
Which of the following responses should the nurse make?
"Grieving for your son is hard work. It will take as much
time as you need to come to terms with your loss."
A nurse is reinforcing teaching with a client about cancer
prevention. The nurse should include that frequent
consumption of which of the following foods increases the
risk for developing cancer?
,Lamb
A nurse notices an assistive personnel (AP) taking a nap
in the break room during meal time. The nurse also notes
that the AP is drowsy while performing routine tasks.
Which of the following actions should the nurse take?
Report the observations about the AP to the unit's nurse
manager
A nurse on a pediatric unit is collecting data from four
newly admitted clients. Which of the following clients
should the nurse identify as being at risk for urinary
retention?
A school-age child who has allergic rhinitis and is taking
diphenhydramine
A nurse is caring for a client following a bronchoscopy.
Which of the following actions should the nurse take first?
Check for a gag reflex
A nurse is assisting with the admission of a client who has
a latex allergy. The nurse should identify that which of the
following supplies has the potential to contain latex?
Indwelling urinary catheter
A nurse is performing postmortem care for a client prior
to the arrival of the client's family for viewing of the body.
Which of the following actions should the nurse take?
Gently close the client's eyelids
,A nurse is reinforcing teaching with a client who has
dumping syndrome about measures to reduce
manifestations. Which of the following instructions should
the nurse include in the teaching?
Avoid foods with a high sugar content
A nurse is collecting data from a client who is
experiencing a situational crisis following the loss of a job.
The client states, "I don't think I can go through this
again." Which of the following actions is the nurse's
priority?
Determine if the client is experiencing psychotic thinking
A nurse is contributing to the plan of care for a client
following a transurethral resection of the prostate (TURP).
Which of the following interventions should the nurse
include?
Irrigate the bladder using sterile technique
A nurse is caring for an infant who is receiving IV fluids
for dehydration. Which of the following should the nurse
recognize as a positive response to therapy?
Moist mucous membranes
A nurse is assisting with the admission of a client who is
experiencing alcohol withdrawal. Which of the following
medications should the nurse expect the provider to
prescribe for the client?
Chlordiazepoxide
, A nurse is caring for a client who is scheduled for surgery
in the morning. The nurse learns that the client has
decided not to have surgery even though they have
already signed the informed consent form. Which of the
following actions should the nurse take?
Report the situation to the provider who obtained the
informed consent
A nurse is collecting data from a client who is in severe
pain. Which of the following questions should the nurse
ask first?
"Where is your pain located?"
A nurse in a provider's office is reinforcing teaching with a
client who has a new prescription for ferrous sulfate elixir.
Which of the following statements by the client should
indicate to the nurse an understanding of the teaching?
"I will rinse my mouth after taking this medication"
A nurse is contributing to the plan of care for a client who
is postoperative following a rhinoplasty. Which of the
following interventions should the nurse recommend?
Instruct the client to avoid the Valsalva maneuver
A nurse is collecting data from a postpartum client who
had a vaginal birth 2 days ago. Which of the following
findings is the nurse's priority to report to the provider?
Client reports burning with urination
