13 yr old female hospitalized with vomiting and generalized stomach pain. Her parents worry
about recent changes in behavior and depressed mood.
Pt tells PN her stomach hurts because she is making herself vomit. Asks PN not to tell parents,
how should PN respond?
1. Tell the pt that the PN is only obliged to report vomiting if it occurs during her hospitaliza-
tion 3. Explain to the pt that information is shared with the health care team to provide appropriate
2. Remind the pt that clients have the right to determine what information is documented and care
reported
3. Explain to the pt that information is shared with the health care team to provide appropriate
care
4. Reassure the pt that her stomach pains will subside if she stops vomiting and her condition
improves
13 yr old female hospitalized with vomiting and generalized stomach pain. Her parents worry
about recent changes in behavior and depressed mood.
In accordance with the nursing care plan, the PN sits with the pt while she eats her meals and
accompanies her to the bathroom. Today, the PN notices the females facecloths are missing
from the bathroom. What action should the PN take?
1. Discuss the issue of lost facecloths, search the room when the pt is out of her room and 4. Discuss the issue of lost facecloths with the pt and document appropriate information
document appropriately
2. Ask the pt where the facecloths are, ask her to return them and chart the missing facecloths
3. Ask the pt where the facecloths are and chart the suspicion that they are being used to hide
uneaten food
4. Discuss the issue of lost facecloths with the pt and document appropriate information
13 yr old female hospitalized with vomiting and generalized stomach pain. Her parents worry
about recent changes in behavior and depressed mood.
The pt is concerned about her weight. She exercise and makes food choices based on not
wanting to become fat. She says that she does not feel like eating. What should the nurse do?
1. Design a diet in consultation with the dietitian and ensure that it is balanced, contains
variety and has the requisite caloric intake. 3. Include the pt in goal-setting for healthy weight, have her maintain a food and fitness
2. Ask the pt what she likes and dislikes, have her mother bring in food, and obtain and record journal, and obtain & record her weight weekly
her daily weight to demonstrate progress.
3. Include the pt in goal-setting for healthy weight, have her maintain a food and fitness
journal, and obtain & record her weight weekly.
4. Promote a healthy lifestyle, the importance of stress management and nutritional teaching
with peer support groups
75 yr old pt with tuberculosis, and has been placed on isolation precautions since being
admitted to the hospital.
Which action best indicates that the practical nurse knows how to collect sputum specimen
from the pt?
4. Teach the pt to deep breath and cough prior to expectoration
1. Keep the specimen at room temperature and send to the laboratory for analysis
2. Collect the specimen in a clean, light occlusive container
3. Instruct the pt to use mouthwash prior to specimen collection
4. Teach the pt to deep breath and cough prior to expectoration
75 yr old pt with tuberculosis, and has been placed on isolation precautions since being
admitted to the hospital.
While in the pt room doing routine care, what is the most crucial health information about TB
2. He must comply with medication protocol on discharge
that the practical nurse should provide to the pt?
1. His contacts do not need to worry about contracting TB
2. He must comply with medication protocol on discharge
, 3. He should follow a well-balanced diet
4. His fluid intake should ensure adequate hydration
75 yr old pt with tuberculosis, and has been placed on isolation precautions since being
admitted to the hospital.
What would otter the best protection to the PN when providing direct care to the pt?
1. A mask 1. A mask
2. Sterile gloves
3. A gown
4. Goggles
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past
2 years. Her daughter brought her to the Emergency Department last night with a fever.
Infection of her peritoneal dialysis catheter is suspected.
The pt is started on IV therapy what complication is most likely to occur bc of renal failure?
2. Fluid Overload
1. Infiltration
2. Fluid Overload
3. Dehydration
4. Urinary retention
pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past
2 years. Her daughter brought her to the Emergency Department last night with a fever.
Infection of her peritoneal dialysis catheter is suspected.
As her hemoglobin is low, she is ordered ferrous sulfate. What side ettects should the PN tell
her to suspect? 4. Black colored stools
1. Yellowing of the sclera
2. Rust colored urine
3. Discoloration of nail beds
4. Black colored stools
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past
2 years. Her daughter brought her to the Emergency Department last night with a fever.
Infection of her peritoneal dialysis catheter is suspected.
She reports swelling in her ankles. Yesterday she had an intake of 1000mL and an outake
400mL. When assessing her respiratory status what would the PN most likely expect to find? 3. Course crackles on auscultation
1. Inspiratory stridor bilaterally
2. Fine crackles in the bases bilaterally
3. Course crackles on auscultation
4. Vesicular breath sounds
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past
2 years. Her daughter brought her to the Emergency Department last night with a fever.
Infection of her peritoneal dialysis catheter is suspected.
The PN checks her blood test results. NA and creatinine are elevated and her potassium is
6mmol/L. When health teaching which food should the PN encourage her to avoid consum-
1. Orange juice
ing?
1. Orange juice
2. Green beans
3. Breads
4, Pineapple
24 yr old involved in cycling collision, he is admitted to the unit following open reduction of
a fractured left femur.
4. Explore the reason he doesn't want the dressing to be changed now
He is refusing to have his dressing changed. What should the PN do first?
1. Ask if he needs an analgesic
, 2. Ask what would be the best time to change his dressing
3. Inform him that his dressing needs to be changed now
4. Explore the reason he doesn't want the dressing to be changed now
24 yr old involved in cycling collision, he is admitted to the unit following open reduction of
a fractured left femur.
Approximately one hour after he returns from the operating room, the nurse notices his
dressing has a large red stain. After assessing the vital signs were normal what should the PN
do next? 4. Outline the stain and add the date and time
1. Elevate the left leg on 2 pillows
2. Lower the head of the bed
3. Cover the site with a pressure dressing
4. Outline the stain and add the date and time
4 yr old involved in cycling collision, he is admitted to the unit following open reduction of a
fractured left femur.
Which observation would indicate to the PN that he has thoroughly understood the teaching
of the use of crutches?
3. To sit the pt first holds both crutches on the side opposite his injured leg
1. Crutches are in contact with his axillae
2. When climbing the stairs he first places both crutches parallel on the first step
3. To sit the pt first holds both crutches on the side opposite his injured leg
4. The pt wears soft comfortable slippers
A 10 month old lives on a busy family farm where pesticides are used. Her father, who handles
pesticides, changed his clothes following a spray but left his boots by the back door. Later in
the day, the baby is found playing near the back door. She quickly shows signs of illness and
is rushed to the hospital.
The PN is acting as a liaison between the inter-professional team and the family, and provides
frequent updates on the babies condition. What environment would be most appropriate for 2. Private room
the PN to use to communicate with Emily's family?
1. Hospital waiting room
2. Private room
3. Hospital chapel
4. Babies room
A 10 month old lives on a busy family farm where pesticides are used. Her father, who handles
pesticides, changed his clothes following a spray but left his boots by the back door. Later in
the day, the baby is found playing near the back door. She quickly shows signs of illness and
is rushed to the hospital.
The baby goes into respiratory arrest and is resuscitated. The Dr. speaks with the family about
the babies progress but they find it diflcult to understand the information. How could the PN 3. Encourage the family to ask questions and continue to clarify
help the family understand the info the Dr has provided?
1. Suggest that the family contact the Poison Control Center
2. Provide the family with poison control literature
3. Encourage the family to ask questions and continue to clarify
4. Have a social worker speak with the family
A 10 month old lives on a busy family farm where pesticides are used. Her father, who handles
pesticides, changed his clothes following a spray but left his boots by the back door. Later in
the day, the baby is found playing near the back door. She quickly shows signs of illness and
is rushed to the hospital. 3. Flush the tubing with tepid tap water
Two weeks later, the baby is transferred to the pediatric unit. Her swallow reflex is diminished
and enteral feeding with an indwelling nasogastric tube has been initiated. During the
feeding process, the PN has diflculty with the tube clogging. What should the PN do?
about recent changes in behavior and depressed mood.
Pt tells PN her stomach hurts because she is making herself vomit. Asks PN not to tell parents,
how should PN respond?
1. Tell the pt that the PN is only obliged to report vomiting if it occurs during her hospitaliza-
tion 3. Explain to the pt that information is shared with the health care team to provide appropriate
2. Remind the pt that clients have the right to determine what information is documented and care
reported
3. Explain to the pt that information is shared with the health care team to provide appropriate
care
4. Reassure the pt that her stomach pains will subside if she stops vomiting and her condition
improves
13 yr old female hospitalized with vomiting and generalized stomach pain. Her parents worry
about recent changes in behavior and depressed mood.
In accordance with the nursing care plan, the PN sits with the pt while she eats her meals and
accompanies her to the bathroom. Today, the PN notices the females facecloths are missing
from the bathroom. What action should the PN take?
1. Discuss the issue of lost facecloths, search the room when the pt is out of her room and 4. Discuss the issue of lost facecloths with the pt and document appropriate information
document appropriately
2. Ask the pt where the facecloths are, ask her to return them and chart the missing facecloths
3. Ask the pt where the facecloths are and chart the suspicion that they are being used to hide
uneaten food
4. Discuss the issue of lost facecloths with the pt and document appropriate information
13 yr old female hospitalized with vomiting and generalized stomach pain. Her parents worry
about recent changes in behavior and depressed mood.
The pt is concerned about her weight. She exercise and makes food choices based on not
wanting to become fat. She says that she does not feel like eating. What should the nurse do?
1. Design a diet in consultation with the dietitian and ensure that it is balanced, contains
variety and has the requisite caloric intake. 3. Include the pt in goal-setting for healthy weight, have her maintain a food and fitness
2. Ask the pt what she likes and dislikes, have her mother bring in food, and obtain and record journal, and obtain & record her weight weekly
her daily weight to demonstrate progress.
3. Include the pt in goal-setting for healthy weight, have her maintain a food and fitness
journal, and obtain & record her weight weekly.
4. Promote a healthy lifestyle, the importance of stress management and nutritional teaching
with peer support groups
75 yr old pt with tuberculosis, and has been placed on isolation precautions since being
admitted to the hospital.
Which action best indicates that the practical nurse knows how to collect sputum specimen
from the pt?
4. Teach the pt to deep breath and cough prior to expectoration
1. Keep the specimen at room temperature and send to the laboratory for analysis
2. Collect the specimen in a clean, light occlusive container
3. Instruct the pt to use mouthwash prior to specimen collection
4. Teach the pt to deep breath and cough prior to expectoration
75 yr old pt with tuberculosis, and has been placed on isolation precautions since being
admitted to the hospital.
While in the pt room doing routine care, what is the most crucial health information about TB
2. He must comply with medication protocol on discharge
that the practical nurse should provide to the pt?
1. His contacts do not need to worry about contracting TB
2. He must comply with medication protocol on discharge
, 3. He should follow a well-balanced diet
4. His fluid intake should ensure adequate hydration
75 yr old pt with tuberculosis, and has been placed on isolation precautions since being
admitted to the hospital.
What would otter the best protection to the PN when providing direct care to the pt?
1. A mask 1. A mask
2. Sterile gloves
3. A gown
4. Goggles
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past
2 years. Her daughter brought her to the Emergency Department last night with a fever.
Infection of her peritoneal dialysis catheter is suspected.
The pt is started on IV therapy what complication is most likely to occur bc of renal failure?
2. Fluid Overload
1. Infiltration
2. Fluid Overload
3. Dehydration
4. Urinary retention
pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past
2 years. Her daughter brought her to the Emergency Department last night with a fever.
Infection of her peritoneal dialysis catheter is suspected.
As her hemoglobin is low, she is ordered ferrous sulfate. What side ettects should the PN tell
her to suspect? 4. Black colored stools
1. Yellowing of the sclera
2. Rust colored urine
3. Discoloration of nail beds
4. Black colored stools
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past
2 years. Her daughter brought her to the Emergency Department last night with a fever.
Infection of her peritoneal dialysis catheter is suspected.
She reports swelling in her ankles. Yesterday she had an intake of 1000mL and an outake
400mL. When assessing her respiratory status what would the PN most likely expect to find? 3. Course crackles on auscultation
1. Inspiratory stridor bilaterally
2. Fine crackles in the bases bilaterally
3. Course crackles on auscultation
4. Vesicular breath sounds
A pt, 68 years old, has chronic renal failure. She has been on peritoneal dialysis for the past
2 years. Her daughter brought her to the Emergency Department last night with a fever.
Infection of her peritoneal dialysis catheter is suspected.
The PN checks her blood test results. NA and creatinine are elevated and her potassium is
6mmol/L. When health teaching which food should the PN encourage her to avoid consum-
1. Orange juice
ing?
1. Orange juice
2. Green beans
3. Breads
4, Pineapple
24 yr old involved in cycling collision, he is admitted to the unit following open reduction of
a fractured left femur.
4. Explore the reason he doesn't want the dressing to be changed now
He is refusing to have his dressing changed. What should the PN do first?
1. Ask if he needs an analgesic
, 2. Ask what would be the best time to change his dressing
3. Inform him that his dressing needs to be changed now
4. Explore the reason he doesn't want the dressing to be changed now
24 yr old involved in cycling collision, he is admitted to the unit following open reduction of
a fractured left femur.
Approximately one hour after he returns from the operating room, the nurse notices his
dressing has a large red stain. After assessing the vital signs were normal what should the PN
do next? 4. Outline the stain and add the date and time
1. Elevate the left leg on 2 pillows
2. Lower the head of the bed
3. Cover the site with a pressure dressing
4. Outline the stain and add the date and time
4 yr old involved in cycling collision, he is admitted to the unit following open reduction of a
fractured left femur.
Which observation would indicate to the PN that he has thoroughly understood the teaching
of the use of crutches?
3. To sit the pt first holds both crutches on the side opposite his injured leg
1. Crutches are in contact with his axillae
2. When climbing the stairs he first places both crutches parallel on the first step
3. To sit the pt first holds both crutches on the side opposite his injured leg
4. The pt wears soft comfortable slippers
A 10 month old lives on a busy family farm where pesticides are used. Her father, who handles
pesticides, changed his clothes following a spray but left his boots by the back door. Later in
the day, the baby is found playing near the back door. She quickly shows signs of illness and
is rushed to the hospital.
The PN is acting as a liaison between the inter-professional team and the family, and provides
frequent updates on the babies condition. What environment would be most appropriate for 2. Private room
the PN to use to communicate with Emily's family?
1. Hospital waiting room
2. Private room
3. Hospital chapel
4. Babies room
A 10 month old lives on a busy family farm where pesticides are used. Her father, who handles
pesticides, changed his clothes following a spray but left his boots by the back door. Later in
the day, the baby is found playing near the back door. She quickly shows signs of illness and
is rushed to the hospital.
The baby goes into respiratory arrest and is resuscitated. The Dr. speaks with the family about
the babies progress but they find it diflcult to understand the information. How could the PN 3. Encourage the family to ask questions and continue to clarify
help the family understand the info the Dr has provided?
1. Suggest that the family contact the Poison Control Center
2. Provide the family with poison control literature
3. Encourage the family to ask questions and continue to clarify
4. Have a social worker speak with the family
A 10 month old lives on a busy family farm where pesticides are used. Her father, who handles
pesticides, changed his clothes following a spray but left his boots by the back door. Later in
the day, the baby is found playing near the back door. She quickly shows signs of illness and
is rushed to the hospital. 3. Flush the tubing with tepid tap water
Two weeks later, the baby is transferred to the pediatric unit. Her swallow reflex is diminished
and enteral feeding with an indwelling nasogastric tube has been initiated. During the
feeding process, the PN has diflculty with the tube clogging. What should the PN do?
