Predictor Test 1
1. Case Information: Mr. Lamay- 62 years old, is hospitalized with emphysema.
He is receiving continuous oxygen therapy by nasal cannula.
Question: Mr. Lamay has just finished his bath when he presents with
dyspnea. He sits down, leaning forward slightly. What should the practical
nurse do?
a) Increase Mr.Lamay’s oxygen flow.
b) Check the oxygen Saturation level
c) Ask Mr. Lamay to take deep breaths
d) Encourage diaphragmatic breathing
ANSWER: B
2. Question: The next day, the practical nurse teaches Mr. Lamay how to
perform breathing exercises for his emphysema. Which behavior
demonstrates that Mr. Lamay has understood the teaching.
a) Mr. Lamay observes his abdominal muscles when inhaling and exhaling
b) Mr. Lamay counts his respirations while inhaling and exhaling silently
c) While supine, Mr. Lamay inhales deeply and says the letter “O” on
exhalation
d) While sitting, Mr. Lamay inhales deeply and exhales slowly with pursed
Lips
ANSWER: D
3. Question: Which observation would indicate to the practical nurse the
possibility of a respiratory tract infection?
a) Dyspnea and more frequent use of bronchodilators
b) Increasingly labored respirations with exhalation
c) Reduced breath sounds and presence of tachypnea
d) A productive cough with purulent secretions
ANSWER: D
4. Question: Mrs. Lamay asks for information on emphysema. Which piece of
information about emphysema is the most important to give Mr. Lamay?
a) Inform her that Mr. Lamay will have to limit his physical exertion
b) Encourage her to consult their physician for emphysema screening tests
c) Explain to her that Mr. Lamay will recover once the drug therapy begins
, d) Let her know that his lung tissue might regenerate if he were to stop
smoking
ANSWER: A
5. Question: Mrs. Lamay is Aboriginal. She informs the practical nurse that she
and her husband have asked an Aboriginal healer to visit Mr. Lamay. What
should the practical nurse do?
a) Inform them it is preferable that only one style of therapy be used at a
time
b) Suggest a meeting between the attending physician and the healer
c) Discuss with the health-care team how to accommodate the visit
d) Read about traditional Aboriginal beliefs
ANSWER: C
6. Case Information: Mr. Johanson, 68 years old, has pneumonia and is
orthopneic.
Question: The practical nurse is asked to collect a sputum specimen form Mr.
Johanson. What is the most appropriate collection time?
a) After providing mouth care
b) Immediately following morning care
c) At bedtime
d) Before breakfast
ANSWER: D
7. Question: The practical nurse is asked to monitor Mr. Johanson’s urinary
output. What amount of urine output per hour should the practical nurse
report immediately?
a) 15ml
b) 45ml
c) 60ml
d) 70ml
ANSWER: A
8. Question: The physician has ordered Mr. Johanson to ambulate to the
bathroom. Which finding would indicate to the practical nurse that Mr.
Johanson is not tolerating the increase in activity?
9.
a) He becomes flushed
b) His heart rate is lower
, c) He becomes agitated
d) His respiratory rate decreases
ANSWER: C
10. Question: Mr. Johanson tells the practical nurse, “ No one took the time to
answer my call light last night.” Which response by the practical nurse would
be most appropriate?
a) We were really short-staffed last night. I’m sorry you felt alone.
b) It sounds like you had a particularly difficult night last night
c) Were you aware that the client in the next room was very sick last night
d) I’m sorry. I know how it feels when no-one takes the time to respond
ANSWER: B
11. Case Information: Mr. Robertson, 30 years old, was diagnosed 5 years ago
with rapidly progressing multiple sclerosis. He has been married for 8 years
and has two children 7 and 5. He has recently been admitted to a long-term
care facility because his wife can no longer care for him at home.
Question: What behavior would indicate to the practical nurse that the
disease has progressed beyond its early stages?
a) Choking on solid food
b) Ataxic gait
c) Report tingling in extremities
d) Having periodic tremors in extremities
ANSWER: A
12. Question: What procedure should the practical nurse implement when using
a mechanical sling lift to move Mr. Robertson from his bed to a wheelchair?
a) Instruct him to hold onto the swivel bar during transfer
b) Position the wheelchair perpendicular to the lift
c) Place the bed in the lowest position
d) Ask a co-worker to assist in the transfer
ANSWER: D
13. Question: Mr. Robertson’s two sons visit frequently. Which response should
the practical nurse give when the 7 year old son asks what is wrong with his
dad?
a) Your dad has a disease called multiple sclerosis, which is a disease of the
nervous system
, b) Your dad has a problem with the way messages are sent from his brain to
different parts of his body
c) That’s a very good question. You should ask your dad
d) Can you tell me what your mom or dad have told you about his illness?
ANSWER: D
14. Question: Which response by the practical nurse would be the most
encouraging when Mr. Robertson indicates his desire to be more involved in
his care?
a) Would you like to wash and shave yourself daily
b) We can help you with the goals that you set for yourself
c) You can decide how long you would like to stay up in the wheelchair
d) I am glad you want to participate in your care
ANSWER: B
15. Case Information: Sean is an 8 month old who is fed via a gastrostomy tube.
He is brought to the hospital with diarrhea and dehydration.
Question: Sean’s diarrhea has increased. Which sign exhibited by Sean
should the practical nurse report immediately?
a) Depressed fontanel
b) Flushed face
c) Heart rate of 110 beats/min
d) Respiratory rate of 34 breaths/min
ANSWER: A
16. Question: What should the practical nurse do to maintain Sean’s fluid
intake?
a) Administer the ordered electrolyte solution
b) Give high glucose juices frequently
c) Administer larger quantities of the usual tube feeding solution
d) Give small amounts of milk atleast once every hour
ANSWER: A
17. Question: Sean’s rectal temperature is 37.5(C) He has developed an irriated
rectal area. What should the practical nurse consider when planning Sean’s
morning bath?
a) A tub bath would soothe his irritated skin
1. Case Information: Mr. Lamay- 62 years old, is hospitalized with emphysema.
He is receiving continuous oxygen therapy by nasal cannula.
Question: Mr. Lamay has just finished his bath when he presents with
dyspnea. He sits down, leaning forward slightly. What should the practical
nurse do?
a) Increase Mr.Lamay’s oxygen flow.
b) Check the oxygen Saturation level
c) Ask Mr. Lamay to take deep breaths
d) Encourage diaphragmatic breathing
ANSWER: B
2. Question: The next day, the practical nurse teaches Mr. Lamay how to
perform breathing exercises for his emphysema. Which behavior
demonstrates that Mr. Lamay has understood the teaching.
a) Mr. Lamay observes his abdominal muscles when inhaling and exhaling
b) Mr. Lamay counts his respirations while inhaling and exhaling silently
c) While supine, Mr. Lamay inhales deeply and says the letter “O” on
exhalation
d) While sitting, Mr. Lamay inhales deeply and exhales slowly with pursed
Lips
ANSWER: D
3. Question: Which observation would indicate to the practical nurse the
possibility of a respiratory tract infection?
a) Dyspnea and more frequent use of bronchodilators
b) Increasingly labored respirations with exhalation
c) Reduced breath sounds and presence of tachypnea
d) A productive cough with purulent secretions
ANSWER: D
4. Question: Mrs. Lamay asks for information on emphysema. Which piece of
information about emphysema is the most important to give Mr. Lamay?
a) Inform her that Mr. Lamay will have to limit his physical exertion
b) Encourage her to consult their physician for emphysema screening tests
c) Explain to her that Mr. Lamay will recover once the drug therapy begins
, d) Let her know that his lung tissue might regenerate if he were to stop
smoking
ANSWER: A
5. Question: Mrs. Lamay is Aboriginal. She informs the practical nurse that she
and her husband have asked an Aboriginal healer to visit Mr. Lamay. What
should the practical nurse do?
a) Inform them it is preferable that only one style of therapy be used at a
time
b) Suggest a meeting between the attending physician and the healer
c) Discuss with the health-care team how to accommodate the visit
d) Read about traditional Aboriginal beliefs
ANSWER: C
6. Case Information: Mr. Johanson, 68 years old, has pneumonia and is
orthopneic.
Question: The practical nurse is asked to collect a sputum specimen form Mr.
Johanson. What is the most appropriate collection time?
a) After providing mouth care
b) Immediately following morning care
c) At bedtime
d) Before breakfast
ANSWER: D
7. Question: The practical nurse is asked to monitor Mr. Johanson’s urinary
output. What amount of urine output per hour should the practical nurse
report immediately?
a) 15ml
b) 45ml
c) 60ml
d) 70ml
ANSWER: A
8. Question: The physician has ordered Mr. Johanson to ambulate to the
bathroom. Which finding would indicate to the practical nurse that Mr.
Johanson is not tolerating the increase in activity?
9.
a) He becomes flushed
b) His heart rate is lower
, c) He becomes agitated
d) His respiratory rate decreases
ANSWER: C
10. Question: Mr. Johanson tells the practical nurse, “ No one took the time to
answer my call light last night.” Which response by the practical nurse would
be most appropriate?
a) We were really short-staffed last night. I’m sorry you felt alone.
b) It sounds like you had a particularly difficult night last night
c) Were you aware that the client in the next room was very sick last night
d) I’m sorry. I know how it feels when no-one takes the time to respond
ANSWER: B
11. Case Information: Mr. Robertson, 30 years old, was diagnosed 5 years ago
with rapidly progressing multiple sclerosis. He has been married for 8 years
and has two children 7 and 5. He has recently been admitted to a long-term
care facility because his wife can no longer care for him at home.
Question: What behavior would indicate to the practical nurse that the
disease has progressed beyond its early stages?
a) Choking on solid food
b) Ataxic gait
c) Report tingling in extremities
d) Having periodic tremors in extremities
ANSWER: A
12. Question: What procedure should the practical nurse implement when using
a mechanical sling lift to move Mr. Robertson from his bed to a wheelchair?
a) Instruct him to hold onto the swivel bar during transfer
b) Position the wheelchair perpendicular to the lift
c) Place the bed in the lowest position
d) Ask a co-worker to assist in the transfer
ANSWER: D
13. Question: Mr. Robertson’s two sons visit frequently. Which response should
the practical nurse give when the 7 year old son asks what is wrong with his
dad?
a) Your dad has a disease called multiple sclerosis, which is a disease of the
nervous system
, b) Your dad has a problem with the way messages are sent from his brain to
different parts of his body
c) That’s a very good question. You should ask your dad
d) Can you tell me what your mom or dad have told you about his illness?
ANSWER: D
14. Question: Which response by the practical nurse would be the most
encouraging when Mr. Robertson indicates his desire to be more involved in
his care?
a) Would you like to wash and shave yourself daily
b) We can help you with the goals that you set for yourself
c) You can decide how long you would like to stay up in the wheelchair
d) I am glad you want to participate in your care
ANSWER: B
15. Case Information: Sean is an 8 month old who is fed via a gastrostomy tube.
He is brought to the hospital with diarrhea and dehydration.
Question: Sean’s diarrhea has increased. Which sign exhibited by Sean
should the practical nurse report immediately?
a) Depressed fontanel
b) Flushed face
c) Heart rate of 110 beats/min
d) Respiratory rate of 34 breaths/min
ANSWER: A
16. Question: What should the practical nurse do to maintain Sean’s fluid
intake?
a) Administer the ordered electrolyte solution
b) Give high glucose juices frequently
c) Administer larger quantities of the usual tube feeding solution
d) Give small amounts of milk atleast once every hour
ANSWER: A
17. Question: Sean’s rectal temperature is 37.5(C) He has developed an irriated
rectal area. What should the practical nurse consider when planning Sean’s
morning bath?
a) A tub bath would soothe his irritated skin
