CNO RPN/CNO RPN Practice Test lATEST ANSWERS GRADED A

Case Information: Mrs. Jackson, 58 years old, has been admitted to a 4 bed room on a medical unit with a diagnosis of pneumonia. 1. The physician’s orders for Mrs. Jackson include sputum specimen for culture and sensitivity and acid-fast bacilli(AFB). What is the correct method for the client to collect the sputum specimen? A) Rinse mouth with mouthwash and collect specimen after breakfast. B) Collect specimen in a sterile container at bedtime after deep breathing and coughing. C) Collect specimen at breakfast after rinsing mouth with water. D) Rinse mouth with water and collect at bedtime. 2. Mrs. Jackson’s sputum specimen has come back positive for ABF, and a diagnosis of tuberculosis has been made. Which nursing intervention is best? A) Move Mrs. Jackson to a private room using reverse isolation. B) Use enteric isolation precautions when providing care for Mrs. Jackson. C) Use disposable dishes and equipment in Mrs. Jackson’s room. D) Move Mrs. Jackson to a private room with negative air flow. 3. Mrs. Jackson has to go to the Radiology department for a chest X-ray. What should the practical nurse do? A) Have Mrs. Jackson wear a mask while out of her room. B) Suggest that a portable X-ray be brought to Mrs. Jackson’s room. C) Alert the Radiology Department and advise all staff to wear a mask. D) Wear a mask and gloves while transporting her. 4. What action represents appropriate risk management interventions for tuberculosis? A) Teaching Mrs. Jackson about the medications she is taking for TB. B) Monitoring the clients exposed to TB for signs and symptoms of the disease. C) Offering to request a laboratory test for TB for the clients exposed. D) Placing clients exposed to TB on droplet precautions until laboratory results return. 5. What therapeutic regimen for tuberculosis would be ordered for Mrs. Jackson? A) A chest X-ray, a cough suppressant and an antibiotic. B) Follow-up sputum specimens, physiotherapy and a series of chest x-rays. C) a series of chest X-rays, several antibiotics and follow-up sputum specimens. D) Follow-up sputum specimens, chest physiotherapy and bronchodilator medications. Case Information: Ms. Saunders, 23 years old, has been admitted with a diagnosis of anorexia nervosa. She has participated in the development of her care plan. 6. Ms. Saunders states, “Everyone is overreacting to my condition and I would do much better with treatment at home.” What does this statement by Ms. Saunders reflect? A) Acceptance of her condition. B) Fear of her condition. C) Denial of her condition. D) Understanding of her condition. 7. Which of the following examples from Ms. Saunders’ chart uses appropriate documentation principles? A) Some symptoms of anorexia present. B) Encouraged client to discuss feelings. C) Stated goal is 4KG weight gain. D) Discussed weight loss with client. 8. What aspect of Ms. Saunders’ care should take priority for the practical nurse? A) Building a trusting relationship with her. B) Reviewing the care plan with her. C) Discussing her nutrition with the dietitian. D) Assisting her to identify coping skills. 9. Ms. Saunders has lost 1 KG in the past week. What response by the practical nurse would best help Ms. Saunders meet her nutritional needs? A) “Eating may speed up your discharge.” B) “Let’s review your goals from your care plan.” C) “Would you like to see the dietician?” D) “Shall we take it one day at a time?” 10. The practical nurse notices Ms. Saunders hiding food under her dinner tray and comments on it. Ms. Saunders says, “Quit telling me to eat!” Which response by the practical nurse is most appropriate? A) “Ms. Saunders, you need to review your nutritional goals.” B) “You should eat all the food on your tray.” C) “You have an eating disorder and we want to help you with it.” D) “I want you to tell me why you are here.” 11. The practical nurse finds Ms. Saunders crying and pacing in her room. Which entry is acceptable for the practical nurse to record in Ms. Saunders’ chart? A) Found Ms. Saunders crying and pacing. B) Observed crying and pacing in her room. C) Entered her room, Ms. Saunders is upset. D) Crying and agitated. Case Information: Mrs. Samuels, 42 years old, find a lump in her left breast while performing a monthly breast assessment. A biopsy and possible mastectomy are recommended. She comes to the surgical unit on the morning of surgery accompanied by her husband and 7 year old son. 12. Which information is important to record during Mrs. Samuels’ admission interview and assessment? A) Family support. B) Religious affiliation. C) Occupation. D) Community resources. 13. Mrs. Samuels’ biopsy was positive and a left mastectomy was performed. What should the practical nurse do while assisting Mrs. Samuels with her postoperative breathing exercises? A) Ask her to turn on her right side, then breathe deeply. B) Assist her into low Fowler’s position, and then ask her to take short breaths. C) Splint her left upper thoracic region, and then ask her to breathe deeply. D) Support her entire thoracic region, and then ask her to take short breaths. 14. Mrs. Samuels is concerned about her present appearance and the type of clothing needed to camouflage the loss of her breast. Which response should the practical nurse give to Mrs. Samuels? A) “It is unlikely that anyone will notice a difference in your appearance; your grooming is impeccable.” B) “You may want to try a temporary prosthesis that is worn under your clothing until you are healed. C) “If you are considering having reconstructive surgery, you do not need to make any changes in your clothing now.” D) “You may want to change your hairstyle to draw attention away from the operative site.” 15. Mrs. Samuels is receiving post-mastectomy chemotherapy and steroids. She has read that this treatment may cause weight gain. She does not want to gain weight and is not eating her meals. What should the practical nurse do? A) Investigate Mrs. Samuels’ concerns further, report findings and record all data related to food intake. B) Reassure Mrs. Samuels that not all clients gain weight and encourage more food intake. C) Suggest to Mrs. Samuels that she consult a nutrition specialist and weigh herself daily. D) Encourage Mrs. Samuels to get more exercise and suggest a low-fat, low-salt, lowsugar diet. Case Information: Mr. Antonio, 45 years old, is admitted to the palliative care unit with pancreatic cancer. His wife and 2 teenage children accompany him. He states that he has abdominal pain. He is jaundiced and has ascites. The physician has told them that Mr. Antonio will live only a few more weeks. 16. Mr. Antonio requests a vegetarian diet. The physician has ordered a regular diet with supplements. How should the practical nurse proceed? A) Advise Mr. Antonio to discuss his dietary request with the physician. B) Suggest that Mrs. Antonio bring vegetarian meals from home. C) Inform Mr. Antonio that protein is required for his disease process. D) Notify the dietician of Mr. Antonio’s need for a change in the meal plan. 17. Mrs. Antonio asks how she and her children will know that her husband’s death is getting closer. How should the practical nurse respond? A) “You will hear the death rattle right before he dies.” B) “His breathing may slow with longer periods between breaths.” C) “There is really no way of knowing when it will happen.” D) “The nursing staff will give you enough time to call the family.” 18. Mrs. Antonio calls the practical nurse to the bedside because her husband is taking his last breaths. Mrs. Antonio starts to cry and tremble. How should the practical nurse respond? A) Reassure Mrs. Antonio that her husband is no longer suffering. B) Inform Mrs. Antonio that pastoral care will be contacted to comfort her family. C) Stand quietly with Mrs. Antonio and her children. D) Ask her if there is anyone else that she would like the nursing staff to call. 19. Mr. Antonio dies and the physician orders an autopsy to confirm metastatic involvement. Mrs. Antonio does not want the autopsy because of her religious beliefs. How should the practical nurse respond? A) Advise her that the autopsy should be done and that nothing will be removed from her husband’s body. B) Inform her that the physician will be notified of her wish not to have the autopsy. C) Encourage Mrs. Antonio to talk with pastoral care about the importance of the autopsy. D) Explain to Mrs. Antonio that the results of the autopsy may benefit many others, including her children. Case Information: Mrs. Presley, 82 years old, has Alzheimer’s disease. She is currently living in a long-term care facility. Occasionally, she is abusive and combative. Mrs. Presley’s behavior poses a safety threat to herself and others that necessitates careful observation. 20. Which approach best demonstrates that the practical n