,Document Title Page 2
1. A client with cancer who has been taking opioid analgesics for two years now requires increased
doses to obtain pain relief. The client expresses fear about becoming addicted to these drugs. What
information should the practical nurse (PN) provide?
A. Opioid use with cancer does not cause addiction.
B. Addiction is easily reversed if it occurs during pain management.
C. Prescribed opiates for cancer pain relief improve qualify of life.
D. Opioid dosages can be tapered if a client fears addiction. - CORRECT ANSWER - C.
Prescribed opiates for cancer pain relief improve qualify of life
The goal of pain management for clients with cancer using opiates is to minimize pain and maintain
quality of life
2. A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN) assesses
the client every two hours for the desire to void. Which documented assessment requires further
intervention by the PN?
A. 1:30 pm: unable to void.
B. 5:30 pm: unable to void.
C. 3:30 pm: unable to void.
D. 11:30 am: unable to void. - CORRECT ANSWER - B. A client is due to void within 8
hours of catheter removal, so at 5:30 PM. Longer than 8 hours after removal, catheter reinsertion
may be necessary. If the bladder is not distended, further action may not be needed
3. Which position is best for the practical nurse to place the client in during administration of a
rectal suppository for constipation?
A. Prone with pillows under the client's abdomen.
B. Supine with the client on a bed pan.
C. Left Sims' position with upper leg flexed.
D. Right-side lying knee-chest position. - CORRECT ANSWER - C. Left side-lying Sims'
position lessens the likelihood that the suppository or feces will be expelled, exposes the anus for
visualization during insertion, and helps the client to relax the external anal sphincter
31. 34.ID: 311121201
Which food should the practical nurse (PN) recommend for a client to increase the dietary intake
of potassium?
A. Corn.
B. Baked potato.
C. Popcorn.
D. Grape juice. - CORRECT ANSWER - B. A baked potato, including its skin, contains the
highest amount of potassium. (A, C, and D) are low in potassium.
4. The practical nurse (PN) is adding tap water to several medications for administration via feeding
tube. Which preparation should the PN administer without delay?
, Document Title Page 3
A. Reconstituted powder.
B. Timed release capsule.
C. Cherry flavored elixir.
D. Flavorless suspension. - CORRECT ANSWER - B. Although the gelatin capsule can be
opened to administer the spansule's granules, the PN should not crush or allow the timed-released
granules to dissolve before administering this preparation via feeding tube since the timed-release
function can be compromised.
A client is prescribed a medication that is labeled as a sustained released (SR). What action should
the practical nurse (PN) implement when administering this drug form?
A. Instruct the client to chew the medication.
B. Do not crush or dissolve the tablet or capsule contents.
C. Obtain a different drug form for administration.
D. Delay giving the medication until the stomach is empty. - CORRECT ANSWER - B.
Sustained-release tablets or capsules are drug forms that are coated and delay dissolution over a
period of time and should not be crushed or dissolved for administration
A client is receiving a continuous tube feeding. While checking the gastric residual volume, the
practical nurse (PN) aspirates 150 ml of gastric contents. What action should the PN take?
A. Rinse the feeding tube after throwing the aspirated gastric contents away and restart the feeding.
B. Replace half of the aspirated gastric contents and slow the rate of the feeding.
C. Throw the aspirated gastric contents away and stop the continuous feeding.
D. Return all the aspirated contents to the stomach followed with water and consult the agency
policy. - CORRECT ANSWER - D. The residual volume should be replaced in order to
prevent loss of electrolytes, and the agency policy should be followed to determine the routine
actions regarding the volume of the next feeding, the rate of the feeding, or the duration to
withhold the continuous feeding. Throwing the aspirate away or only replacing a portion places the
client at risk for electrolyte imbalance
A client is receiving a daily prescription for furosemide (Lasix) 40 mg PO, but is unable to swallow.
The practical nurse (PN) should consult with the healthcare provider about which component of
the prescription?
A. Time of the dose.
B. The prescribed dosage.
C. The route of administration.
D. Available generic drug. - CORRECT ANSWER - C. The healthcare provider should be
consulted to determine if another route of administration is indicated for the client who is unable to
swallow oral tablets. The drug's time (A), dose (B), and generic name (D) do not need clarification
of the prescription
A client is receiving a Mantoux test for tuberculosis screening. Which angle should the practical
nurse (PN) insert the needle for injection?
1. A client with cancer who has been taking opioid analgesics for two years now requires increased
doses to obtain pain relief. The client expresses fear about becoming addicted to these drugs. What
information should the practical nurse (PN) provide?
A. Opioid use with cancer does not cause addiction.
B. Addiction is easily reversed if it occurs during pain management.
C. Prescribed opiates for cancer pain relief improve qualify of life.
D. Opioid dosages can be tapered if a client fears addiction. - CORRECT ANSWER - C.
Prescribed opiates for cancer pain relief improve qualify of life
The goal of pain management for clients with cancer using opiates is to minimize pain and maintain
quality of life
2. A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN) assesses
the client every two hours for the desire to void. Which documented assessment requires further
intervention by the PN?
A. 1:30 pm: unable to void.
B. 5:30 pm: unable to void.
C. 3:30 pm: unable to void.
D. 11:30 am: unable to void. - CORRECT ANSWER - B. A client is due to void within 8
hours of catheter removal, so at 5:30 PM. Longer than 8 hours after removal, catheter reinsertion
may be necessary. If the bladder is not distended, further action may not be needed
3. Which position is best for the practical nurse to place the client in during administration of a
rectal suppository for constipation?
A. Prone with pillows under the client's abdomen.
B. Supine with the client on a bed pan.
C. Left Sims' position with upper leg flexed.
D. Right-side lying knee-chest position. - CORRECT ANSWER - C. Left side-lying Sims'
position lessens the likelihood that the suppository or feces will be expelled, exposes the anus for
visualization during insertion, and helps the client to relax the external anal sphincter
31. 34.ID: 311121201
Which food should the practical nurse (PN) recommend for a client to increase the dietary intake
of potassium?
A. Corn.
B. Baked potato.
C. Popcorn.
D. Grape juice. - CORRECT ANSWER - B. A baked potato, including its skin, contains the
highest amount of potassium. (A, C, and D) are low in potassium.
4. The practical nurse (PN) is adding tap water to several medications for administration via feeding
tube. Which preparation should the PN administer without delay?
, Document Title Page 3
A. Reconstituted powder.
B. Timed release capsule.
C. Cherry flavored elixir.
D. Flavorless suspension. - CORRECT ANSWER - B. Although the gelatin capsule can be
opened to administer the spansule's granules, the PN should not crush or allow the timed-released
granules to dissolve before administering this preparation via feeding tube since the timed-release
function can be compromised.
A client is prescribed a medication that is labeled as a sustained released (SR). What action should
the practical nurse (PN) implement when administering this drug form?
A. Instruct the client to chew the medication.
B. Do not crush or dissolve the tablet or capsule contents.
C. Obtain a different drug form for administration.
D. Delay giving the medication until the stomach is empty. - CORRECT ANSWER - B.
Sustained-release tablets or capsules are drug forms that are coated and delay dissolution over a
period of time and should not be crushed or dissolved for administration
A client is receiving a continuous tube feeding. While checking the gastric residual volume, the
practical nurse (PN) aspirates 150 ml of gastric contents. What action should the PN take?
A. Rinse the feeding tube after throwing the aspirated gastric contents away and restart the feeding.
B. Replace half of the aspirated gastric contents and slow the rate of the feeding.
C. Throw the aspirated gastric contents away and stop the continuous feeding.
D. Return all the aspirated contents to the stomach followed with water and consult the agency
policy. - CORRECT ANSWER - D. The residual volume should be replaced in order to
prevent loss of electrolytes, and the agency policy should be followed to determine the routine
actions regarding the volume of the next feeding, the rate of the feeding, or the duration to
withhold the continuous feeding. Throwing the aspirate away or only replacing a portion places the
client at risk for electrolyte imbalance
A client is receiving a daily prescription for furosemide (Lasix) 40 mg PO, but is unable to swallow.
The practical nurse (PN) should consult with the healthcare provider about which component of
the prescription?
A. Time of the dose.
B. The prescribed dosage.
C. The route of administration.
D. Available generic drug. - CORRECT ANSWER - C. The healthcare provider should be
consulted to determine if another route of administration is indicated for the client who is unable to
swallow oral tablets. The drug's time (A), dose (B), and generic name (D) do not need clarification
of the prescription
A client is receiving a Mantoux test for tuberculosis screening. Which angle should the practical
nurse (PN) insert the needle for injection?
