Name: Score:
20 Multiple choice questions
Term 1 of 20
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?
A. Reconstituted powder.
B. Timed release capsule.
C. Cherry flavored elixir.
D. Flavorless suspension.
B. The client's fluid loss from protracted vomiting causes a shift in intravascular fluids
causing dehydration, hypotension, and tachycardia, which should be reported to the
charge nurse. (A, B, and C) are signs consistent with dehydration, but the priority is the
client's fluid depletion that is causing a hypotensive state.
B. The Z-track IM injection technique is used to administer irritating or cutaneous-staining
medications into a large muscle, such as the dorsal gluteal site and is given by moving the
surface skin to one side before puncturing the skin.
B. Crackles are short, popping, discontinuous sounds heard on inspiration. Wheezes (A) are
musical sounds heard on expiration. A pleural friction rub (C) produces an abnormal grating
sound. Bronchovesicular sounds (D) are normal, breath sounds of equal duration during
inspiration and expiration and are heard in the peripheral lung fields.
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.
,Term 2 of 20
The practical nurse (PN) identifies a client's need for spiritual support. What is the first action the
PN should take?
A. Refer the client to a client advocate or personal chaplain.
B. Provide the client with religious literature and references.
C. Suggest the client use one's religious faith to cope.
D. Determine the client's perceptions and belief system.
D. Restraints should be used when the benefits outweigh the risks in providing a safe
environment for the client, and ensuring the safety of others. Restraints can increase
agitation (A) and are not the most effective way to prevent falls (B). Restraints may provide
protection, but must be diligently monitored to prevent negligent injury
B. Frequent oral hygiene moistens the oral cavity and alleviates discomfort for a client who
is NPO. Oral fluid intake is contraindicated in a client who is NPO (A). Petroleum jelly is not
placed intraorally (C). Although reporting the rate of IV fluids (D) provides data about the
current prescription, oral hygiene is an immediate comfort intervention that addresses the
client's hydration status.
D. Exploring the client's spirituality may reveal responses to health problems that require
nursing intervention. A client's perceptions and belief system should be determined, which
may reveal a strong set of resources that enable the client to cope effectively. Once the
client's value and belief systems are assessed, then (A, B and C) may be implemented to
provide the client with spiritual support.
D. After confirming a victim with foreign body airway obstruction (FBAO) cannot speak, the
first should be placed between the xiphoid process and umbilicus, and a rapid sequence of
abdominal thrusts should be administered until the FBAO is relieved, not (B and C). If the
victim becomes unresponsive, CPR (A) should be initiated after activating EMS.
, Term 3 of 20
The practical nurse (PN) is obtaining information for a male client's psychosocial assessment.
Which action should the PN implement first?
A. State that the healthcare provider has prescribed a bath today.
B. Offer the client several choices of times to bathe during the day.
C. Review the importance of hygienic measures for improved health.
D. Request that the client clarify his religious beliefs about bathing.
B. The client's fluid loss from protracted vomiting causes a shift in intravascular fluids
causing dehydration, hypotension, and tachycardia, which should be reported to the
charge nurse. (A, B, and C) are signs consistent with dehydration, but the priority is the
client's fluid depletion that is causing a hypotensive state.
D. A client's religious and cultural preferences should be considered when providing basic
hygiene. (A and C) provide valid rationale for daily hygiene, but the client's religious beliefs
should be considered in the client's choice. Although offering choices (B) addresses client
autonomy, the client's care should be individualized.
C. A client with gum tenderness needs good oral hygiene, so a soft-bristle brush should be
used to minimize gingival bleeding. Massaging the gums (A) may contribute to gingival
bleeding. The use of a commercial mouthwash only (B) omits good oral hygiene practices,
such as brushing.
B. A client has the right to refuse any medication but should be informed of the therapeutic
value of routine compliance with taking antihypertensive medications (B). Giving
medication subversively to an alert client (A) is a violation of his autonomy and is
unacceptable. (C) is reprimanding. If the client continues to refuse medication after being
informed of its value and risks associated with noncompliance, the refusal and reasons
should be documented
20 Multiple choice questions
Term 1 of 20
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?
A. Reconstituted powder.
B. Timed release capsule.
C. Cherry flavored elixir.
D. Flavorless suspension.
B. The client's fluid loss from protracted vomiting causes a shift in intravascular fluids
causing dehydration, hypotension, and tachycardia, which should be reported to the
charge nurse. (A, B, and C) are signs consistent with dehydration, but the priority is the
client's fluid depletion that is causing a hypotensive state.
B. The Z-track IM injection technique is used to administer irritating or cutaneous-staining
medications into a large muscle, such as the dorsal gluteal site and is given by moving the
surface skin to one side before puncturing the skin.
B. Crackles are short, popping, discontinuous sounds heard on inspiration. Wheezes (A) are
musical sounds heard on expiration. A pleural friction rub (C) produces an abnormal grating
sound. Bronchovesicular sounds (D) are normal, breath sounds of equal duration during
inspiration and expiration and are heard in the peripheral lung fields.
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.
,Term 2 of 20
The practical nurse (PN) identifies a client's need for spiritual support. What is the first action the
PN should take?
A. Refer the client to a client advocate or personal chaplain.
B. Provide the client with religious literature and references.
C. Suggest the client use one's religious faith to cope.
D. Determine the client's perceptions and belief system.
D. Restraints should be used when the benefits outweigh the risks in providing a safe
environment for the client, and ensuring the safety of others. Restraints can increase
agitation (A) and are not the most effective way to prevent falls (B). Restraints may provide
protection, but must be diligently monitored to prevent negligent injury
B. Frequent oral hygiene moistens the oral cavity and alleviates discomfort for a client who
is NPO. Oral fluid intake is contraindicated in a client who is NPO (A). Petroleum jelly is not
placed intraorally (C). Although reporting the rate of IV fluids (D) provides data about the
current prescription, oral hygiene is an immediate comfort intervention that addresses the
client's hydration status.
D. Exploring the client's spirituality may reveal responses to health problems that require
nursing intervention. A client's perceptions and belief system should be determined, which
may reveal a strong set of resources that enable the client to cope effectively. Once the
client's value and belief systems are assessed, then (A, B and C) may be implemented to
provide the client with spiritual support.
D. After confirming a victim with foreign body airway obstruction (FBAO) cannot speak, the
first should be placed between the xiphoid process and umbilicus, and a rapid sequence of
abdominal thrusts should be administered until the FBAO is relieved, not (B and C). If the
victim becomes unresponsive, CPR (A) should be initiated after activating EMS.
, Term 3 of 20
The practical nurse (PN) is obtaining information for a male client's psychosocial assessment.
Which action should the PN implement first?
A. State that the healthcare provider has prescribed a bath today.
B. Offer the client several choices of times to bathe during the day.
C. Review the importance of hygienic measures for improved health.
D. Request that the client clarify his religious beliefs about bathing.
B. The client's fluid loss from protracted vomiting causes a shift in intravascular fluids
causing dehydration, hypotension, and tachycardia, which should be reported to the
charge nurse. (A, B, and C) are signs consistent with dehydration, but the priority is the
client's fluid depletion that is causing a hypotensive state.
D. A client's religious and cultural preferences should be considered when providing basic
hygiene. (A and C) provide valid rationale for daily hygiene, but the client's religious beliefs
should be considered in the client's choice. Although offering choices (B) addresses client
autonomy, the client's care should be individualized.
C. A client with gum tenderness needs good oral hygiene, so a soft-bristle brush should be
used to minimize gingival bleeding. Massaging the gums (A) may contribute to gingival
bleeding. The use of a commercial mouthwash only (B) omits good oral hygiene practices,
such as brushing.
B. A client has the right to refuse any medication but should be informed of the therapeutic
value of routine compliance with taking antihypertensive medications (B). Giving
medication subversively to an alert client (A) is a violation of his autonomy and is
unacceptable. (C) is reprimanding. If the client continues to refuse medication after being
informed of its value and risks associated with noncompliance, the refusal and reasons
should be documented
