PN Practice Test 5 Questions/Answers (Updated)

Case 1 Miss Casey, 59 years old, is an obese client scheduled for removal of a calculus from her right ureter through a right flank incision. Questions 1 to 5 refer to this case. 1. What can the practical nurse do to prepare Miss Casey for the operation? a. Provide information needed to make an informed consent for surgery b. Explain the need for this type of surgery c. Write a requisition for preoperative test and medications d. Provide information about postoperative pain and activity management 2. Which action by the practical nurse would be most effective in teaching Miss Casey deep breathing and coughing exercises? a. Ask about previous surgeries b. Wait until postoperatively to do this teaching c. Assess ability to perform abdominal breathing correctly d. Ask her to demonstrate the exercises after teaching them to her 3. Which action should the practical nurse take when moving Miss Casey from her back to her left side? a. Obtain assistance from a team member prior to moving Miss Casey b. Ensure Miss Casey is in the middle of the bed prior to turning her c. Push Miss Casey from her right side, away from the practical nurse d. Relax the gluteal, leg and abdominal muscles prior to moving Miss Casey 4. Postoperatively, Miss Casey has an indwelling catheter. Which action should the practical nurse take in caring for Miss Casey’s catheter? a. Irrigate the catheter daily and as needed b. Place the drainage bag lower than the level of the bladder c. Cleanse the catheter with soap and water before washing the urinary meatus d. Clamp the catheter prior to ambulation 5. When changing Miss Casey’s dressing, which action by the practical nurse demonstrates knowledge of surgical aseptic technique? a. Use the sterile forceps to remove the old dressing b. Use one swab to cleanse the incision c. Cleanse area from most contaminated to least contaminated d. Cleanse area from least contaminated to most contaminated End of Case 1 Case 2 Brian Munroe, 16 years of age, has lower-limb paralysis as a result of a motor vehicle accident. Brian resides in a home for special care. He is displaying aggressive behaviour toward health care team staff, his family and other clients. Questions 6 to 9 refer to this case. 6. Brian states, “I don’t like the food, the people, my room or anything about this place.” Which statement by the practical nurse best demonstrates the use of a reflective response? a. “Why don’t you like the food, people or your room?” b. “It sounds as though you are very unhappy here.” c. “Would you like to talk to a social worker about your concerns?” d. “Tell me what food you would prefer.” 7. What should the practical nurse do when notified by the dining room staff that Brian has thrown his lunch on the floor? a. Ask the dining room staff to observe Brian’s behaviour b. Ask Brian a direct question that will help him accept responsibility c. Ask Brian’s roommate to distract him while you obtain Brian’s medication d. Ask Brian’s family to come in during feeding times to assist with Brian’s behaviour 8. Brian sits with his arms folded and fists clenched. What approach should the practical nurse use to communicate effectively with Brian? a. Clarify the non-verbal message Brian is sending b. Sit near Brian, arms crossed, establish eye contact c. Ask Brian why he is so angry d. Maintain silence, wait for Brian to speak 9. Brian’s episodes have increased during the shift. Brian’s mother is worried he will be asked to leave the facility. She states she cannot care for him at home. She asks the practical nurse to not report today’s incidents. What should the practical nurse do? a. Respect the mother’s request b. Discuss the request with the nurse in charge c. Document and report only the most aggressive incidents d. Document and report each of the aggressive incidents End of Case 2 Case 3 Sandy Blair, a 25 year old school teacher, has delivered her first child, a healthy baby girl, and has been transferred to the postpartum unit. Her pregnancy, labour and delivery were all uncomplicated. Questions 10 to 14 refer to this case. 10. During Ms. Blair’s postpartum assessments the practical nurse observes that the perineal area is bruised and swollen; fundus is firm, mid-line at the level of the umbilicus. Lochia is red and contains clots the size of a nickel. What should the practical nurse do next? a. Report presence of clots in lochia b. Assist Ms Blair to the bathroom to empty her bladder c. Administer analgesics as ordered to ease the discomfort d. Record findings on the chart and provide comfort measures 11. The practical nurse is teaching Ms. Blair to use the sitz bath to relieve perineal discomfort. Which of the following statements is correct? a. A sitz bath should be taken prior to having a shower b. Clients generally remain in the sitz bath for 20 minutes c. The water temperature of the sitz bath should be between 46 to 48° d. Sitz baths are usually taken once a day 12. Ms. Blair is having difficulty breastfeeding. She says “I am so discouraged. I think I’m going to try giving my baby a bottle”. Which statement by the practical nurse is most appropriate? a. “Formula feedings are just as good as breastmilk, I’ll warm up the bottle” b. “Don’t be discouraged. You will have a lot of time to learn how to breasfeed.” c. “Learning to breastfeed can be frustrating. I’ll help position the baby if you’d like to try.” d. “Bottle feeding is fine, but don’t give up so easily” 13. Ms Blair asks the practical nurse about postpartum exercises. Which response by the practical nurse would be most appropriate? a. “Breasfeeding promotes involution, exercises are not necessary.” b. “Exercises help decrease the amount of lochia flow.” c. “Simple exercises can be done on the first postpartum day.” d. “Kegel exercises are only valuable in the prenatal period.” 14. Ms. Blair is learning how to bathe her new baby girl. The practical nurse demonstrates and then observes Ms. Blair doing a return demonstration. What action by Ms. Blair would demonstrate that she understood the teaching? a. She wipes both of the baby’s eyes with one clean cotton ball. b. She states she feels comfortable using the “football hold”. c. She is concerned that the baby’s diaper has a few drops of blood on it d. When cleaning the baby’s diaper area she wipes from back to front with a clean cloth. End of Case 3 Case 4 Jon Housse, 15 years old, has quadriplegia as a result of a diving injury 2 years ago. After extensive rehabilitation, Jon was able to return home where he is being cared for by his parents. Jon is now being admitted to a unit that provides respite care because his parents are leaving on vacation, he is MRSA positive. Questions 15 to 20 refer to this case. 15. On admission, with whom should the practical nurse consult when planning Jon’s care? a. Jon’s parents b. Jon c. Jon and his parents d. Jon’s physician 16. Which action by the practical nurse best reflects collaboration with other members of the health care team in the assessment process? a. Participating in a team conference to share collected data b. Discussing Jon’s care with a practical nurse on another recite unit c. Search for and copy recent research articles on spinal cord injuries to post on the unit d. Record Jon’s vital signs promptly for other team members to see 17. What should the practical nurse do first when preparing to move Jon towards the head of the bed with a co-worker? a. Remove Jon’s pillow b. Lower the head of the bed c. Explain the procedure to Jon d. Raise the bed to a comfortable working level 18. Which approach by the practical nurse would best facilitate Jon’s access to assistance from the nursing staff? a. Place Jon in a semi-private room. b. Provide Jon with an appropriate call system. c. Instruct Jon on how to use the intercom system. d. Place Jon in a room closest to the nursing station. 19. Which approach should the practical nurse take to promote Jon’s independence and self- esteem during his stay at the respite unit? a. Follow Jon’s normal home routine when planning his nursing care b. Involve Jon in planning his nursing care c. Create a nursing care plan on data collected from Jon d. Plan Jon’s nursing care based on information provided by his parents 20. A friend of Jon’s calls the unit and asks the practical nurse about how Jon is doing. Which response by the practical nurse is most appropriate? a. “I can’t share information about your friend’s infectious disease.” b. “Are you concerned about the care Jon is receiving?” c. “I cannot share information about clients” d. “Why don’t you ask your friend about MRSA?”