PRACTICAL NURSING PROGRAM COMPREHENSIVE I PN Practice test 100 questions answers

Name: 1. Put your name on this exam package 2. Put your name on the scoring sheet 3. Read each question carefully 4. Mark the best answer on the scoring sheet 1. 82 year-old Mary has been diagnosed with a stage I pressure ulcer on her left hip despite a q2h turning schedule. Which of the following would be an appropriate nursing diagnosis for this client? 2. Jack is postoperative for an abdominal surgical procedure. When assessing the abdominal suture line, which characteristics indicate a delay in would healing? 3. The dose ordered for a client is Demerol 75 mg IM. The medication is available in a 50 mg/ml solution. The nurse prepares: 4. Wally uses a cane to assist with ambulation. Which of the following statement would indicate the need for addition teaching? 5. The practical Nurse is measuring the client’s urine output and straining the urine to assess for kidney stones. Which of the following should the nurse record as objective data? 6. A client who is alert and responsive has been admitted with a diagnosis of “to rule out myocardial infarction”. Of the following alterations found on assessment, which is of greatest concern to the Practical Nurse? 7. The Practical Nurse enters Wilma’s room and asks how she is doing. Wilma’s response is “I am a little nervous this morning.” What is the Practical Nurse’s best reply to Wilma? 8. The LPN is doing a home visit; the goal is to teach a client’s partner how to change the client’s dressing. Which of the following would best promote teaching? 9. A client tells the nurse, “I want to die.” The nurse responds most appropriately by saying: 10. Administration of controlled substances requires that the nurse: 11. Which of the following statement given during 0700 shift report provides the most important information regarding priority setting for the LPN coming on shift? 12. At 1100, the unlicensed care provider reports a client has an elevated temperature. The Practical Nurse assesses the client and finds the skin flushed and very warm. The client is orientated to person, place and time but expresses extreme fatigue. Which of the following is the most appropriate nursing action to take at this time? 13. The LPN has been assigned to a group of clients. Based on the information provided, which client should be seen first? 14. When assessing a postoperative client, a nurse finds that there is tenderness, redness, and swelling in the left calf. The nurse should: 15. To decrease the potential for complications related to IV therapy, the nurse should: 16. A client is receiving intravenous therapy. At the beginning of shift, the LPN enters the client’s room and assesses the site and infusion. The skin around the insertion site is swollen and cool to the touch. The drip rate on the gravity-fed intravenous is lower than expected. Which of the following actions should the nurse take next? 17. The client complains of pain and asks the nurse for pain medication. Vitals are as follows: BP 134/92, P90, R26. Which of the following actions most appropriate? 18. To promote comfort for the terminally ill client specific to nausea and vomiting, which of the following interventions is most appropriate? 19. In using communication skills with clients, the nurse evaluates which response as being most therapeutic? 20. A nurse is doing a home visit for a client who is due to have staples removed. The nurses notes the edges of the wound are separated. Which of the following actions should the nurse take? 21. What should the practical nurse do initially for an elderly client who is suddenly shivering, reporting chills and has a temperature of 38.2 °C? 22. What device should the practical nurse use when administering an oral liquid medication to a 16- month-old infant? 23. What should the practical nurse do to facilitate a client’s acceptance of an altered body image following a total laryngectomy and tracheostomy? 24. The practical nurse returns from break to find that the status of two clients has changed. Both clients need vital signs assessed every 15 minutes and several stat. medications. A third client requires insulin. In evaluating this, what should the practical nurse conclude? 25. Mr. Lowry, had experienced a cerebrovascular accident (CVA), regains consciousness and is found to have loss of movement on his left side and hemianopsia. How should the practical nurse respond when Mrs. Lowry asks questions regarding her husband’s recovery? 26. A client at a Long Term Care facility has glaucoma affected vision in her right eye. What should the practical nurse do to encourage the client feed herself? 27. A medication that is ordered “t.i.d.” is best given at: 28. An appropriate IV solution for the nurse to use as a piggyback with a blood transfusion is: ....................................continued......................................................