NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. Exhibits Review H and P, nurse's notes, laboratory results, and prescriptions. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the practical nurse (PN) should take to address that condition, and two parameters the PN should monitor to assess the client's progress.
      ✓Include protein supplement shakes in the client's diet
      ✓Advance diet to regular as tolerated
      ✓Protein deficiency
      ✓Signs of infection
      ✓Wound healing
      Actions to Take
      ✓Include protein supplement shakes in the client's diet
      ✕Place a feeding tube and start enteral feeds
      ✕Add table salt to any broth that the client takes
      ✓Advance diet to regular as tolerated
      Potential Conditions
      ✕lodine deficiency
      ✕Glucose deficiency
      ✕Sodium deficiency
      ✓Protein deficiency
      Parameters to Monitor
      ✕Neck circumference
      ✓Signs of infection
      ✕Point of care blood glucose
      ✕Heart rhythm
      ✓Wound healing
    2. In assisting a dyspneic client with morning care, which action by the practical nurse (PN) is most important?
      A)
      Schedule frequent rest periods during care.
      B)
      Assist the client to a chair before making the bed.
      C)
      Ask the client about his usual morning routine.
      D)
      Encourage the client to participate in the care.
    3. The practical nurse (PN) is providing care for a client with a history of a stroke and who has aphasia. The client is exhibiting restlessness, shallow respirations and is clenching teeth. Which problem should the PN assess further?
      A)
      Alteration in comfort.
      B)
      Deficit in diversional activity.
      C)
      Elevated blood pressure.
      D)
      Change in blood glucose level.
    4. The practical nurse (PN) turns a client with right sided paralysis from a supine to a left lateral position. Which bony prominence is most likely to manifest signs of erythema when first turned?
      A)
      Sacrum.
      B)
      Ischial tuberosities.
      C)
      Lateral malleolus
      D)
      Iliac crest.
    Page 1 of 15

    Exam Review

    1. One week after beginning a new prescription for potassium chloride, a client tells the practical nurse (PN) that there is tingling and numbness in the feet and hands. Which action should the PN take?
      A)
      Notify the unit charge nurse of the client's reported symptoms immediately.
      B)
      Reassure the client that the supplement will soon relieve those symptoms.
      C)
      Explain that a calcium supplement may be necessary.
      D)
      Encourage the client to decrease the intake of dietary sodium.
    2. An older adult client with a stage one sacral pressure wound is discharged with instructions for home care. Which information should the practical nurse reinforce with the client?
      A)
      Apply lotion to sacrum.
      B)
      Use wet-to-dry dressings daily.
      C)
      Elevate head of bed 30 degrees.
      D)
      Change positions every 2 hours.
    3. A client on a prescribed full liquid diet has a nursing problem of, "Risk for impaired skin integrity related to reduced oral intake." Which snack would be best to provide this client?
      A)
      A liquid nutritional supplement that contains protein.
      B)
      Beef broth, or chicken broth.
      C)
      Fortified lowfat milk.
      D)
      Apple or grapefruit juice.
    4. A client on a prescribed full liquid diet has a nursing problem of, "Risk for impaired skin integrity related to reduced oral intake." Which snack would be best to provide this client?
      A)
      A liquid nutritional supplement that contains protein.
      B)
      Beef broth, or chicken broth.
      C)
      Fortified lowfat milk.
      D)
      Apple or grapefruit juice.
    Page 2 of 15

    Exam Review

    1. The practical nurse (PN) observes a client's mouth and lips as seen in the picture. Which follow-up action is most important for the PN to take?
      A)
      Offer fluids.
      B)
      Administer oxygen.
      C)
      Ask about pain.
      D)
      Provide mouth care.
    2. After accepting employment in a state different from where a practical nurse (PN) is currently employed, it is most important for the PN to review which reference?
      A)
      Standards of practice for practical nursing.
      B)
      The licensing state's PN scope of practice.
      C)
      Geriatric standards of care guidelines.
      D)
      The employing agency's procedure manuals.
    3. The unlicensed assistive personnel (UAP) working in a small community hospital obtains 0800 vital sign measurements of clients on the unit. In reviewing these vital signs, which measurement warrants immediate intervention by the practical nurse?
      A)
      An older adult with a blood pressure of 140/88 mm Hg.
      B)
      An adult who has a respiratory rate of 18 breaths/minute.
      C)
      A preschooler with an oral temperature of 98.2° F (36.7° C).
      D)
      A one-month-old infant with a heart rate of 80 beats/minute.
    4. Exhibits Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. The client is eating a diet with dropdownof fat, which indicates that the clientdropdown
    Page 3 of 15

    Exam Review

    1. While performing a physical assessment on a client with chronic obstructive pulmonary disease (COPD), the practical nurse (PN) determines that the client's respiratory rate is 30 breaths/minute. When the PN begins to assess the client's range of motion (ROM), which is the best plan to implement?
      A)
      Limit ROM assessment to the lower extremities only.
      B)
      Defer ROM assessment because of the respiratory rate.
      C)
      Ask client to perform flexion and extension of arms 5 times.
      D)
      Observe the client performing lateral flexion of the waist.
    2. The healthcare provider (HCP) prescribes a continuous delivery of 250 mL half strength tube feeding to be infused every 8 hours for a client with a gastrostomy tube (GT). The practical nurse (PN) should program the enteral pump to deliver how many mL/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
    3. The practical nurse (PN) is preparing to provide a change of shift report when an oncoming nurse arrives, appearing intoxicated, and who describes to another colleague about drinking all afternoon and almost forgetting to come to work. Which action should the PN take first?
      A)
      Notify the nursing board.
      B)
      Submit an incident report.
      C)
      Email the nurse manager.
      D)
      Inform the charge nurse.
    4. The healthcare provider (HCP) prescribes a continuous delivery of 250 mL half strength tube feeding to be infused every 8 hours for a client with a gastrostomy tube (GT). The practical nurse (PN) should program the enteral pump to deliver how many mL/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
    Page 4 of 15

    Exam Review

    1. An older adult client with metastatic lung cancer is experiencing shortness of breath as the result of bilateral pneumonia. The client has previously expressed an interest in hospice care. Which information should the practical nurse (PN) reinforce with the client and family regarding hospice care? Select all that apply.
      A)
      Medications are limited to managing pain.
      B)
      Care can be provided in the home.
      C)
      Care focuses on quality of life at the end of life.
      D)
      Curative measures are optional.
      E)
      Family is responsible for care decisions.
    2. Exhibits The practical nurse (PN) calls the healthcare provider to notify them that the heart rate is too low to administer the digoxin. Place the nurse statements in Situation, Background, Assessment, Recommendation (SBAR) format. Each column must have at only one answer selected.
      A)
      I am holding the digoxin because the client's heart rate is too low.
      B)
      The client is a 59-year-old male with hypertension and heart failure. He is currently taking furosemide and digoxin.
      C)
      Do you want to recheck the digoxin level to see if there is toxicity? I will monitor the client's heart rate, blood pressure, and perfusion with a continuous monitor until his heart rate returns to normal.
      D)
      Heart rate is 48 beats/minute, blood pressure is 109/76 mm Hg.
    3. To reduce a client's risk for footdrop, which action should the practical nurse (PN) implement?
      A)
      Use a gait belt during ambulation.
      B)
      Elevate the feet while in bed.
      C)
      Begin range of motion exercises.
      D)
      Apply compression stockings.
    4. In providing daily catheter care for a client with a condom catheter, which action should the practical nurse (PN) include?
      A)
      Wash around the catheter insertion site with soap and water.
      B)
      Cleanse around the condom with an antibacterial cleansing agent.
      C)
      Remove the condom and cleanse the penis with soapy water.
      D)
      Loosen the condom and apply an antibacterial ointment.
    Page 5 of 15

    Exam Review

    1. A practical nurse (PN) is providing care to a client who recently received a terminal illness diagnosis. Which question by the PN is the highest priority when assessing anticipatory grief?
      A)
      "Have you experienced anxiety or anger?"
      B)
      "Have you been able perform daily activities?"
      C)
      "Have you had suicidal thoughts?"
      D)
      "Have you joined any support groups?"
    2. The practical nurse (PN) is performing a focused assessment on a client who is experiencing insomnia. The PN should gather additional information about which factor(s)? Select all that apply.
      A)
      Effects of sleep loss.
      B)
      Bedtime rituals.
      C)
      Alcohol consumption.
      D)
      Sleep expectations.
      E)
      Current life events.
    3. During vital sign assessment of a client, the practical nurse (PN) counts the left radial pulse at 88 beats/minute, and the pulse oximeter clipped to a finger on the left hand records a pulse rate of 68 beats/minute with an oxygen saturation of 95%. Which of the following should the PN do first?
      A)
      Notify the charge nurse.
      B)
      Reposition the oximeter clip.
      C)
      Document the conflicting data.
      D)
      Measure the blood pressure.
    4. The practical nurse (PN) assigns an unlicensed assistive personnel (UAP) the task of transferring an alert client from the bed to the chair. The UAP reports to-the PN that the client is confused and cannot bear weight. Which action should the PN implement?
      A)
      Show the UAP how to use a transfer belt to safely move the client.
      B)
      Work with the UAP to use a mechanical lift and sling for the transfer.
      C)
      Instruct the UAP to use a pivot technique when moving the client.
      D)
      Notify the charge nurse that the client can not be transferred.
    Page 6 of 15