Exam Review

The practical nurse (PN) applies oxygen at 2 liters/minute via nasal cannula to a client with dyspnea. Thirty minutes later the client's oxygen saturation reading is 98% and the client continues to report feeling short of breath. Which action should the PN take?
A)
Discontinue the oxygen.
B)
Continue at 2 liters/minute.
C)
Increase to 3 liters/minute.
D)
Decrease to 1 liter/minute.
Review H and P and nurses' note 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 ▾ 21 to 24% of fat, which indicates that the client ▾ has an appropriate fat intake for calories
Dropdown 1:
Option 1: 21 to 24%
Option 2: 14 to 19%
Option 3: 26 to 20%
Option 4: 33 to 35%
Dropdown 2:
Option 1: should reduce his fat intake
Option 2: should increase his fat intake
Option 3: has an appropriate fat intake for calories
Option 4: should decrease his caloric intake
The practical nurse (PN) is reinforcing discharge teaching with a client. Which teaching approach should the PN use to facilitate learning and to reach client- centric goals?
A)
Apply consequential punishment.
B)
Encourage self-determination.
C)
Reward positive behavior.
D)
Implement negative reinforcement.
The practical nurse (PN) is preparing a client with tuberculosis for transfer to another room. Which action should the PN implement?
A)
Use a particulate respirator mask during transport.
B)
Give the client a surgical mask for transport.
C)
Ensure a stocked isolation cart is outside the room.
D)
Place a blood pressure machine in the room.

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Exam Review

A client with lung cancer is receiving hospice care at an inpatient facility. Currently, the client's heart rate is 46 beats/minute, respirations are 10 breaths/minute, and the blood pressure is 73/49 mm Hg. The client tells the practical nurse (PN) that, "I am ready to make peace with God." Which intervention should the PN implement?
A)
Invite family and staff to pray at the client's bedside.
B)
Encourage client to remain hopeful for recovery.
C)
Contact the facility's chaplain for spiritual support.
D)
Ask family to request that the client's clergy visit.
A healthcare provider prescribes "enemas until clear" for a client who is being prepared for bowel surgery. Which directions should the practical nurse (PN) provide to the unlicensed assistive personnel (UAP) performing this task?
A)
Use 2 sodium biphosphate enemas, If content of return is not clear, give a third enema
B)
Give as many tap water enemas as needed until the return contains no solid fecal matter.
C)
Administer 2 tap water enemas and then document the results obtained.
D)
Give up to 3 tap water enemas. If the return still has formed stool, consult PN before continuing
An ambulatory client with an indwelling urinary catheter is requesting to take a shower for the first time. Which is the best intervention for the practical nurse (PN) to implement?
A)
Clamp the catheter and assist the client with a tub bath
B)
Assist the client with a sponge bath in a chair or the bed.
C)
Encourage the client to do self care and provide personal care products.
D)
Keep the catheter intact and assist the client with a shower.
The practical nurse (PN) is reinforcing teaching with a client on the proposed plan of care. Which step(s) should the nurse implement to facilitate the client's adherence to a plan of care? Select all that apply.
(SATA)
A)
Offer teaching that supports the desired plan outcome.
B)
Assume the client has no knowledge of the plan of care.
C)
Ensure that the client independently decides the timeline.
D)
Include the client in the planning process.
E)
Set realistic goals that are acceptable to the client.

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Exam Review

The practical nurse (PN) tells the unlicensed assistive personnel (UAP) that an immobile client is at risk for the development of contractures. The UAP replies that compression stockings have been applied to the client's lower extremities. Which action should the PN take next?
A)
Instruct the UAP to remove the stockings until the client is more mobile.
B)
Demonstrate how to pivot the client from the bed to a bedside chair.
C)
Teach the UAP that the client needs to begin range of motion exercises.
D)
Reinforce the benefits of these stockings in preventing contractures.
The practical nurse (PN) is caring for a hospice client who requests a priest for the "Last Rites." Which should be the next response by the PN?
A)
Propose to notify the family of the request.
B)
Explore the client's thoughts about dying.
C)
Suggest that the hospital chaplain is available.
D)
Offer to contact the priest for the client.
Patient Data Which should the practical nurse (PN) do immediately after intestinal tissue is noted protruding from the wound? Select all that apply.
A)
Assist the client to cough and deep breathe
B)
Hold pressure on the dressing
C)
Have a registered nurse (RN) insert a peripheral IV (PIV)
D)
Transport the client to the operating room
E)
Cover the wound with sterile gauze soaked in sterile saline
F)
Encourage the client to drink fluids
G)
Notify the surgeon
H)
Place the client in low-Fowlers with knees bent
The practical nurse (PN) is caring for a male client whose height is 5 feet 11 inches (180.34 cm), with a body mass index (BMI) of 31.7 kg/m2. The client is employed as an air traffic controller and informs that he is currently dating and enjoys getting together with friends each weekend. Which health promotion action is most important for the PN to discuss with the client? Reference range: Body Mass Index (BMI) [normal 18.0 to 24.9 kg/m2]
A)
Achieving a healthy weight and active lifestyle.
B)
Developing awareness of cancer prevention strategies.
C)
Avoiding all drug, alcohol and tobacco use.
D)
Managing stress at work and in daily home life.

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Exam Review

The practical nurse (PN) is providing care for a client with a nasal cannula. The PN removes the cannula and observes the client's skin for pressure areas caused by the cannula. Which areas should the PN observe? Select all that apply.
A)
Around the nostrils.
B)
Bridge of the nose.
C)
Tops of the ears.
D)
Over the cheeks.
E)
Across the forehead.
The practical nurse (PN) is a member of a renal transplant healthcare team. Which action is within the scope of practice of the PN?
A)
Develop processes for community organ donor and recipient screening programs.
B)
Manage clients in acute transplant rejections until the emergency is resolved.
C)
Perform initial assessments for organ damage in acute transplant rejections.
D)
Reinforce client teaching about medications and lifestyle management.
The practical nurse (PN) is reviewing the healthy eating objectives for Healthy People 2030. Which objective(s) are part of the nutritional goals? Select all that apply.
A)
Increase healthcare provider office visits for obese adults.
B)
Reduce iron deficiency among females of childbearing ages.
C)
Reduce the number of students using school eating programs,
D)
Increase worksites offering health promotion programs.
E)
Increase the consumption of saturated fats in children.
Which interventions can the practical nurse (PN) implement to help minimize the risk of falls in a client who has been identified as having a high fall risk? Select all that apply.
A)
Ensure all four side rails of the bed are in upright position.
B)
Perform hourly bedside rounds.
C)
Keep bed in lowest position.
D)
Place client in a room close to the nurses' station.
E)
Use chair and bed alarms.

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Exam Review

The practical nurse (PN) places a temporal artery temperature scanner on a client's forehead as seen in the picture. What should the PN do next?
A)
Locate the temporal artery.
B)
Remove excess lubricant.
C)
Swipe the scanner across the forehead.
D)
Note the digital temperature reading.
The practical nurse (PN) is reinforcing teaching about covering a surgical wound with an adult leaner. Which adult learning approach will best support the client in learning a new skill?
A)
Use active listening skills.
B)
Advise about community resources.
C)
Assess the client's life experiences.
D)
Explore several treatment options.
A client requests heat therapy for lower back pain. Which action should the practical nurse (PN) take?
A)
Use a plastic barrier for retention of heat.
B)
Obtain a prescription for heat application.
C)
Assess skin every 30 minutes after application.
D)
Demonstrate use of temperature control.
The practical nurse (PN) is implementing care for the client. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the PN should take to address that condition, and two parameters the PN should monitor to assess the client's progress.

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Exam Review

After the practical nurse (PN) transfers a stool specimen for ova and parasite (O&P) testing to the appropriate container, and places it in a plastic bag with the correct requisition slip, which action should the PN implement?
A)
Empty and clean specimen hat or bedpan.
B)
Document procedure and observations.
C)
Send specimen to the laboratory STAT.
D)
Place the specimen in the refrigerator.
When completing a focused skin assessment of a client, the practical nurse (PN) notices erythema on the client's right hip. Which should the PN include in the client's plan of care?
A)
Apply moisturizing cream to the affected area.
B)
Reposition the client every 2 hours.
C)
Lift the client using incontinent pads.
D)
Perform range of motion every 4 hours.
The practical nurse (PN) observes that an unlicensed assistive personnel (UAP) is measuring the blood pressure of a client with an arteriovenous fistula in the left lower arm and a cast on the right arm. The UAP applies the blood pressure cuff on the client's thigh with the bladder over the anterior thigh directly above the knee. Which instruction should the PN provide?
A)
The bladder of the blood pressure cuff should be positioned over the posterior aspect of the thigh.
B)
The lower edge of the blood pressure cuff needs to be positioned six inches above the knee.
C)
The blood pressure measurement will be more accurate if taken in the client's left upper arm.
D)
Subtract 20 mm when recording the systolic measurement due to use of the larger sized cuff.
Prior to administering a scheduled medication, the practical nurse (PN) compares the client's stated name with the identification band and medication administration record. Which action should the PN take next?
A)
Ask about any known allergies.
B)
Explain the drug's purpose.
C)
Confirm the client's date of birth.
D)
Scan the medication label.

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