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    Exam Review

    1. When a patient is being administered a 20% mannitol intravenous (IV) solution at a rate of 100 g/24 hours (or 70 mg/min), which outcome data should the practical nurse (PN) prioritize in collection?
      A)
      Heart rate
      B)
      Ankle circumference
      C)
      Urinary output
      D)
      Dietary intake
      E)
      None
      F)
      None
    2. Prior to administering the H. pylori treatment regimen, which medication should the practical nurse (PN) check in the electronic medical record?
      A)
      Aspirin
      B)
      Famotidine
      C)
      Loperamide
      D)
      Ipratropium
      E)
      None
      F)
      None
    3. Amitriptyline, a tricyclic antidepressant, is prescribed for an adult client who is clinically depressed. The client is admitted to the hospital due to suicidal ideation five days after starting the medication. The client informs the practical nurse (PN) that the medication isn’t working as suicidal thoughts persist. What information should the PN provide?
      A)
      A review of the medication regimen is required due to the poor drug response.
      B)
      A dosage increase may be needed, which requires in-hospital evaluation.
      C)
      Therapy sessions may be needed to enhance the medication’s action on depression.
      D)
      Antidepressant medication can take 2 to 4 weeks to become effective.
    4. What action should the practical nurse (PN) instruct the client to perform prior to the instillation of nasal drops?
      A)
      Use a tissue to clear the nose.
      B)
      Inhale deeply through the nose.
      C)
      Hold the breath temporarily.
      D)
      Exhale deeply through the nose.
    Page 1 of 10

    Exam Review

    1. Which of the assessment finding represents a therapeutic result of the Bisacodyl administered?
      A)
      Pain rating 2/10
      B)
      Non-blanchable red area
      C)
      Blood pressure 135/81 mmHg
      D)
      Sinus tachycardia
      E)
      Itching in legs
      F)
      Semifluid stool
      G)
      Burning sensation .
    2. A patient with an overactive bladder has recently started taking oxybutynin. What observation should the practical nurse (PN) report to the charge nurse during the patient’s assessment prior to administering the medication?
      A)
      Diminished urinary urgency.
      B)
      Reduced urinary frequency.
      C)
      Decreased urinary output.
      D)
      Less frequent urinary incontinence.
    3. The practical nurse (PN) is managing a patient who is receiving fentanyl subcutaneously (SubQ) every hour for pain control. The patient’s pain level remains at 8 on a 10-point scale. What is the most appropriate action for the PN to take?
      A)
      Request an increased dose from the healthcare provider.
      B)
      Continue monitoring the patient and assessing the pain level.
      C)
      Initiate non-pharmacological methods of pain control.
      D)
      Inform the patient about the potential addictiveness of the medication.
    4. A 12-year-old child is undergoing a blood transfusion via an infusion pump and begins to complain of “itchy skin” 15 minutes after the start of the blood unit. The child appears flushed. What action should the practical nurse (PN) take?
      A)
      Stop the transfusion.
      B)
      Prepared by Dr Paul Mugo
      C)
      11 Page of 77
      D)
      Inspect the infusion site.
      E)
      Apply lotion to the skin.
    Page 2 of 10

    Exam Review

    1. Four hours after administering promethazine to a male patient, the practical nurse (PN) takes his temperature. When the patient asks the PN about the reason for taking his temperature, how should the PN respond?
      A)
      Encourage the patient to share his concerns about the care plan.
      B)
      Explain the need to assess for medication side effects.
      C)
      Assure that vital signs are routinely taken every four hours.
      D)
      Describe how the medication works to lower body temperature.
      E)
      None
      F)
      None
    2. The practical nurse (PN) is caring for a patient with human immunodeficiency virus (HIV) who is receiving a nucleoside/nucleotide reverse transcriptase inhibitor (NRTI). The patient reports experiencing malaise, fatigue, and anorexia. The PN observes the patient’s respirations are 30 breaths/minute. Which laboratory result is most important for the PN to review?
      A)
      Liver function tests.
      B)
      Arterial blood gases.
      C)
      Complete blood count.
      D)
      Basic metabolic panel.
    3. A patient with Paget’s disease has been prescribed alendronate. What information should the practical nurse (PN) emphasize to the patient?
      A)
      Wear protective clothing when in direct sunlight.
      B)
      Suck on hard candy to increase oral secretions.
      C)
      Drink 8 ounces (240 mL) of mineral water with each dose.
      D)
      Lay supine for 30 minutes after taking the medication.
      E)
      None
      F)
      None
    4. A patient with tuberculosis returns to the clinic for daily antibiotic injections for a urinary infection. The patient has been taking antitubercular medications for 10 weeks and reports ringing in the ears. Which prescribed medication should the practical nurse (PN) report to the healthcare provider?ider?
      A)
      Pyridoxine with a B complex multivitamin by mouth (PO) daily.
      B)
      Rifampin 600 mg by mouth (PO) daily.
      C)
      Gentamicin 160 mg intramuscular (IM) daily.
      D)
      Isoniazid 300 mg by mouth (PO) daily.
    Page 3 of 10

    Exam Review

    1. A patient has been prescribed intravenous (IV) famotidine. Which observation would indicate to the practical nurse (PN) that the medication is having the desired effect?
      A)
      Decreased nighttime awakenings.
      B)
      Positive stool antigen test.
      C)
      Loss of 3 pounds (1.36 kg) in a month.
      D)
      Reduced epigastric pain.
    2. A patient with angina pectoris has been discharged with a new prescription for nitroglycerin tablets. What is the most important instruction for the practical nurse (PN) to emphasize to the patient regarding the administration of nitroglycerin?
      A)
      Flushing, dizziness, and general body warmth are common occurrences with each sublingual tablet taken.
      B)
      If chest pain is not relieved after taking one nitroglycerin tablet three times at 5-minute intervals, call the emergency medical service (EMS).
      C)
      A pounding headache is a common side effect of both the nitroglycerin patch and the sublingual tablets.
      D)
      Use the nitroglycerin patch for long-term prevention and use the sublingual tablets for acute attacks.
    3. Review the patient data history and physical flow sheet. Mark whether the assessment finding represents a therapeutic result of the minoxidil administered, a nontherapeutic side effect, or an unrelated finding.
      A)
      Mouth dryness
      B)
      Dizziness while sitting up
      C)
      Blood glucose 218 mg/dL
      D)
      Pain rated at 1/10
    4. A patient is receiving tetracycline for Chlamydia urethritis. What instruction should the practical nurse (PN) emphasize?
      A)
      Protect skin from sun exposure.
      B)
      Do not take with grapefruit juice.
      C)
      Wear tampons during menses.
      D)
      Take with meals or milk products.
    Page 4 of 10

    Exam Review

    1. The patient is a 66-year-old male with a history of type 2 diabetes and hypertension. He is on metoprolol, hydrochlorothiazide, and metformin. Recently, he has been having trouble controlling his blood pressure and has also experienced a severe headache. He was directly admitted to the hospital from his primary care physician’s office. Which of the following assessment findings indicates a therapeutic result of the minoxidil administered?
      A)
      Mouth dryness
      B)
      Dizziness while sitting up
      C)
      Blood glucose 218 mg/dl
      D)
      Pain rated at 1/10
    2. A client who is scheduled for colorectal surgery is receiving metronidazole intravenously preoperatively. Which problem should the practical nurse report to the charge nurse?
      A)
      Seizure activity
      B)
      Headache
      C)
      Metallic taste in the mouth
      D)
      Abdominal cramping
    3. A client who is scheduled for colorectal surgery is receiving metronidazole intravenously preoperatively. Which problem should the practical nurse report to the charge nurse?
      A)
      Seizure activity
      B)
      Headache
      C)
      Metallic taste in the mouth
      D)
      Abdominal cramping
    4. The client’s heart rate is 96 beats per minute, blood pressure is 220/129 mmHg, and respiratory rate is 18 breaths per minute. The client is complaining of a headache. Ibuprofen was given as ordered. Furosemide 50 mg IV was also given. What should be the next step in the client’s care?
      A)
      Attach the client to a continuous cardiac monitor
      B)
      Place an indwelling urinary catheter
      C)
      Give a fluid bolus
      D)
      Draw a basic metabolic panel (BMP)
    Page 5 of 10

    Exam Review

    1. A client who had a recent kidney transplant is taking cyclosporin. Which dietary restriction should the practical nurse reinforce with the client and family members?
      A)
      Potatoes
      B)
      Eggs
      C)
      Grapefruit
      D)
      Spinach
    2. The practical nurse applies a preparation with keratolytic properties to both legs of a client with psoriasis. Which finding indicates the desired effect has been achieved?
      A)
      No purulent drainage present from lesions on the legs
      B)
      Affected areas are free of localized redness and swelling
      C)
      Scaly areas of the skin appear softer with less peeling
      D)
      Full range of motion without pain of lower extremity joints . .
    3. Based on the patient’s status at 1600, what should the Practical Nurse (PN) prepare to do immediately? Select all that apply.
      A)
      Attach the patient to a continuous cardiac monitor.
      B)
      Place an indwelling urinary catheter.
      C)
      Administer a fluid bolus.
      D)
      Draw a basic metabolic panel (BMP).
      E)
      Take the patient’s temperature.
      F)
      Prepare for cardioversion.
      G)
      Administer an extra dose of furosemide.
    4. The Practical Nurse (PN) is preparing to administer carbidopa-levodopa to a patient with Parkinson’s disease. Which patient finding requires further assessment before administering the medication?
      A)
      Pill-rolling hand motions.
      B)
      Anorexia.
      C)
      Flat affect.
      D)
      Dizziness.
    Page 6 of 10