All practice questions

A practical nurse is caring for an adult client who weighs $143\text{ lb}$ and is prescribed cyclosporine oral solution. The prescribed dosage is $8\text{ mg/kg/day}$ divided into two equal doses. The pharmacy dispenses cyclosporine oral solution $100\text{ mg/mL}$. How many mL should the nurse administer for one dose?

Record your answer using one decimal place. Do not include units in your answer.

A practical nurse (PN) is caring for a client being treated for a pulmonary embolism. The client is receiving a continuous intravenous heparin infusion. The health care provider prescribes oral warfarin $5\text{ mg}$ daily to begin today. The client's morning laboratory results show an activated partial thromboplastin time (aPTT) of $115\text{ seconds}$ (control: $30\text{ seconds}$) and an International Normalized Ratio (INR) of $1.1$. The PN assesses the client and notes a blood pressure of $98/62\text{ mm Hg}$ (baseline $136/84\text{ mm Hg}$) and a heart rate of $108\text{ bpm}$ (baseline $74\text{ bpm}$).

Which of the following is the priority action for the practical nurse to take?

During evening rounds at a continuous care retirement community, a practical nurse observes that a 79-year-old resident is newly disoriented, highly agitated, and repeatedly attempting to climb over the bed rails. Which actions should the nurse take? (Select all that apply.)

A client who is 12 hours postoperative following a lumbar spinal fusion is resting supine in bed. The client suddenly reports severe nausea and begins to actively vomit. Which action should the practical nurse implement first?

A practical nurse (PN) is reinforcing lifestyle modifications for a 42-year-old client with a sedentary occupation, obesity, and a recent diagnosis of essential hypertension. The client expresses frustration about changing their dietary habits and physical activity. Which of the following actions should the PN take? Select all that apply.

An adult client is receiving care on a medical unit shortly after undergoing a percutaneous liver biopsy. Upon entering the room, the practical nurse observes that the client is resting flat on their back and reporting mild soreness in the right upper abdomen. Which of the following positioning actions is the priority for the practical nurse to implement?

A client with suspected acute cocaine toxicity is brought to the emergency department. The client is profoundly restless, diaphoretic, and reports severe, crushing chest pain. In what order should the practical nurse (PN) prioritize the following actions? Arrange the actions from first to last.

A practical nurse (PN) is performing a 2-hour post-procedure assessment on a client who underwent a left-sided thoracentesis with 1,200 mL of pleural fluid removed. The client's medical history includes hypertension managed with daily metoprolol. The client reports a new, persistent dry cough but denies dyspnea. Current vital signs are: heart rate 86 bpm (baseline 64 bpm), blood pressure 104/66 mm Hg (baseline 142/86 mm Hg), and respiratory rate 18 breaths/min. Which action should the PN take first?

A client is recovering in the surgical unit 3 days after a permanent colostomy placement. The client refuses to look at the stoma, turns their head away during pouch changes, and states, "Just do what you have to do so I can go to sleep." Which actions by the practical nurse (PN) are appropriate to support the client's coping? Select all that apply.

A practical nurse is providing morning care for a client who is recovering from a right total hip arthroplasty performed one day ago. Which of the following basic care and comfort measures are appropriate for this client? (Select all that apply)

Upon entering a client's room to administer a prescribed oral analgesic, the practical nurse observes that the client is awake and watching television. Which action must the nurse take to correctly identify this client before giving the medication?

A client who is postmenopausal presents to the community clinic to discuss bone health strategies. The client states, "I know I need more calcium, but my religious beliefs prohibit consuming dairy and meat at the same time. To avoid making a mistake, I simply skip dairy altogether." Which response by the practical nurse is most appropriate?

A practical nurse (PN) is preparing to administer morning medications to a client who is 2 days postoperative following a bowel resection. The client is receiving continuous intravenous (IV) fluids.

Current client data:

Which of the following medication administration actions by the PN are appropriate? (Select all that apply.)

An older adult with a history of heart failure received a scheduled dose of an intravenous loop diuretic at $0800$. By $1000$, the urinary catheter drainage bag contains $850\text{ mL}$ of clear yellow urine. The latest laboratory report indicates a serum potassium level of $3.1\text{ mEq/L}$ ($3.1\text{ mmol/L}$). Current vital signs include a blood pressure of $102/58\text{ mm Hg}$, a heart rate of $110\text{ beats per minute}$, and respirations of $18\text{ per minute}$. Based on these findings, which action should the practical nurse take first?

A practical nurse is assisting with the monitoring of a client who recently underwent a bedside thoracentesis to remove pleural fluid. Which of the following post-procedure assessment findings require immediate escalation to the registered nurse? (Select all that apply)

An older adult client is receiving care for a history of peptic ulcer disease. The client suddenly appears pale and anxious. The practical nurse measures the client's vital signs and notes a heart rate of 124 beats per minute and a blood pressure of 96/52 mm Hg. Which of the following actions is the priority for the nurse?

A practical nurse is providing care for a hospitalized client who observes traditional Orthodox Jewish practices and is scheduled for surgery the next morning. Which of the following actions by the practical nurse are appropriate? (Select all that apply.)

A practical nurse and an unlicensed assistive personnel (UAP) are preparing to reposition a client who is 24 hours postoperative following a right total hip arthroplasty (posterior approach). Arrange the following actions in the correct sequence to safely turn the client onto their left side.

A practical nurse is reinforcing teaching with a group of new parents about expected fine motor development during the first year of life. Arrange the following fine motor milestones in the chronological order in which they typically develop, from earliest to latest. All options must be used.

A practical nurse is preparing to administer a large-volume cleansing enema to an adult client who is experiencing constipation. Arrange the following actions in the correct sequence. (Place the first action at the top and the final action at the bottom.)