All practice questions

A practical nurse is preparing to obtain a capillary blood glucose measurement for a client with diabetes mellitus. In which order should the nurse perform the following actions to ensure an accurate result and reduce the risk of complications? Arrange the steps from first to last.

A practical nurse is preparing to administer an intramuscular injection of iron dextran to an adult client diagnosed with severe iron deficiency anemia (hemoglobin 7.2 g/dL). To prevent medication leakage and permanent skin staining, the nurse must use the Z-track method. Arrange the following steps of the Z-track administration technique in the correct chronological order.

A practical nurse is talking with the parent of a 14-year-old client during a community health fair. The parent expresses concern that the adolescent spends significant time grooming, frequently alters their clothing style, and prioritizes peer group activities over family events. Based on expected developmental stages, what is the most appropriate information for the nurse to reinforce?

A client with end-stage chronic obstructive pulmonary disease (COPD) has just been transitioned to comfort care measures. The client's adult child yells at the practical nurse (PN), "You are all just giving up! There must be another medication you can try!" Which response by the PN is the most therapeutic?

During morning rounds on the orthopedic unit, a practical nurse evaluates a client who underwent a right total knee arthroplasty (TKA) earlier today. To promote safety and optimal joint recovery, which basic care and comfort measures must the nurse incorporate into the plan of care? Select all that apply.

A client who underwent a lumbar laminectomy the previous day requires morning care. To ensure safety and comfort, which actions should the practical nurse incorporate into the care plan? Select all that apply.

A client who is observing a religious month of daytime fasting is discussing lifestyle choices for weight management with the practical nurse. The client states, "I tend to overeat heavy, fried foods during the evening meal after fasting all day." Which response by the nurse is most appropriate?

A practical nurse (PN) is observing a client who is receiving continuous enteral tube feedings. The client suddenly begins coughing forcefully and appears dyspneic. Arrange the following nursing actions in the priority order the PN should perform them.

A 45-year-old client on a medical unit is prescribed antibiotic ear drops for an acute outer ear infection. Which of the following techniques should the practical nurse use when administering this medication?

During morning rounds, a client is scheduled to receive a daily dose of levothyroxine $75\text{ mcg}$ PO. The practical nurse accesses the automated dispensing cabinet and retrieves a scored tablet labeled $0.15\text{ mg}$. Upon seeing the prepared medication, the client remarks, 'I always take a pink pill for my thyroid, but this one is white. Is there a mistake?' Which action should the practical nurse take next?

A practical nurse (PN) is evaluating a client two hours after a percutaneous liver biopsy. Which assessment finding requires immediate notification to the registered nurse (RN)?

An older adult resident in a long-term care facility suddenly becomes withdrawn, disoriented to time, and begins pacing the hallway aimlessly. The resident's documented baseline status is alert, oriented, and highly engaged in daily social activities. Which action should the practical nurse take first?

An older adult client is recovering on the surgical unit $12$ hours after a transurethral resection of the prostate (TURP) with ongoing continuous bladder irrigation (CBI). While performing a focused assessment, the practical nurse (PN) notes several clinical changes. Which of the following findings represent emergent complications that must be immediately reported to the registered nurse (RN)? Select all that apply.

A practical nurse is monitoring a client who underwent a percutaneous liver biopsy 3 hours ago. The client's current vital signs are blood pressure 102/64 mm Hg, pulse 98 beats/minute, and respirations 20 breaths/minute. Two hours ago, the blood pressure was 126/78 mm Hg and the pulse was 72 beats/minute. The client now reports a new onset of dull right shoulder pain. Which action should the nurse take first?

A practical nurse (PN) receives a clear liquid diet tray for a client who observes traditional Hindu dietary practices. The tray contains beef broth, apple juice, lemon gelatin, and hot tea. Which action should the PN take first?

During bedside handoff in a surgical step-down unit, a practical nurse reviews the clinical data of a young adult client who underwent a laparoscopic splenectomy earlier in the day. The client is drowsy but rouses to verbal stimuli. The flow sheet indicates that over the past three hours, the client's heart rate has climbed from 82 to 118 beats per minute, and blood pressure has narrowed from 120/78 to 106/82 mmHg. The client reports new, mild left shoulder pain and slight abdominal fullness. Based on these clinical findings, which action is the priority for the practical nurse to implement?

A practical nurse is assigned to care for a client who receives continuous medical nutrition via a percutaneous endoscopic gastrostomy (PEG) tube. The client recently underwent a complex lumbar laminectomy that was complicated by a dural tear. The surgeon has prescribed strict bed rest in a completely flat (0-degree) supine position to prevent a cerebrospinal fluid leak. Which action should the practical nurse implement to safely manage this client's basic care needs?

An older adult client with a history of heart failure suddenly becomes highly restless, confused, and demonstrates a respiratory rate of 30 breaths per minute. Which intervention should be prioritized immediately?

A practical nurse is assisting an 84-year-old client who experiences age-related dysphagia and a diminished gag reflex with their meal. To prevent aspiration and promote safe swallowing, arrange the nursing actions in the correct chronological order.

A practical nurse is providing care for a client who has just returned to the unit following a percutaneous liver biopsy. The nurse is preparing to assist the client into a resting position. Which position is most appropriate to promote client safety and prevent bleeding complications?