All practice questions

A 78-year-old client with pneumonia is admitted to the medical-surgical unit and begins exhibiting signs of acute confusion, repeatedly attempting to climb over the bed rails. The healthcare provider evaluates the client and prescribes a physical vest restraint. Which actions are appropriate for the practical nurse (PN) to include in the plan of care? Select all that apply.

A practical nurse (PN) discovers a confused client actively pulling at their newly inserted chest tube. After calling for assistance and attempting verbal de-escalation without success, the charge nurse initiates the emergency application of soft wrist restraints. Arrange the following actions in the correct chronological sequence for safe restraint application and management.

A practical nurse is assisting with the admission of a client who has just returned to the nursing unit following a percutaneous liver biopsy. Which of the following positions should the nurse assist the client into?

A facility policy requires staff to wear an isolation gown, an N95 respirator, a face shield, and clean gloves when providing tracheostomy care for a client on airborne and contact precautions. Which sequence should the practical nurse use to put on these protective items prior to the procedure?

The nursing team on an oncology unit is organizing the workflow for the shift. Match each clinical task with the nursing team member who is legally and safely permitted to perform it based on standard scope of practice.

A practical nurse is assigned to care for a client who is 18 hours postpartum following a forceps-assisted vaginal delivery at 40 weeks of gestation, along with her newborn. Which of the following actions by the practical nurse are appropriate? Select all that apply.

A practical nurse (PN) is caring for a client who is scheduled for an elective surgical procedure in two hours. The surgeon previously discussed the procedure with the client and left the consent form on the chart. When the PN prepares to witness the client's signature, the client states, "I know I need the surgery, but the doctor mentioned some alternative treatments and I cannot remember what they were." Which action is legally required of the PN?

A spouse hurriedly approaches the unit desk, visibly upset after speaking with the healthcare provider. The spouse demands that nursing staff administer an anti-anxiety medication to their partner, stating, 'They just refused any further chemotherapy, but they need it to survive! Just give them a pill so we can get them to the infusion center.' The client is awake, oriented, and possesses the legal capacity to make healthcare decisions. Which action should the practical nurse take in response to this demand?

A practical nurse is preparing to assess the uterine involution of a multiparous client who is 12 hours postpartum. In which order should the nurse perform the following actions to safely and accurately assess the fundus? (Arrange the steps in the correct sequence from first to last.)

An adult client who was recently diagnosed with bacterial conjunctivitis is prescribed ciprofloxacin ophthalmic solution. The practical nurse enters the client's room to instill the medication. In which order should the nurse perform the following actions? Arrange the steps in the correct chronological sequence from first to last.

A client undergoing treatment for severe pneumonia is on the second day of hospitalization and begins displaying coarse tremors, diaphoresis, and severe agitation. The client repeatedly attempts to remove their peripheral intravenous (IV) catheter. With the registered nurse (RN) temporarily unavailable, which action should the practical nurse (PN) take first to protect the client from self-injury?

A client is in the preoperative holding area of an ambulatory surgery center preparing for an elective procedure. The surgeon has just left the cubicle after discussing the surgery. As the practical nurse (PN) approaches to finalize the preoperative checklist and witness the informed consent, the client states, "The doctor talked to me, but I am still not entirely sure what happens if I choose not to have this done." Which of the following actions are legally and ethically appropriate for the PN to take? Select all that apply.

An alert, oriented, and independently mobile resident in a skilled nursing facility tells the practical nurse (PN), "I am packing my bags. I am leaving this place today to move in with my sibling." The resident's adult child recently instructed the staff, "Do not let my parent leave the building under any circumstances." Which action is most appropriate for the PN to take?

A practical nurse is assigned to care for a client who is on contact precautions for a vancomycin-resistant enterococcus (VRE) infection. When preparing to measure the client's vital signs, which action should the nurse take to maintain proper infection control?

An older adult client is receiving morning care 48 hours after undergoing a right above-the-knee amputation. When implementing hygiene, mobility, and comfort measures, which actions are appropriate for the practical nurse to take? Select all that apply.

A practical nurse (PN) is caring for a client with a right fractured femur who is placed in Buck's skin traction. Upon entering the room, the PN notes that the client has slid down toward the foot of the bed, causing the traction weights to rest against the bed frame. Which action by the PN demonstrates correct ergonomic principles and safe use of traction equipment?

A practical nurse (PN) works in an outpatient clinic. A coworker takes a selfie at the nursing station and posts it to a personal social media account. The PN notices that an electronic health record (EHR) screen is visible in the background of the photo, clearly displaying a client's full name and date of birth. The coworker states, 'My account is completely private, so only my friends can see it.' Which of the following actions should the PN take?

A nurse is evaluating a client on the maternity unit who delivered a term newborn 10 hours ago via an uncomplicated vaginal birth. Which of the following findings should the nurse identify as expected and normal during this time? (Select all that apply.)

A practical nurse (PN) is assigned to care for a client with active tuberculosis who is in a negative-pressure isolation room. Upon approaching the room to administer scheduled oral medications, the PN observes through the hallway window that the client is experiencing sudden, severe agitation and is attempting to climb over the raised bed rails. Which is the priority action for the PN to prevent client injury and maintain safety?

While providing care on a high-acuity step-down unit, a licensed practical/vocational nurse (LPN/VN) must prioritize various clinical demands. Which of the following actions by the LPN/VN is legally appropriate and within their scope of practice?