All practice questions

An alert and oriented client receiving treatment for a systemic infection decides to leave the facility Against Medical Advice (AMA). The registered nurse (RN) is managing a crisis on the unit and directs the practical nurse (PN) to obtain the client's signature on the AMA form. Upon entering the room, the client states, 'I just want to go home. The doctor hasn't been here today, and no one has explained what will happen if I leave now.' Which action is the priority for the practical nurse?

A practical nurse is gathering supplies to provide hygiene care for a client who is on droplet precautions due to a suspected Haemophilus influenzae type b infection. An unlicensed assistive personnel (UAP) will assist with the bed bath. Which actions indicate correct adherence to safety and infection control principles? (Select all that apply.)

A practical nurse (PN) accidentally drops and shatters a large container of concentrated glutaraldehyde (a high-level disinfectant) in the unit's soiled utility room. The solution spills across the floor and immediately emits a pungent, irritating odor. Arrange the following actions in the priority order the PN should perform to manage the hazard and prevent injury.

A practical nurse (PN) is documenting care at the unit nurses' station. A uniformed law enforcement officer approaches, presents an official badge, and requests the home address and phone number of a client currently admitted to the unit. The officer states the client is a person of interest in a non-medical investigation but does not provide a warrant, subpoena, or court order. What is the most appropriate action by the PN?

A client recovering from a hip arthroplasty begins experiencing severe disorientation during the evening shift and repeatedly attempts to climb out of bed. The client's spouse is highly anxious and asks the nursing staff to apply physical restraints to prevent a fall. Which initial action should the practical nurse (PN) take?

During the afternoon shift, the radiology department calls for a client who requires a STAT computerized tomography (CT) scan of the head. The client began intravenous antibiotic therapy five hours ago for acute meningococcal meningitis. When preparing the client for transport to the imaging department, what is the required infection control intervention?

A practical nurse is reinforcing teaching for a client who is non-weight-bearing on the right lower extremity and is learning to ascend a flight of stairs using axillary crutches. Arrange the following actions in the correct chronological sequence from first to last.

A client hospitalized with pneumonia is scheduled for a thoracentesis. As the practical nurse (PN) brings in the preparatory supplies, the client states, 'I changed my mind. I do not want anyone sticking a needle in my back.' In which order should the PN perform the following actions to advocate for this client? Arrange the actions in the correct sequence from first to last.

A practical nurse (PN) working in a long-term care facility is participating in an annual HIPAA compliance workshop. The educator presents several recent communication events. Match each communication event with the correct determination regarding the disclosure of protected health information (PHI).

A client with severe chronic obstructive pulmonary disease (COPD) and a high risk for sacral pressure injuries is confined to bed. The client reports significant shortness of breath if the head of the bed is lowered below 45 degrees. Which action by the practical nurse is the most appropriate to promote skin integrity while maintaining respiratory function?

A practical nurse is assigned to a client whose morning laboratory results indicate a serum potassium level of $3.1\text{ mEq/L}$. The health care provider prescribes a one-time dose of potassium chloride $45\text{ mEq}$ orally. The medication is supplied in a bulk bottle as an oral solution containing $20\text{ mEq}/15\text{ mL}$. How many milliliters of the medication should the nurse pour to administer this dose? (Record your answer to the nearest tenth. Do not include units in your answer.)

A practical nurse is caring for a newly born infant who has audible mucus secretions. In which order should the nurse use the bulb syringe to clear the newborn's airway? Arrange the following actions in the correct sequence.

An assigned client is recovering from a left hemisphere cerebrovascular accident that caused right-sided hemiplegia. The nurse is planning to move the client from the bed to a wheelchair. To maintain optimal body mechanics and ensure safety, arrange the following steps in the sequence they should be performed.

While caring for a client on a medical-surgical unit, a practical/vocational nurse (LPN/VN) identifies an acute change in the client's condition. The nurse must escalate these findings to the supervising Registered Nurse (RN) using the SBAR framework. Arrange the nurse's verbal statements in the correct sequence for this communication model.

A practical nurse (PN) is caring for an adult client with severe cognitive disabilities in a community health clinic. During the physical assessment, the PN observes multiple unexplained, patterned bruises on the client's torso. Arrange the PN's actions in the correct priority order.

During the morning medication pass at a rehabilitation facility, a practical nurse locates a resident in the busy communal dining room. The resident is due for their routine dose of oral gabapentin. What is the most appropriate action for the nurse to take before providing the tablet?

Following a scheduled total knee replacement, a client with no previous history of cognitive impairment begins shouting at staff and aggressively removing their surgical dressings. The client's partner states that this behavior is just a normal part of getting older. Which intervention should the nurse implement first to ensure client safety?

During morning rounds, a practical nurse (PN) oversees the transfer of a client from the mattress to a customized bedside chair via a full-body mechanical sling lift. The client underwent a left below-the-knee amputation three days prior and exhibits mild, intermittent confusion. To ensure proper ergonomics, equipment safety, and strict adherence to the scope of practice, which actions must the PN perform or enforce? Select all that apply.

During a shift at a rehabilitation center, a practical nurse is assigned to a client who had a right below-the-knee amputation two days ago. To promote physical mobility and prevent complications, which positioning strategy should the nurse implement?

A multidisciplinary team in a progressive respiratory care center is collaborating to provide client care. Match each specific clinical intervention to the team member who is most appropriate and legally authorized to perform it based on their defined scope of practice.