All practice questions

A practical nurse (PN) is assigned to the care team for a client admitted with severe acute pancreatitis. The client is receiving continuous enteral nutrition via a nasojejunal (NJ) tube and has a dedicated peripheral intravenous (IV) line. Which of the following planned actions by the PN demonstrate appropriate risk reduction and safe practice? (Select all that apply.)

A practical nurse (PN) is coordinating care for a group of clients in a long-term care facility and decides to delegate the application of a prescribed moisture barrier cream to an assistive personnel (AP). Arrange the steps of the delegation process in the correct chronological sequence.

A practical nurse (PN) is assisting a client who is sitting in a bedside chair to eat breakfast. The client suddenly loses consciousness and begins to experience a tonic-clonic seizure. In what order should the PN perform the following actions? (Arrange from first action to last)

A pediatric client who weighs $28.6\text{ lb}$ is being treated for a severe bacterial infection. The primary health care provider prescribes oral amoxicillin at a dosage of $40\text{ mg/kg/day}$ to be administered in equally divided doses every $8\text{ hours}$. The medication bottle states a concentration of $250\text{ mg}/5\text{ mL}$ after reconstitution. How many milliliters should the practical nurse administer for a single dose? (Record the answer to the nearest tenth. Do not include units in the answer.)

During shift rounds on a rehabilitation unit, the nurse plans care for a client who underwent a right above-the-knee amputation three days ago. To prevent the development of a flexion contracture, which positioning intervention is most appropriate to implement?

A practical nurse (PN) is reviewing infection control protocols and room assignments for a group of clients on a medical-surgical unit. Which of the following actions indicate a correct application of standard and transmission-based precautions? (Select all that apply.)

An individual with a severe Clostridioides difficile (C. diff) infection is admitted to an acute care medical unit. The practical nurse is assigned to participate in the client's care. Which of the following interventions should the nurse implement? Select all that apply.

A practical nurse (PN) is preparing an adult client for a scheduled elective surgery in an ambulatory care center. The client, who signed the informed consent form earlier, states, "I do not want to go through with this surgery anymore." Arrange the following nursing actions in the correct sequence, from first to last.

A practical nurse (PN) observes a colleague using a personal smartphone to photograph a client's severe pressure injury. The colleague states, 'I am sending this to the wound care team so they know what supplies to bring.' Which of the following is the priority action for the observing PN?

A 79-year-old client is receiving a continuous intravenous (IV) antibiotic infusion for the treatment of pneumonia. The client becomes increasingly restless and repeatedly attempts to pull at the IV tubing. Which action should the practical nurse (PN) implement first to protect the IV site?

A practical nurse (PN) is assigned to care for a client who is wearing a halo vest orthosis for a cervical spine injury. The charge nurse directs the PN to laterally reposition the client, adjust the tension on the cranial pins, and inspect the skin beneath the vest. Which of the following is the most appropriate action by the PN regarding safe equipment handling and body mechanics?

A practical nurse (PN) and an unlicensed assistive personnel (UAP) are preparing to turn an immobile, bariatric client who is 12 hours postoperative following an abdominal laparotomy. The client requires a lateral turn for a routine linen change. The client is resting on an electrically powered bariatric bed. Upon attempting to adjust the bed, the PN discovers the height controls are malfunctioning, leaving the mattress locked at its lowest position near the floor. Which action represents the most appropriate ergonomic and safety decision by the PN?

A client being treated for a deep vein thrombosis is receiving daily oral warfarin. During morning data collection, the client reports passing dark, tarry stools. The client's skin is pale, and the practical nurse notes a blood pressure of $88/52\text{ mm Hg}$ and an apical pulse of $114\text{ beats/min}$. The morning international normalized ratio (INR) result is $4.8$. Which action should the practical nurse take first?

A practical nurse is monitoring a client who returned from the post-anesthesia care unit 4 hours ago following an open cholecystectomy. Over the past two hours, the client's heart rate has steadily increased from $84$ to $118\text{ beats/min}$, and the blood pressure has decreased from $128/82\text{ mmHg}$ to $102/64\text{ mmHg}$. The client appears restless and states, "I feel extremely weak." Which of the following actions should the nurse take first?

A 21-year-old client is recovering on the surgical unit 5 hours after undergoing an adult tonsillectomy. A family member summons the practical nurse, stating that the client appears highly anxious and is swallowing continuously. The nurse obtains vital signs, noting a heart rate of 112 beats per minute, a respiratory rate of 20 breaths per minute, and a blood pressure of 104/66 mm Hg, compared to a preoperative baseline of 124/76 mm Hg. The client points to their neck and grimaces, indicating significant throat discomfort. Which action should the practical nurse implement first?

Following a change-of-shift report, a practical nurse (PN) assumes care for a client who is recovering from a surgical hip fracture repair. The off-going nurse states that a provider prescription for soft wrist restraints was just obtained because the client became restless and attempted to remove their surgical dressing. Which action should the PN take first?

An older adult client is one day postoperative following a right total hip arthroplasty. The provider has prescribed out-of-bed activity to a stationary chair. Which action by the practical nurse is most appropriate when managing this transfer?

A practical nurse (PN) is assigned to the triage area of a busy urgent care clinic. Which of the following actions by the PN demonstrate compliance with client confidentiality and information security standards? Select all that apply.

A practical nurse (PN) is emptying a surgical drain for a client on contact precautions due to a multidrug-resistant wound infection. During the task, the PN's right glove tears, and the client's purulent drainage visibly soils the PN's bare hand. Which sequence of actions must the PN take immediately?

A practical nurse (PN) realizes that an immediate-release oral antihypertensive medication was mistakenly administered to a client instead of the prescribed extended-release formulation. Arrange the PN's actions in the correct priority sequence from first to last.