All practice questions

A practical nurse (PN) is preparing to administer 8 units of regular insulin and 14 units of NPH insulin subcutaneously to a client with diabetes mellitus. In which order should the PN perform the following steps to prepare the medication? Arrange the actions in the correct sequence from first to last.

A practical nurse is caring for a client who returned to the surgical unit 4 hours ago following a right-sided modified radical mastectomy with axillary lymph node dissection. Which actions should the nurse include in the client's basic care and comfort plan? Select all that apply.

A practical nurse (PN) is preparing to perform tracheostomy suctioning for a pediatric client diagnosed with Respiratory Syncytial Virus (RSV). The facility's infection control protocol requires full personal protective equipment (PPE) due to contact and droplet precautions, as well as the high risk of splashing respiratory secretions. Arrange the steps for donning the necessary PPE in the correct sequence according to the Centers for Disease Control and Prevention (CDC).

A practical nurse (PN) discovers a client with type 1 diabetes mellitus unresponsive in bed. The client is profusely diaphoretic, and a stat capillary blood glucose reading is $34 \text{ mg/dL}$ ($1.9 \text{ mmol/L}$). The client does not have established intravenous (IV) access. Arrange the following emergency interventions in the safest priority sequence from first to last.

A client weighing $198\text{ lb}$ is prescribed enoxaparin sodium $1\text{ mg/kg}$ subcutaneously every 12 hours for the treatment of a deep vein thrombosis. The medication is supplied as a prefilled syringe containing $120\text{ mg}$ in $0.8\text{ mL}$. How many milliliters ($\text{mL}$) should the practical nurse administer for a single dose?

(Record the answer to the nearest tenth. Do not include units in the answer.)

A practical nurse (PN) is collecting data on an 82-year-old client who is 24 hours postoperative following an open cholecystectomy. Which of the following assessment findings should the PN report to the registered nurse (RN) immediately? (Select all that apply.)

An adult client has returned to the surgical unit after undergoing a lumbar laminectomy. The practical nurse is providing basic care and comfort measures. Which of the following actions should the nurse implement when turning and positioning this client? Select all that apply.

A practical nurse (PN) has finished providing care for a client on Airborne and Contact precautions for disseminated herpes zoster. Arrange the following actions for removing personal protective equipment (PPE) in the correct chronological sequence to prevent self-contamination.

A practical nurse (PN) is caring for a client who is 4 hours post-operative following a partial bowel resection. The client's preoperative blood pressure was 122/76 mm Hg with a heart rate of 74 bpm. Current vital signs are: blood pressure 94/58 mm Hg, heart rate 114 bpm, respiratory rate 20 breaths/min, and temperature 98.8°F (37.1°C). The client reports mild nausea and incisional pain rated as 3 on a 0 to 10 scale. Which action should the PN take first?

A practical nurse is preparing to transfer a non-weight-bearing client from a bed to a bedside chair using a full-body mechanical lift. As the sling is positioned and the lift is slightly elevated, the client becomes acutely confused, thrashing their arms and attempting to remove the sling loops. Which action should the nurse take?

During early morning rounds, the practical nurse encounters an older adult client who recently underwent a right femoral-popliteal arterial bypass. The client appears highly agitated, is trying to climb over the raised side rails, and incorrectly believes they are at a train station. The nurse observes that the client's right knee is sharply flexed against the side rail. Which initial action should the nurse prioritize to maintain proper body alignment and ensure client safety?

A practical nurse is managing the care of a client who has a fractured left ankle and is learning to safely ambulate using axillary crutches. Which of the following observations or actions demonstrate the correct application of ergonomic principles, safe equipment use, and appropriate clinical practice? (Select all that apply)

A client diagnosed with active pulmonary tuberculosis and a draining methicillin-resistant *Staphylococcus aureus* (MRSA) leg wound is isolated in a negative-pressure room. After completing a dressing change, the practical nurse must remove an N95 respirator, a face shield, a disposable gown, and gloves. Which action demonstrates the correct procedure to prevent environmental cross-contamination?

A client is recovering on the telemetry unit four hours after a percutaneous coronary intervention performed through the right femoral artery. When the practical nurse enters the room, the client complains of a new, persistent dull ache in the lower back and right flank. Current vital signs include a heart rate of 106 beats/min and a blood pressure of 104/64 mm Hg, compared to a pre-procedure baseline of 78 beats/min and 126/78 mm Hg. The femoral insertion site dressing remains clean, dry, and intact. Which action should the nurse take first?

A practical nurse (PN) is caring for a client who suddenly develops acute respiratory distress. The PN prepares to contact the covering healthcare provider using the ISBAR (Identify, Situation, Background, Assessment, Recommendation) communication framework. Place the following statements in the correct order the PN should deliver them.

During a bedside assessment, a licensed practical nurse evaluates an adult client who underwent a right-sided thoracentesis earlier in the shift. The client suddenly reports a sharp, localized chest pain and exhibits a dry, hacking cough. Current vital signs reveal a respiratory rate of 26 breaths per minute, a heart rate of 114 beats per minute, and an oxygen saturation of 90% on room air. Which action should the nurse prioritize?

A practical nurse is assigned to care for a toddler who is newly admitted to the pediatric unit with suspected measles (rubeola). Which infection control interventions should the nurse implement? Select all that apply.

A practical nurse (PN) is preparing to administer scheduled medications on a medical-surgical unit. Which actions by the PN demonstrate safe medication administration and adherence to the scope of practice? Select all that apply.

At the beginning of a shift on a subacute telemetry unit, a licensed practical nurse (LPN) receives a delegated task list from the coordinating registered nurse (RN). The LPN must evaluate each assignment for safety and legal compliance. Identify the task the LPN must decline to perform.

A practical nurse (PN) is evaluating clients on a medical-surgical unit prior to dispensing scheduled medications. Which of the following clinical scenarios require the PN to withhold the pharmacological therapy and immediately intervene by notifying the registered nurse (RN)? Select all that apply.