All practice questions

A practical nurse (PN) is preparing to discontinue a peripheral intravenous (IV) catheter for a client who is receiving continuous anticoagulant therapy. The IV infusion has already been stopped. Arrange the following steps in the correct sequence to safely remove the catheter and minimize the risk of complications. All options must be used.

An older adult client in an inpatient rehabilitation facility is prescribed oral extended-release morphine for chronic pain management. When the practical nurse approaches the client to administer the morning dose, the client is difficult to awaken and has a respiratory rate of 9 breaths per minute. Which action should the nurse take first?

A practical nurse is preparing to administer ibuprofen oral suspension to a toddler who weighs $28.6$ lb. The health care provider prescribes $10$ mg/kg/dose every $6$ hours PRN for fever. The pharmacy provides ibuprofen oral suspension with a concentration of $100$ mg / $5$ mL. How many milliliters should the nurse administer for one dose? (Record answer to the nearest tenth. Do not include units in answer.)

A practical nurse is assigned to care for a client who is $6$ hours post-operative following a right total knee arthroplasty. The nurse observes that the client is becoming increasingly restless and reports feeling dizzy. The current vital signs are: heart rate $114$ beats/min, respiratory rate $24$ breaths/min, and blood pressure $100/64$ mm Hg (pre-operative baseline $136/82$ mm Hg). The morning hematocrit level is $26\%$, a significant decrease from the pre-operative level of $39\%$. Which of the following is the most appropriate action for the practical nurse to take?

A practical nurse is caring for a client with type 2 diabetes mellitus who is scheduled for an abdominal computed tomography (CT) scan and has been prescribed NPO (nothing by mouth) status since midnight. The morning medication administration record includes prescriptions for oral glipizide and subcutaneous insulin lispro. The client's point-of-care blood glucose level is $64$ mg/dL. Which of the following actions should the practical nurse take?

A licensed practical nurse (LPN) is assisting with the care of a client who is $4\text{ hours}$ post-operative following an open cholecystectomy and is currently receiving a packed red blood cell (PRBC) transfusion. Which of the following actions by the LPN demonstrate appropriate risk reduction strategies? Select all that apply.

The nursing team is providing care for a client diagnosed with heart failure who is prescribed oral digoxin and a potassium-wasting diuretic. Which interventions are appropriate for the practical nurse (PN) to perform regarding this client's pharmacological management? Select all that apply.

A young adult arrives at an outpatient clinic for a routine wellness check and is scheduled to receive the measles, mumps, and rubella (MMR) immunization. While filling out the pre-assessment questionnaire, the client mentions missing her last menstrual cycle and having a positive home pregnancy test three days ago. Based on these findings, which action should the practical nurse implement?

A practical nurse is evaluating an adult client who underwent a percutaneous liver biopsy $2$ hours prior. The client's baseline vital signs included a blood pressure of $124/78\text{ mm Hg}$ and a heart rate of $76\text{ beats/min}$. The nurse's current assessment reveals a blood pressure of $92/56\text{ mm Hg}$ and a heart rate of $112\text{ beats/min}$. The client reports feeling dizzy and having mild right shoulder pain. What is the priority nursing action?

A practical nurse is preparing a client for a scheduled abdominal surgery. To reduce the risk of perioperative complications, which actions must the nurse ensure are completed before the client is transported to the operating room? Select all that apply.

A practical nurse (PN) is planning care for a newly admitted client who requires intravenous (IV) therapy and is identified as a high fall risk. Which of the following actions should the PN implement to prevent accidents and errors? Select all that apply.

During a shift on a busy medical-surgical unit, a practical nurse is assigned to care for several adult clients. Based on the standards for client rights and advocacy, which of the following actions by the practical nurse are appropriate? (Select all that apply)

A practical nurse (PN) is preparing to transport a client to the radiology department for a prescribed scan. The client is diagnosed with active pulmonary tuberculosis and has an uncontained, draining methicillin-resistant Staphylococcus aureus (MRSA) wound on the right lower leg. Which action by the PN represents the safest standard of practice?

A practical nurse (PN) is reviewing the daily tasks for a group of clients on a medical-surgical unit. Which planned action demonstrates correct adherence to transmission-based precautions and falls safely within the PN's scope of practice?

A practical nurse (PN) is reviewing safety protocols and providing care for a group of clients on a medical-surgical unit. Which of the following nursing actions demonstrate appropriate implementation of accident, error, and injury prevention principles? Select all that apply.

A practical nurse (PN) is providing morning basic care for an older adult client on the third day following a partial gastrectomy. The client is receiving continuous enteral nutrition via a jejunostomy tube, requires extensive assistance with all personal hygiene, and has a documented history of early-stage dementia. Which interventions should the PN include in the client's plan of care? Select all that apply.

A pregnant client at 12 weeks of gestation is being evaluated at an obstetric clinic. While taking vital signs, the client states to the practical nurse, 'I still have a glass of wine on the weekends because it helps me unwind.' Which of the following actions should the practical nurse take? (Select all that apply.)

A licensed practical nurse (LPN) is assigned to care for a client recently admitted from a long-term care facility. The client has an unstageable sacral pressure injury, a documented history of methicillin-resistant Staphylococcus aureus (MRSA), and has just developed profuse, watery diarrhea. A stool specimen is pending for Clostridioides difficile. Which actions should the LPN implement? Select all that apply.

A practical nurse is preparing a client with active pulmonary tuberculosis and a heavily draining, uncontained methicillin-resistant *Staphylococcus aureus* (MRSA) wound on the right lower extremity for an essential transport to the radiology department. Which action by the nurse represents the most appropriate management of transmission-based precautions?

An older adult client is hospitalized for a lower respiratory tract infection. The medical history indicates chronic, daily alcohol consumption. Thirty-six hours after admission, the client suddenly exhibits profound disorientation, severe agitation, and claims to see insects crawling on the ceiling. Which action is most appropriate for the practical nurse to take?