All practice questions

An LPN receives orders to mobilize an immobile bariatric client to a specialized cardiac chair for the first time post-admission. The facility protocol mandates the use of a ceiling-mounted mechanical lift with a full-body sling. Place the following steps in the correct chronological order to ensure both nurse ergonomics and client safety during this procedure. All steps must be used.

A practical nurse is caring for a client with congestive heart failure who is scheduled to receive a morning dose of oral digoxin. The client's morning laboratory results show a serum potassium level of $3.0\text{ mEq/L}$ ($3.0\text{ mmol/L}$) and a serum digoxin level of $1.4\text{ ng/mL}$ ($1.8\text{ nmol/L}$). The client's apical pulse is $64\text{ beats/min}$. During the morning assessment, the client reports new-onset severe nausea and seeing yellow halos around the lights in the room. Which action should the practical nurse take first?

During morning rounds on a medical-surgical unit, a practical nurse (PN) interacts with a non-English-speaking older adult client from a Middle Eastern background. Several family members are gathered at the bedside. Which interventions should the PN implement to ensure culturally sensitive and safe care? Select all that apply.

An interprofessional care team is managing a group of clients on a medical-surgical neurology unit. A licensed practical/vocational nurse (LPN/VN) must prioritize tasks, understand role boundaries, and recognize when to escalate care. Which action by the LPN/VN demonstrates adherence to the legal scope of practice and safe care principles?

While collecting morning data on a 78-year-old client three days post-hip arthroplasty, the practical nurse (PN) is approached by the client's adult child. The child states, 'I know memory problems are a normal part of getting older, but my parent suddenly doesn't know what year it is and was trying to pull out their IV line earlier. I guess dementia is finally setting in.' Which understanding regarding older adult transitions should guide the PN's response?

A practical nurse is preparing to administer scheduled morning medications to a client diagnosed with hypothyroidism. The primary health care provider has prescribed levothyroxine $0.125\text{ mg}$ orally once daily. The pharmacy supplies levothyroxine as scored tablets containing $50\text{ mcg}$ per tablet. How many tablets should the nurse administer?

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

A practical nurse (PN) is caring for a client who speaks limited English and is scheduled for an invasive diagnostic procedure. The healthcare provider arrives to explain the procedure and asks the PN to assist with obtaining informed consent. The client's adult child is at the bedside and offers to translate the medical information. Which action by the PN best demonstrates client advocacy and protects the client's rights?

During morning rounds in the normal newborn nursery, a practical nurse evaluates a 6-hour-old term neonate delivered at 39 weeks of gestation. The infant's current axillary temperature is 97.2°F (36.2°C) and the respiratory rate is 68 breaths per minute. The nurse also notes the presence of mild expiratory grunting. Which of the following actions should the nurse take first?

A client in a medical-surgical unit is scheduled for a laparoscopic cholecystectomy. The surgeon visited earlier in the morning to discuss the procedure, potential risks, and expected benefits. A registered nurse (RN) delegates the task of obtaining the client's signature on the surgical consent form to the practical nurse (PN). Upon bringing the form to the bedside, the client states, "The doctor explained everything, but I still do not really understand what they are going to do inside my body." Which action by the PN is legally required?

A practical nurse (PN) is caring for an older adult client who is experiencing acute confusion and repeatedly attempting to pull out their intravenous (IV) line. The client's spouse is visibly distressed and demands that the PN immediately apply wrist restraints to prevent the client from disrupting the treatment. Which action should the PN take first to advocate for the client's right to a safe and least restrictive environment?

An older adult client with no prior cognitive deficits is admitted to the medical unit for treatment of a severe infection. On the second day of admission, the client suddenly develops acute confusion, becomes highly agitated, and repeatedly attempts to climb over the bed rails. After multiple non-pharmacological interventions prove ineffective, the provider prescribes bilateral soft wrist restraints. Which action by the practical nurse (PN) demonstrates safe and legally compliant management of the client's restraints?

A practical nurse (PN) enters the room of a client who has a T4 spinal cord injury. The client reports a sudden, severe pounding headache and blurred vision. The PN observes profuse diaphoresis above the level of the spinal injury and measures a blood pressure of 210/110 mm Hg. In which order should the PN perform the following actions? (Arrange the actions from first to last)

An unlicensed assistive personnel (UAP) urgently calls the practical nurse (PN) to the room of an 81-year-old client who underwent a total knee arthroplasty the previous day. The UAP reports the client has become suddenly agitated, is speaking incoherently, and is trying to remove their intravenous (IV) line. The client was previously alert and oriented. Current vital signs are a heart rate of 112 bpm, blood pressure of 98/62 mm Hg, and a respiratory rate of 26 breaths/min. Which action is the priority for the PN to take?

Which of the following clinical actions by a practical nurse (PN) represent adherence to legal and ethical practice standards? Select all that apply.

During the morning shift, a nurse is assigned to a client undergoing treatment for active pulmonary tuberculosis who has newly developed frequent, watery stools. The healthcare provider suspects a Clostridioides difficile infection. Which infection control interventions must the nurse implement? (Select all that apply.)

During handoff at a subacute care facility, a practical nurse receives an assignment that includes a client recovering from disseminated herpes zoster. The client's medical record indicates a new, concurrent infection with *Clostridioides difficile*. Which of the following care interventions should the practical nurse implement? Select all that apply.

A practical nurse (PN) is employed at a community-based hospice and palliative care center. Which of the following actions by the PN demonstrate adherence to legal boundaries and ethical mandates? Select all that apply.

A client with left-sided weakness is scheduled to sit in a chair for their morning meal. The client is currently lying in bed. In what order should the nurse complete the following actions to safely transfer the client to a wheelchair?

A practical nurse (PN) is reviewing the electronic health record of a client receiving a continuous intravenous heparin infusion for a pulmonary embolism. Which finding poses the greatest physiological risk to the client and requires immediate notification to the registered nurse?

While assisting a postoperative client who underwent abdominal surgery earlier in the day, a practical nurse obtains the following vital signs: temperature 98.8°F (37.1°C), heart rate 116 beats/min, respiratory rate 20 breaths/min, and blood pressure 92/54 mm Hg. The client's admission baseline blood pressure was 128/74 mm Hg. Which action should the nurse prioritize?