All practice questions

During the morning handoff, a practical nurse (PN) receives an assignment for a resident recently transferred from a skilled nursing facility. The resident has a confirmed diagnosis of active pulmonary tuberculosis and is also experiencing severe diarrhea associated with a Clostridioides difficile infection. Which of the following infection control interventions must the PN implement? (Select all that apply)

During routine environmental rounds on a rehabilitation unit, a practical nurse observes the care environment of an older adult client. The client has right-sided hemiparesis from a recent stroke, is at high fall risk, and requires contact precautions. Which observations indicate that the staff has implemented appropriate accident and error prevention measures? Select all that apply.

A practical nurse (PN) arrives for the day shift on a medical-surgical unit and receives the client assignment sheet from the charge nurse. Arrange the following actions the PN should take to ensure safe and legal care in the correct chronological order.

A practical nurse (PN) is caring for a client on a telemetry unit who is scheduled for a permanent pacemaker insertion in one hour. The client has already signed the informed consent document. While the PN is checking the client's morning vital signs, the client states, "I cannot go through with this. I do not want the pacemaker." Place the following nursing actions in the correct chronological order.

An unconscious client requires morning oral hygiene. To prevent aspiration and ensure safety, in what order should the practical nurse complete the following steps? Arrange the actions in the correct chronological sequence.

During a shift assessment on an orthopedic unit, a practical nurse evaluates a client with a newly applied plaster cast on the lower left leg. The client describes an intense, throbbing pain that has worsened significantly despite receiving a scheduled intravenous analgesic one hour ago. The nurse observes that the client's toes are cool to the touch and the pedal pulse is weak. While the charge nurse is notifying the healthcare provider of these findings, which action should the practical nurse implement?

A client in a subacute respiratory care unit is experiencing severe confusion and repeatedly attempts to remove their tracheostomy tube. After determining that alternative measures and verbal redirection are ineffective, the healthcare provider prescribes bilateral soft limb restraints. In what order should the practical nurse (PN) perform the following actions to safely apply the devices? (Arrange the actions in the correct sequence, from first to last.)

During a pediatric clinic visit, a child weighing $37.4\text{ lb}$ is diagnosed with acute otitis media. The primary health care provider prescribes cefdinir oral suspension at the maximum recommended dosage of $14\text{ mg/kg/day}$, to be administered in equally divided doses every $12\text{ hours}$. The clinic pharmacy dispenses a multi-dose bottle of cefdinir powder with the following label instructions: "Reconstitute by adding $38\text{ mL}$ of sterile water to yield $60\text{ mL}$ of oral suspension with a concentration of $250\text{ mg}/5\text{ mL}$."

The practical nurse is reinforcing medication administration instructions with the child's parents. How many milliliters ($\text{mL}$) should the nurse instruct the parents to administer for a single dose? (Record the answer to the nearest tenth. Do not include units in the answer.)

A practical nurse is assisting with the preparation of a client with severe hepatic cirrhosis who is scheduled for a bedside paracentesis. In what order should the nurse perform the following actions to minimize the risk of procedural complications, such as bladder perforation?

An 82-year-old client who was previously oriented suddenly exhibits severe agitation and uncooperative behavior. A transfer is required from the mattress to a specialized seating device in the room. When determining the safest approach for client handling and equipment utilization, which actions should the practical nurse (PN) implement? Select all that apply.

An older adult client is recovering on the medical-surgical unit 90 minutes after an image-guided percutaneous liver biopsy. The client is currently positioned on the right side with a rolled towel under the lower ribs. During a routine check, the client's blood pressure is 108/68 mm Hg, heart rate is 92 beats/minute, and they report a sudden onset of mild but persistent right shoulder pain. What is the priority action for the practical nurse to take?

A practical nurse is assessing a client who is $24\text{ hours}$ post-operative following a right total knee arthroplasty. Which of the following findings should the practical nurse identify as potential complications requiring immediate notification of the registered nurse? Select all that apply.

A practical nurse is assisting with the admission of a client who has just returned to the nursing unit after a percutaneous liver biopsy. Which of the following positions is most appropriate for the nurse to place the client in to prevent post-procedure complications?

A practical nurse (PN) is reviewing infection control procedures with unlicensed assistive personnel (UAP) prior to providing morning care for a client with disseminated herpes zoster. The client is currently on airborne and contact precautions. Which statement by the PN provides the most accurate instruction?

A practical nurse (PN) working in a skilled nursing facility receives various requests for client health information. Match each specific request with the appropriate nursing action to maintain client confidentiality and comply with privacy regulations.

A practical nurse is caring for a client who is 12 hours postoperative following a total thyroidectomy. The client reports neck discomfort and requests assistance with repositioning. Which action is most appropriate for the nurse to take?

A newly hired practical nurse (PN) is assigned to a palliative care unit. The healthcare team includes a registered nurse (RN) and assistive personnel (AP). Which of the following actions performed by the PN indicate an accurate understanding of role responsibilities and safe delegation? Select all that apply.

A practical nurse is providing basic care and comfort measures for a client who had a cardiac catheterization via the right femoral artery 2 hours ago. The client is on strict bed rest and reports mild lower back ache. Which of the following actions should the nurse include in the client's care? Select all that apply.

A client admitted with community-acquired pneumonia and mild dementia is receiving continuous intravenous (IV) hydration. During the night, the client becomes abruptly agitated, attempts to rip out the IV catheter, and tries to climb over the bed rails. Which intervention should the practical nurse (PN) implement first to prevent self-harm?

A practical nurse is providing care for an adult client who is receiving intravenous (IV) fluids for the treatment of an acute gastrointestinal bleed. Which of the following actions should the nurse take to reduce the risk of complications and ensure client safety? Select all that apply.