All practice questions

During morning rounds, a practical nurse (PN) evaluates an octogenarian client who has a known history of gastric ulcers. The client's baseline mental status is alert and oriented; however, the client is now displaying acute confusion and restlessness along with vague complaints of a stomach ache. The client's current heart rate is 114 beats/minute with a blood pressure of 102/64 mm Hg, representing a drop from a baseline blood pressure of 144/82 mm Hg. Which action should the PN take first?

A registered nurse (RN) and a practical nurse (PN) are collaborating on the care of a client admitted with bacterial pneumonia. Which of the following tasks should the RN delegate to the PN?

A practical nurse (PN) answers the unit telephone. The caller identifies themselves as the daughter of a client and requests an update on the client's recent laboratory results. The client's medical record indicates that no authorization has been given to share health information with any family members. Which action should the PN take?

An 82-year-old client is receiving care on the medical-surgical unit 12 hours after an open bowel resection. Which assessment findings should the practical nurse (PN) recognize as early indicators of potential hypovolemic shock that must be reported to the registered nurse (RN) immediately? (Select all that apply.)

An adult client admitted with a severe gastrointestinal infection is prescribed metronidazole oral suspension. The prescription directs the administration of $7.5 \text{ mg/kg}$ every $6 \text{ hours}$. The client's documented weight is $154 \text{ lb}$. The pharmacy supplies the medication with a label reading $250 \text{ mg}/5 \text{ mL}$. How many $\text{mL}$ should the practical nurse administer for a single dose? Record your answer to the nearest tenth. Do not include units in your answer.

A practical nurse is completing care for a client on airborne and contact precautions due to disseminated herpes zoster. The nurse is wearing an isolation gown, gloves, a face shield, and an N95 respirator. Assuming the nurse removes each piece of equipment separately, arrange the following steps for safely doffing the personal protective equipment (PPE) and exiting the room in the correct chronological sequence.

A client is scheduled for a peripherally inserted central catheter (PICC) placement. The client states they are ready to complete the legal paperwork. Place the following steps the practical nurse (PN) must take to properly witness the informed consent in the correct chronological order.

A client on a gastrointestinal unit is currently being treated for a Clostridioides difficile infection. The practical nurse finishes providing morning care, removes all personal protective equipment, and prepares to exit the room. What is the required method for the nurse to perform hand hygiene in this situation?

An adult client with end-stage renal failure is admitted to a medical unit requiring emergent hemodialysis. The client's adult child, who is the designated durable power of attorney for healthcare (DPOAHC), is at the bedside. The healthcare provider explains the risks, benefits, and alternatives of central venous catheter placement to both individuals. The client, who is alert, oriented, and communicating clearly, explicitly refuses the procedure. The child insists the procedure is necessary, signs the informed consent document, and hands it to the practical nurse (PN). The provider asks the PN to sign the form as a witness.

Which action should the PN take?

During a routine shift evaluation, a clinical supervisor observes a practical nurse (PN) managing unit duties. Which action by the PN indicates correct adherence to professional scope of practice and delegation guidelines?

A client with severe cognitive impairment is hospitalized for pneumonia and repeatedly attempts to forcefully remove their intravenous (IV) catheter. Place the following nursing interventions in the correct sequential order, starting with the initial least-restrictive assessment and ending with the action of absolute last resort, to ensure client safety.

A client receiving continuous enteral nutrition via a nasogastric tube suddenly begins to cough forcefully. The practical nurse observes that the client is experiencing severe dyspnea and has developed circumoral cyanosis. In what order should the practical nurse prioritize the following immediate actions? Arrange the actions in chronological order from first to last.

A practical nurse (PN) is admitting a client for an elective procedure at an ambulatory care center. As the PN prepares the paperwork, the client states, "I thought about it all night, and I absolutely refuse to go through with this today." In what order should the PN take the following actions? Arrange the actions in the correct chronological sequence.

A practical nurse (PN) is planning the morning workflow on a rehabilitation unit and working alongside an assistive personnel (AP). Which of the following tasks can the PN safely delegate to the AP? Select all that apply.

A client arrives at a primary care clinic reporting a high fever, cough, and a widespread maculopapular rash. After noting Koplik spots on the client's buccal mucosa, the healthcare provider suspects a measles (rubeola) infection. Which actions should the practical nurse (PN) take to maintain safety and infection control? Select all that apply.

A client arrives at a community health center for a minor surgical biopsy. When handed the informed consent document, the client hesitates and asks, 'What are the exact risks if I decide not to do this?' Which action should the practical nurse take next?

During a shift on a medical-surgical unit, a charge nurse distributes tasks for several clients who require isolation protocols. Which of the following actions demonstrates the correct application of infection control practices while remaining strictly within the practical nurse's scope of practice?

A practical nurse (PN) is eating lunch in the hospital cafeteria. A staff member from another department sits down and asks, "I heard a local celebrity was admitted to your unit today. What is their diagnosis?" Which of the following is the most appropriate response by the PN?

A surgeon completes a discussion about a scheduled colonoscopy with a client on a medical-surgical unit. The practical nurse (PN) is then handed the consent form. Which action represents the appropriate scope of practice for the PN in this scenario?

A practical nurse (PN) is reviewing new orders for a client and notes a prescription for an antibiotic. The client's medical record clearly indicates a severe anaphylactic allergy to this specific medication class. Arrange the actions the PN should take in the correct priority order.