All practice questions

A practical nurse is gathering supplies to assist a healthcare provider with an aerosol-generating procedure for a client diagnosed with a severe acute respiratory pathogen. The nurse must apply full personal protective equipment (PPE) prior to entering the negative-pressure isolation room. Arrange the following steps for donning the required PPE in the correct chronological order.

A practical nurse (PN) is collaborating with a registered nurse (RN) and an assistive personnel (AP) to care for a client admitted with an acute exacerbation of heart failure. The client is scheduled for a transesophageal echocardiogram (TEE). Which action by the PN represents a safe and appropriate application of client care assignments and collaboration?

A client with a documented Do Not Resuscitate (DNR) order is in the preoperative holding area awaiting palliative surgery. The surgeon has completed the informed consent discussion and exited the area. As the practical nurse (PN) prepares to witness the signature on the surgical consent form, the client asks, "Will my DNR order be suspended while I am under anesthesia?" Which action is the priority for the PN?

A practical nurse (PN) is caring for an older adult client who is being treated for pneumonia. The client suddenly becomes restless, reports feeling short of breath, and has an oxygen saturation of 87% on room air. What is the priority action for the PN?

An adult client is preparing for an elective surgical procedure, and the healthcare provider has just finished discussing the operation. The client is now ready to sign the paperwork. Which action represents the appropriate legal role of the practical nurse (PN) during the informed consent process?

A practical nurse (PN) is providing care in a preoperative holding area for a client scheduled for a laparoscopic cholecystectomy. The surgical consent was signed and witnessed during a clinic visit the previous day. The client's estranged spouse, who is not listed on the facility's health information authorization form, bypasses the waiting room, approaches the stretcher, and loudly asks, "Are they still doing that dangerous common bile duct exploration?" The client becomes visibly anxious and states to the PN, "I did not know anything about a duct exploration; I thought they were just removing my gallbladder." The charge nurse hands the PN a syringe of prescribed preoperative midazolam and instructs, "Calm the client down, explain the standard risks of the duct exploration, and give the sedative so we do not delay the operating room." Which action by the PN is the most legally and ethically sound?

A provider prescribes cefazolin $300\text{ mg}$ deep intramuscularly for a client treating a cellulitis infection. The supply on hand is a $500\text{ mg}$ vial of powdered cefazolin. The label instructions read: 'Reconstitute by adding $2.0\text{ mL}$ of sterile water for injection. The resulting reconstituted solution contains $225\text{ mg/mL}$ of cefazolin.' Determine the volume in milliliters required for a single dose. (Record answer to the nearest tenth. Do not include units in answer.)

A practical nurse enters a client's room and finds the client lying on the floor beside the bed. Arrange the following actions in the priority order the nurse should perform them, from first to last.

A practical nurse (PN) is assigned to care for a 74-year-old client who receives a daily scheduled dose of oral lithium carbonate. During morning rounds, the client is acutely disoriented, exhibits a coarse bilateral hand tremor, and reports severe nausea. The laboratory report from earlier this morning indicates a serum lithium level of 1.9 mEq/L. Which of the following actions should the PN take first?

While assisting a 78-year-old client who was admitted with severe, acute diarrhea, the practical nurse (PN) notes that the client has become suddenly disoriented. The client's radial pulse is weak at 116 beats/min, and blood pressure is 88/54 mm Hg. Which action is the priority?

During morning rounds, a practical nurse brings an oral antibiotic to the room of an older adult who was admitted with pneumonia. The client has a history of mild dementia and currently seems confused about where they are. Which action must the nurse take to ensure safe medication delivery and prevent an error?

An unlicensed assistive personnel informs the practical nurse (PN) that a postpartum client of traditional Chinese descent became upset when served a pitcher of ice water. What is the most appropriate action for the PN to take?

Prior to entering the negative-pressure isolation room of a client admitted with disseminated varicella-zoster virus, the healthcare provider must put on appropriate personal protective equipment (PPE). Arrange the following actions in the correct sequential order to safely prepare for patient care according to standard infection control guidelines.

An 82-year-old client is admitted to a subacute care unit for nutritional support via a newly placed percutaneous endoscopic gastrostomy (PEG) tube. During the evening shift, the client becomes abruptly agitated and repeatedly attempts to pull at the tube. Which action should the practical nurse (PN) take first to prevent injury to the client?

A practical nurse (PN) is transporting a basin of contaminated fluids from a client's room and accidentally spills a significant amount on the hallway floor. Arrange the following actions in the chronological order the PN should perform them to safely manage the hazard and prevent injury.

During a shift in a long-term care facility, a practical nurse (PN) needs to move a restless older adult client from the bed to a wheelchair. The client has limited mobility and is intermittently pulling at an intravenous (IV) insertion site. To maintain proper ergonomics and ensure the safe use of equipment, which actions must the PN implement? Select all that apply.

A practical nurse (PN) is assigned to care for an older adult client who is experiencing acute confusion on the first postoperative day. The client is highly restless and repeatedly attempts to remove their surgical dressing. Which action should the PN take FIRST to prevent client injury and maintain a safe environment?

A practical nurse (PN) is planning to assist a client who has right-sided weakness to transfer from the bed to a wheelchair. Which action by the PN demonstrates proper ergonomics and safe equipment use?

During a routine bed bath at a long-term care facility, a practical nurse discovers multiple unexplained bruises in various stages of healing and small, circular burns on an older adult client's back. The client becomes visibly anxious and withdrawn when asked about the injuries. Arrange the following actions the nurse should take in the correct priority order.

While conducting morning medication rounds, a practical nurse brings a dose of oral carvedilol into a client's room. The client is dozing, and a visitor is sitting at the bedside. What is the mandatory action for verifying the client's identity before proceeding with the administration?