All practice questions

A client has just returned to the unit after undergoing a lumbar puncture. To promote comfort and minimize the risk of a post-dural puncture headache, which position should the nurse assist the client into?

A practical nurse at an outpatient pediatric clinic is reviewing a developmental questionnaire completed by the caregivers of an 8-year-old client. Which of the following reported behaviors should the nurse recognize as expected developmental transitions for this age group? (Select all that apply)

A home health practical nurse (PN) visits an older adult client who has advanced macular degeneration and bilateral presbycusis. The client was prescribed a new anticholinergic medication two days ago. Upon arrival, the PN observes the client swatting frantically at the air, highly distressed, and stating, "I need to get these spider webs off me before they bite!" The client's skin is notably warm and flushed. Which of the following immediate actions should the PN take? Select all that apply.

A practical nurse (PN) is preparing morning medications in a substance use detoxification unit. A client approaches the medication window, loudly demands to be discharged immediately, bangs a fist on the counter, and stands aggressively close to another client who is waiting. Which immediate actions should the PN take? Select all that apply.

A practical nurse is assigned to care for a client who is 3 days postoperative following a partial bowel resection. The client has a scheduled prescription for oral ketorolac for moderate pain. The client's morning laboratory report indicates a hemoglobin level of $8.2\text{ g/dL}$ (a decrease from $10.4\text{ g/dL}$ the previous day). The client's current vital signs are a blood pressure of $102/64\text{ mmHg}$, a heart rate of $114\text{ beats/min}$, and a respiratory rate of $20\text{ breaths/min}$. The client reports abdominal pain and requests the scheduled medication. Which action should the practical nurse take first?

An older adult client who underwent a right total hip arthroplasty 48 hours ago requires movement from their bed to a specialized cardiac chair. The client is currently disoriented and receiving continuous intravenous (IV) fluids. A practical nurse (PN) and an assistive personnel (AP) are collaborating to execute this task using a full-body mechanical lift. Which actions indicate that the PN is correctly managing the equipment, body mechanics, and environmental safety? (Select all that apply.)

A client with partial weight-bearing capability needs to be moved from an armchair back to their bed. The nurse decides to use a mechanical sit-to-stand device. Arrange the steps of this procedure in the correct sequence for safe equipment use.

A 68-year-old client is receiving care in a medical-surgical unit for community-acquired pneumonia. Two days after admission, the practical nurse (PN) observes that the client is highly restless, sweating profusely, and has noticeable hand tremors. The client suddenly points at the wall and says, "Look at the spiders crawling everywhere!" Which action should the PN take first?

A client recovering from viral encephalitis is exhibiting severe psychomotor agitation and repeatedly pulling at their intravenous (IV) line. Environmental modifications and one-to-one supervision have been ineffective. The healthcare provider has just evaluated the client and determined that physical restraints are necessary. Arrange the following practical nursing actions in the correct chronological sequence to safely implement this intervention.

A client is receiving care 72 hours after a right above-the-knee amputation. The client reports a dull ache in the residual limb and asks the practical nurse to place a pillow underneath it for support. Which action should the nurse take?

An unlicensed assistive personnel (UAP) reports the morning vital signs for an older adult client who underwent a right total hip arthroplasty the previous day. The client's heart rate is 114 beats per minute and blood pressure is 98/62 mm Hg. The UAP also mentions that the client is newly disoriented to place. Which action should the practical nurse take first?

A practical nurse (PN) is monitoring a client who is receiving a packed red blood cell (PRBC) transfusion. The client suddenly reports severe lower back pain and begins to experience chills. In what order should the PN perform the following actions? Arrange the actions in the correct sequence from first to last.

Following shift report on a medical-surgical unit, a practical nurse (PN) reviews the data for four assigned clients. Which client's clinical presentation indicates a potential life-threatening complication and requires immediate escalation to the registered nurse (RN)?

An older adult client with moderate dementia is continuously grasping and pulling at their peripheral intravenous (IV) catheter. Which initial intervention should the practical nurse implement to prevent the client from dislodging the device?

A practical nurse is reinforcing teaching with a client who has a right short-leg cast about how to ascend stairs using axillary crutches. In which order should the nurse instruct the client to perform the following actions? Arrange the steps from first to last.

An older adult client is recovering on the orthopedic unit on the first postoperative day following a right total hip arthroplasty via a posterior approach. When assisting the client with morning hygiene and bed repositioning, which action by the practical nurse is most appropriate?

While providing care on a pediatric oncology unit, a practical nurse encounters a parent whose adolescent child recently received a terminal prognosis. The parent is visibly distressed and states, "Last week I felt like I was starting to accept this, but today I am just furious at everyone on the medical team. I must be doing this grieving process wrong." Which response by the practical nurse is the most therapeutic?

A practical nurse (PN) is providing care for an older adult client recently admitted with suspected urosepsis. The client has a documented history of moderate Alzheimer's disease. During the shift, the client becomes acutely agitated, begins shouting, and repeatedly attempts to remove a newly inserted peripheral intravenous (IV) catheter. An unlicensed assistive personnel (UAP) suggests using soft wrist restraints, noting that the client is becoming a danger to themselves. Which initial action must the PN prioritize to ensure client safety?

A practical nurse (PN) is assisting a client with right-sided weakness to ambulate in the hallway using a gait belt and a straight cane. The client has an unsteady gait. Which actions by the PN represent proper ergonomics and safe use of equipment? (Select all that apply.)

A client is recovering on the maternity ward 16 hours after a spontaneous vaginal delivery. The practical nurse is completing a routine assessment. Which of the following documented findings represent expected physiological adaptations that the practical nurse can independently document without immediately notifying the registered nurse? Select all that apply.