All practice questions

A nursing assistant reports updated vital signs for a client who underwent a percutaneous liver biopsy $3$ hours ago. The client's current blood pressure is $102/66$ mm Hg and heart rate is $112$ beats/min, compared to a pre-procedure baseline of $130/82$ mm Hg and $78$ beats/min. The client reports new, mild right shoulder pain. A review of the morning laboratory data shows a platelet count of $82,000/\text{mm}^3$. Which action should the practical nurse take first?

During hourly rounds on a medical-surgical unit, the practical nurse observes that an 81-year-old client being treated for bacterial pneumonia has become highly agitated and is picking at the bedsheets. The client's resting heart rate has increased to 112 beats per minute, and blood pressure has decreased to 102/62 mmHg from a morning baseline of 136/82 mmHg. Which action should the practical nurse take first?

An older adult client with generalized weakness is prescribed to sit in a wheelchair for meals. The nurse is preparing to perform a stand-and-pivot transfer using a gait belt. Place the following steps in the correct chronological order.

A practical nurse (PN) is admitting a young adult client to an ambulatory surgery center for an elective upper endoscopy. The client has already signed the informed consent document. While the PN is taking the client's vital signs, the client suddenly becomes tearful and states, "I cannot go through with this. I want to cancel the test right now." In what order should the PN perform the following actions? Arrange the steps from first to last.

A practical nurse (PN) is reviewing the medication administration record (MAR) for a client admitted with a blood pressure of $158/92\text{ mmHg}$ and a documented medical history of severe asthma. The provider has prescribed propranolol $40\text{ mg}$ orally every 12 hours and an albuterol metered-dose inhaler (MDI) as needed. Which action should the PN take first?

While administering a prescribed intramuscular injection to a client, a practical nurse sustains an accidental needlestick injury to the index finger. Arrange the following actions the nurse must take in the correct chronological order to comply with standard precautions and occupational safety guidelines.

A practical nurse (PN) is collecting data on a client who is receiving rapid intravenous (IV) fluid therapy for severe dehydration. Which of the following findings should alert the PN that the client is developing fluid volume overload? Select all that apply.

A practical nurse (PN) reviews the morning laboratory results for a client with heart failure who is scheduled to receive a daily dose of digoxin. The client's serum potassium level is $3.1\text{ mEq/L}$. During data collection, the client reports new-onset nausea and generalized weakness. Which action should the PN take first?

At 0200 on a medical-surgical floor, an older adult admitted for severe pneumonia suddenly attempts to climb over the bed rails. The client, who has a history of mild dementia and anxiety, is visibly terrified and shouts about intruders hiding in the ceiling. What is the priority action for the practical nurse to take?

A practical nurse is providing care for a hospice client who suddenly begins experiencing severe air hunger, tachypnea, and restlessness. The client has standing PRN orders for end-of-life symptom management. In what order should the nurse perform the following actions? (Arrange from first to last)

A client is recovering from a lumbar laminectomy. The nursing care plan requires turning the client every two hours. Which sequence of actions should the practical nurse implement to reposition this client safely from a supine to a lateral position?

During an annual wellness visit, a female client asks the practical nurse for a review on how to check her breasts for lumps at home. How should the nurse sequence the instructions for this screening procedure? Arrange the steps in the correct chronological order.

An older adult client in a residential care facility has a baseline of early-stage dementia but consistently dresses independently after the practical nurse (PN) lays out their clothing in the correct sequence. This morning, the PN observes the client attempting to put their trousers on their arms, speaking in disorganized sentences, and appearing flushed and diaphoretic. Which action should the PN take first?

A client receives news from the healthcare provider that their physical therapy progress has plateaued and they will not regain full mobility. Shortly after the provider leaves, the client yells at the practical nurse, "This facility is useless, the food is terrible, and none of you know how to do your jobs!" Which response by the practical nurse is most appropriate?

A young adult client arrives at the urgent care clinic experiencing an acute asthma exacerbation. The client is leaning forward, speaking in two-word phrases, and using accessory muscles to breathe. Audible wheezing is present. Which of the following actions should the practical nurse take immediately? (Select all that apply)

A practical nurse (PN) creates a text-only post for a personal social media page to share an inspiring story from the workday. The PN writes about a 15-year-old client who required a massive blood transfusion after a severe motor vehicle crash, deliberately omitting the client's name and the hospital's name. Which of the following statements indicates the correct nursing understanding of client confidentiality?

A client is recovering on the surgical unit following a vaginal hysterectomy performed earlier in the day. During an afternoon assessment, the practical nurse (PN) notes that the client's heart rate has climbed from a baseline of 78 bpm to 112 bpm, while the blood pressure has decreased from 126/82 mm Hg to 102/60 mm Hg. A stat hemoglobin result from the laboratory is 7.4 g/dL (74 g/L). Which of the following actions should the PN take? Select all that apply.

A practical nurse (PN) is participating in an annual compliance review at a long-term care facility. Match each observed staff action with the correct confidentiality determination.

An in-patient oncology unit is exceptionally busy, and the charge nurse delegates two specific tasks to a practical nurse (PN). First, the PN is asked to conduct the comprehensive initial admission assessment for a newly arrived client. Second, the PN is instructed to explain the risks and benefits of an upcoming bone marrow aspiration to another client and subsequently obtain their signature on the informed consent form. Based on the legal scope of practice, which statement by the PN is the most appropriate response?

A 4-year-old child who weighs $41.8\text{ lb}$ is brought to the pediatric clinic with acute otitis media. The healthcare provider prescribes cefdinir oral suspension $14\text{ mg/kg/day}$ to be given in two equally divided doses. The dispensed medication bottle indicates that adding $38\text{ mL}$ of distilled water will yield a final reconstituted concentration of $250\text{ mg}/5\text{ mL}$. How many $\text{mL}$ will the nurse administer for a single dose? (Record answer to the nearest tenth. Do not include units in answer.)