All practice questions

A practical nurse (PN) is preparing to collect data on the uterine fundus and lochia of a postpartum client. In which order should the PN perform the following actions? Arrange the steps in the correct sequence from first to last.

A practical nurse (PN) is conducting a home health visit for a 6-year-old client. The caregiver reports the child accidentally stepped into a tub of scalding water. Upon data collection, the PN observes bilateral, symmetric burn marks with distinct lines of demarcation (stocking burns) on the lower extremities, with no evidence of splash marks. Arrange the following actions the PN should take in the correct order of priority. (Place the most immediate priority action at the top and the final action at the bottom.)

An oncology client with severe neutropenia is placed on protective environment precautions. The client subsequently develops a heavily draining abdominal wound that cultures positive for Pseudomonas aeruginosa, prompting the addition of contact precautions. When planning care for this client, which action by the practical nurse is correct?

A practical nurse is participating in a home wellness visit for a 78-year-old client who lives with their adult child. The nurse discusses ongoing health promotion and disease prevention strategies with the family. Which statement by the adult child indicates a correct understanding of the teaching?

A practical nurse (PN) is observing an unlicensed assistive personnel (UAP) remove personal protective equipment (PPE) after providing care for a client on airborne and contact precautions. Which action by the UAP indicates a need for the PN to intervene?

During morning rounds on a medical-surgical unit, you approach the bedside to administer a scheduled dose of oral metoprolol to an assigned client. The electronic health record indicates a recent potassium level of $4.1 \text{ mEq/L}$ ($4.1 \text{ mmol/L}$). The client appears pale and states, 'The room is spinning when I try to sit up.' You obtain a blood pressure of $92/58 \text{ mmHg}$ and a heart rate of $114 \text{ beats per minute}$. Based on these findings, what is the most appropriate next action?

A nurse is collecting postpartum data from a client who delivered a newborn 24 hours ago. When observing the client's lochia, which finding should the nurse identify as a potential complication that requires immediate reporting?

A practical nurse (PN) is evaluating a 42-year-old client who had an open bowel resection 4 hours ago. The client reports feeling unusually thirsty and restless. The PN measures the vital signs and notes a heart rate of 115 beats/min and a blood pressure of 96/60 mm Hg. The client's admission blood pressure was 128/82 mm Hg. What is the most appropriate next step for the PN regarding data collection and reporting?

A practical nurse is preparing to perform a capillary blood glucose test for an adult client with diabetes mellitus. To ensure an accurate result and reduce the risk of complications, in which order should the nurse perform the following steps? Arrange the actions in the correct chronological sequence.

A practical nurse is preparing to administer prescribed ophthalmic timolol drops to a client who has open-angle glaucoma and a baseline heart rate of $72\text{ beats/minute}$. Arrange the following steps for safely administering this medication in the correct chronological sequence.

While assisting a client with major depressive disorder with morning hygiene, the client stares at the floor and states, "I have ruined everything. My family would be so much better off if I were no longer around." Which response by the practical nurse (PN) is the priority?

A practical nurse is reinforcing teaching with a young adult male client about how to perform a testicular self-examination (TSE). In what order should the nurse instruct the client to perform the steps? (Arrange the following actions in the correct sequence.)

A practical nurse (PN) in an emergency department is assisting with the care of a 28-year-old client who presents with facial contusions, defensive wounds on the forearms, and a lacerated lip. The client's partner is standing closely beside the bed, answering all questions on behalf of the client, and refusing to leave the room. The PN strongly suspects intimate partner violence (IPV). Arrange the following nursing actions in the correct priority sequence to safely manage this situation.

A client is transferred to the clinical unit following a percutaneous needle biopsy of the liver. The practical nurse (PN) is preparing to settle the client in bed. To minimize the risk of hemorrhage from the puncture site, what position should the PN help the client maintain?

A practical nurse (PN) is assisting with the admission of a client who has a suspected diagnosis of active pulmonary tuberculosis (TB). Which of the following infection control measures should the PN implement? (Select all that apply.)

A practical nurse is caring for a client who had a total knee arthroplasty 48 hours ago. The client is prescribed subcutaneous enoxaparin daily for deep vein thrombosis prophylaxis and oral hydrocodone-acetaminophen as needed for pain. During the morning assessment, the client reports feeling "lightheaded and weak." The nurse collects the following data:

Based on these findings, which action should the practical nurse take first?

A practical nurse is providing care for a client who suddenly packs their belongings and states, 'I am leaving this hospital right now without treatment.' Arrange the following nursing actions in the correct chronological order to properly manage this situation and advocate for the client's rights.

A client on a surgical unit is preparing for an elective procedure. The healthcare provider has just completed discussing the procedure, its risks, and its benefits with the client, and leaves the consent form at the bedside. What is the legally appropriate action for the practical nurse (PN) regarding this document?

A practical nurse (PN) is collecting focused physical data for a $52$-year-old client who underwent an open bowel resection $12$ hours ago. The client's admission baseline vital signs were: blood pressure $138/84$ mm Hg, heart rate $78$ beats/min, and respiratory rate $16$ breaths/min. During the current rounds, the PN notes a blood pressure of $106/64$ mm Hg, a heart rate of $118$ beats/min, a respiratory rate of $22$ breaths/min, and pale, mildly clammy skin. The client states, "My pain is manageable, but I feel a bit dizzy." Which action should the PN take based on this data interpretation?

A practical nurse (PN) is collaborating with a registered nurse (RN) and an assistive personnel (AP) to provide care on a busy nephrology unit. Which of the following tasks is most appropriate for the RN to delegate to the PN?