All practice questions

A licensed practical/vocational nurse (LPN/VN) and an unlicensed assistive personnel (UAP) are co-assigned to care for a group of clients on a medical-surgical unit. The registered nurse (RN) team leader is currently responding to a rapid response call on another hall. A healthcare provider has just finished speaking with a client who is about to undergo a bedside thoracentesis. Which action by the LPN/VN demonstrates appropriate scope of practice and safe delegation principles?

A practical nurse (PN) at a subacute cardiac facility is organizing the daily workflow for a group of clients. While collaborating with a registered nurse (RN) and an unlicensed assistive personnel (UAP), the PN must make several decisions regarding client assignments and unit communication. Which action demonstrates safe and legally appropriate execution of the PN's role?

During a scheduled home health visit, a practical nurse (PN) interviews the caregiver of an older adult client. The caregiver reports, "Since yesterday evening, my mother has been extremely restless, seeing things that aren't there, and doesn't know what year it is." The client's medical history includes type 2 diabetes and osteoarthritis, with no prior cognitive deficits. What is the priority data collection action for the PN?

At an outpatient community clinic, a licensed practical nurse (LPN) is collecting data from a 45-year-old client whose spouse died in a work-related accident 15 months ago. Which findings indicate the client is potentially experiencing prolonged grief disorder and require immediate reporting to the registered nurse? Select all that apply.

An adult client attends an outpatient wellness screening and reports consuming mostly fast food, experiencing chronic occupational stress, and maintaining a sedentary routine. The client states, "I know I need to take better care of my body, but I feel completely overwhelmed by everything I have to fix." Which action should the practical nurse (PN) take to best promote positive lifestyle choices for this client?

An older adult client is recovering on the medical-surgical unit 48 hours following a right above-the-knee amputation. The client's vital signs are stable, and surgical pain is adequately managed with prescribed oral analgesics. To promote optimal physical mobility and prevent a major musculoskeletal complication associated with this procedure, which action should the practical nurse take?

An older adult client with a history of type 2 diabetes mellitus and hypertension is admitted to a medical-surgical unit for an acute exacerbation of osteoarthritis. The morning medication profile includes oral metformin, oral lisinopril, oral meloxicam, and a new prescription for oral prednisone $40\text{ mg}$. The unit pharmacy dispenses prednisone as $20\text{ mg}$ scored tablets. Which actions should the practical nurse (PN) take to safely administer and monitor these pharmacological therapies? Select all that apply.

A practical nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and is receiving continuous bladder irrigation (CBI). The client suddenly reports severe lower abdominal cramping and a feeling of extreme bladder fullness. The nurse observes that irrigation fluid is infusing into the bladder, but there is no output in the catheter drainage bag. In what order should the practical nurse perform the following actions? Arrange the actions from first to last.

A practical nurse (PN) is providing care for a group of clients on a medical-surgical unit. Which of the following actions by the PN demonstrate appropriate protection of client rights and advocacy? Select all that apply.

While preparing a hospitalized client for an upcoming abdominal surgery, the healthcare provider (HCP) obtains a signature on the consent document and departs the unit. Shortly after, the client expresses confusion, stating to the practical nurse (PN), 'I signed it, but I have no idea what they are actually cutting out.' In which chronological order should the PN perform the following interventions to protect the client's rights?

A practical nurse (PN) is reviewing daily clinical activities while assigned to a multidisciplinary community health clinic. Which of the following actions by the PN correctly demonstrate adherence to legal and ethical standards of care? Select all that apply.

A practical nurse is preparing an older adult client for discharge to a family member's home. During a final skin assessment, the nurse observes multiple unexplained bruises in various stages of healing on the client's torso. The client becomes visibly withdrawn and flinches when the family member enters the room. When questioned privately, the client whispers, "I am just clumsy and fall sometimes." Which action should the practical nurse take to best advocate for this client's right to safety?

While providing care on an acute surgical unit, a practical nurse (PN) encounters several situations requiring collaboration and decision-making. Which action taken by the PN demonstrates a correct understanding of safe client care assignments and role boundaries?

A practical nurse has just finished changing the soiled bed linens for a client with an active *Clostridioides difficile* infection. After removing the required personal protective equipment (PPE), which of the following is the required method for the nurse to perform hand hygiene?

A newly hired practical nurse is providing care for a vulnerable adult client admitted to a community rehabilitation center. The client's appointed health care proxy is present at the facility. Which of the following actions by the practical nurse demonstrate compliance with legal guidelines and ethical standards? (Select all that apply.)

A client with bilateral cataracts and generalized weakness is admitted to a medical unit for observation. Which interventions should the practical nurse implement to minimize the client's risk of injury? (Select all that apply)

A client with confirmed rubeola and a severe Clostridioides difficile infection requires a linen change. Before crossing the threshold of the negative-pressure isolation room, the practical nurse must don the necessary personal protective equipment (PPE). Arrange the donning steps in the correct chronological order.

During morning rounds, a practical nurse empties a urinary drainage bag for a resident who is on contact precautions for a vancomycin-resistant enterococci (VRE) infection. After emptying the bag, the nurse notices that their gloves are visibly soiled with urine. The nurse still needs to measure the resident's vital signs using the dedicated equipment inside the room. Which action should the nurse take next?

A nursing team is organizing the shift workload on a medical-surgical unit. Based on national scope of practice regulations and safe delegation principles, pair each specific clinical activity with the most appropriate team member responsible for performing it.

A practical nurse is preparing to enter the room of a client who requires airborne and contact precautions. In what order should the nurse don the following personal protective equipment (PPE)? Arrange the items in the correct sequence from first to last.