All practice questions

A practical nurse (PN) is preparing to administer scheduled morning medications to a client with a history of heart failure. The medication administration record (MAR) includes a prescription for furosemide $40\text{ mg}$ orally. Upon reviewing the client's morning laboratory results, the PN notes a serum potassium level of $2.8\text{ mEq/L}$. Which of the following is the most appropriate action for the PN to take?

A client with terminal lung cancer has recently been transitioned to comfort care measures. While the practical nurse is assisting with morning hygiene, the client angrily pushes the washbasin away and states, 'Why is everyone acting like I am already gone? You have all just stopped trying!' Which of the following responses by the practical nurse are therapeutic? Select all that apply.

While facilitating a therapeutic group activity, a client diagnosed with bipolar disorder in a manic phase begins rapidly pacing the perimeter of the room. The client repeatedly interrupts other participants, speaks in a loud, pressured manner, and ignores initial verbal redirection. What is the priority nursing intervention for this client?

A practical nurse (PN) is assisting in the care of a client on an inpatient psychiatric unit who begins pacing rapidly, clenching their fists, and shouting obscenities at staff. Arrange the following behavioral interventions in the correct sequence from least restrictive to most restrictive.

A practical nurse is facilitating a community health education session regarding disease prevention and health maintenance for adults and their families. Which of the following instructions should the nurse include? Select all that apply.

While working at a multi-specialty wellness clinic, a practical nurse reviews the charts of several clients to ensure appropriate preventative care is delivered. Which of the following actions align with evidence-based health promotion and disease prevention guidelines? Select all that apply.

A practical nurse is preparing to administer a scheduled dose of an oral opioid analgesic to a postoperative client. Upon entering the room, the nurse observes that the client is difficult to arouse and has a respiratory rate of 8 breaths per minute. Which action should the nurse take?

A client receiving inpatient treatment for post-traumatic stress disorder (PTSD) suddenly becomes severely agitated in the communal lounge. The client begins overturning chairs, pacing aggressively, and shouting about an imminent attack. Which actions are appropriate for the practical nurse (PN) to implement? Select all that apply.

A practical nurse is providing care for an older adult client who recently returned to the unit following a right total hip arthroplasty. The client appears restless, is newly confused, and is attempting to cross their legs. Which of the following is the most appropriate initial action by the nurse?

A practical nurse working in a substance use rehabilitation facility discovers a client unresponsive on the bathroom floor. The client has a respiratory rate of 6 breaths per minute, cyanotic lips, and pinpoint pupils. A syringe is visible on the sink. Arrange the following practical nursing actions in the priority order they should be performed from first to last.

A practical nurse is caring for a client who recently received a terminal prognosis. The client's sibling pulls the nurse aside in the hallway and states, "Please promise me you will not mention hospice care to my sibling. If they hear that word, they will completely give up hope and stop fighting." Which response by the nurse is most therapeutic?

A practical nurse is providing care for a client admitted with major depressive disorder and psychotic features. During the shift, the client exhibits several distinct behaviors and makes specific statements. Match each client behavior or statement to the most therapeutic initial nursing response. (Note: Some responses are non-therapeutic and will not be used).

A practical nurse (PN) in a long-term care facility discovers an unmarked, leaking container of a strong-smelling liquid chemical on a housekeeping cart in the main corridor. Several clients are ambulating in the immediate vicinity. Which action is the priority for the PN?

A practical nurse (PN) is preparing to collect physical data on a 9-month-old infant who is currently resting quietly in a crib. To ensure accurate findings and minimize client distress, in which order should the PN perform the following data collection techniques? Arrange the actions in the appropriate sequence from first to last.

A practical nurse (PN) is caring for a client from a culturally diverse background who is recovering from a recent surgical procedure. The client's extended family is visiting, and the client mentions using traditional cultural health practices at home. Which actions by the PN demonstrate culturally congruent care? Select all that apply.

A 22-year-old client with a history of borderline personality disorder is receiving care on a medical-surgical unit for infected lacerations resulting from self-injury. The client becomes highly agitated, begins pacing the room, and states to the practical nurse (PN), 'You are the only one who understands me! The nurse yesterday was cruel and wanted me to suffer. If she comes back, I'm going to rip these bandages off!' Which of the following actions should the PN take? Select all that apply.

A client with a history of generalized anxiety disorder is waiting in a crowded outpatient clinic. The client suddenly becomes highly agitated, clenching their fists, pacing rapidly, and shouting at the clinic staff about the wait time. Which action should the practical nurse (PN) take first?

During morning rounds on the maternity unit, the practical nurse (PN) evaluates a primigravida client who had a vaginal delivery 12 hours ago with an epidural. The client's current vital signs are blood pressure 104/64 mm Hg, heart rate 112 beats/minute, and respiratory rate 20 breaths/minute. The client states, 'I feel incredibly thirsty and a little dizzy when I sit up.' The fundus is firm, midline, and located at the umbilicus. A continuous trickle of bright red vaginal bleeding is noted. Which of the following actions should the PN take? (Select all that apply.)

A practical nurse (PN) discovers an unconscious maintenance worker on the floor of a poorly ventilated hospital supply room. An overturned drum is leaking an unidentified, volatile liquid, and a strong, noxious chemical odor is rapidly filling the adjacent hallway. What is the priority nursing action?

A provider has just pronounced the death of a client receiving palliative care in a skilled nursing facility. The family is en route to the facility to view the body. In what order should the licensed practical nurse (LPN) perform the following post-mortem care actions? (Arrange the actions from first to last.)