All practice questions

An older adult resident in a long-term care facility requires a bed linen change and perineal care. The resident is currently receiving continuous enteral nutrition via a gastrostomy tube. What is the most important action for the nurse to perform before adjusting the bed to a flat position?

While conducting morning rounds, a nurse carries a prescribed dose of oral levothyroxine into a client's room. The client is currently using the bathroom, and dietary staff has just placed a breakfast tray on the bedside table. Which action is the most appropriate for the nurse to perform next?

A practical nurse (PN) is working on an inpatient behavioral health unit. A client suddenly becomes agitated, pacing rapidly near the common area, breathing heavily, and clenching their fists. Arrange the following PN actions in the correct order of priority, from first to last.

A practical nurse (PN) is assigned to care for a $68$-year-old client with chronic obstructive pulmonary disease (COPD). The PN is reviewing the client's morning data prior to administering the scheduled 0900 medications.

Current Data:
- Vital signs: Blood pressure $138/84\text{ mmHg}$, Heart rate $118\text{ beats/min}$, Respiratory rate $22\text{ breaths/min}$.
- Laboratory results: Serum theophylline level $24\text{ mcg/mL}$, Fasting blood glucose $165\text{ mg/dL}$.
- Scheduled 0900 medications: Oral theophylline, oral prednisone, and inhaled albuterol.

Based on the data provided, which of the following actions by the PN demonstrate safe and appropriate pharmacological management? (Select all that apply.)

During a scheduled home visit, a practical nurse (PN) evaluates a geriatric client who has a baseline of stable, early-stage cognitive impairment. The client's adult child frantically states, "Since yesterday afternoon, they have been completely disoriented, hallucinating, and trying to climb over the porch railing. We need to tie them into a chair so they do not get hurt." Which action should the PN take first?

A practical nurse is assigned to care for a client who is receiving daily immunosuppressive therapy following a recent kidney transplant. The client has several scheduled interventions and medications for the morning shift. Which actions by the practical nurse demonstrate safe pharmacological practice and adherence to the legal scope of practice? Select all that apply.

A practical nurse is reinforcing teaching with a group of first-time parents about expected gross motor development during the first year of life. Arrange the following infant milestones in the chronological order they are typically achieved, from earliest to latest.

A practical nurse is assisting a client who has a traumatic brain injury with right-sided weakness and moderate dysphagia. The client's dietary order specifies pureed foods and nectar-thick liquids. Which action is the most appropriate for the nurse to implement during the meal?

A client with mild fluid retention is prescribed furosemide $30\text{ mg}$ by mouth every morning. The client's morning vital signs include a blood pressure of $122/78\text{ mmHg}$ and a heart rate of $76\text{ beats/min}$, with a recent serum potassium level of $4.1\text{ mEq/L}$. The pharmacy delivers furosemide oral solution labeled $40\text{ mg}$ per $5\text{ mL}$. How many milliliters (mL) should the practical nurse administer for the morning dose? Record your answer to the nearest tenth. Do not include units in your answer.

A practical nurse (PN) on a palliative care unit is caring for a client who recently passed away. The client's spouse is in the family waiting area and wishes to view the body. In what order should the PN perform the following interventions to best support the spouse? (Arrange from first action to last action).

A practical nurse enters a client's room and observes the client coughing vigorously with enteral nutrition formula visible in their mouth. The client is currently receiving a continuous enteral tube feeding. In which order should the nurse perform the following actions to minimize the risk of aspiration and respiratory complications? Arrange the steps from first to last.

An older adult client is on strict contact isolation in a dimly lit private room for treatment of a multidrug-resistant organism. During evening rounds, the client becomes intensely agitated, pointing toward a coat rack in the corner and yelling, "Make that person leave, they are waiting to attack me!" Which action should the practical nurse (PN) take first?

A practical nurse is preparing a client for a scheduled computed tomography (CT) scan that requires the administration of intravenous contrast dye. The nurse is reviewing the client's electronic health record. Which of the following documented findings indicate an increased risk for complications and require immediate notification to the registered nurse? Select all that apply.

A practical nurse (PN) is preparing to administer morning medications to a client who is receiving continuous enteral nutrition via a nasogastric (NG) tube. The client's medication administration record includes phenytoin oral suspension, an extended-release metoprolol tablet, and a PRN sublingual nitroglycerin tablet for chest pain. Which of the following actions should the PN take? Select all that apply.

A practical nurse (PN) is caring for a young adult client who is scheduled for a complex surgical procedure the following morning. The client is crying, holding tightly to a childhood stuffed animal, and asks the PN to "please leave all the room lights on." The PN recognizes this behavior as regression in response to severe acute stress. Which response by the PN is the most therapeutic?

A practical nurse (PN) is contributing to the care of a client who is 4 hours postoperative following a total thyroidectomy. Which interventions should the PN implement to reduce the client's risk for postoperative complications? (Select all that apply.)

A practical nurse (PN) is monitoring a client who is 4 hours post-percutaneous coronary intervention (PCI) via the right femoral artery approach. Which of the following assessment findings should the PN identify as an impending complication requiring immediate escalation to the registered nurse (RN)? Select all that apply.

A client who sustained a right-sided cerebrovascular accident is receiving care on a subacute rehabilitation unit. The client has documented left homonymous hemianopsia. During the afternoon shift change, the unit environment is highly stimulating and loud. The client suddenly becomes agitated, points at an infusion pump, and states, "Who is that person standing in the shadows?" Which actions should the practical nurse take? (Select all that apply.)

An older adult client in a subacute care unit suddenly becomes extremely restless, exhibits acute confusion, and attempts to climb out of bed. The client's baseline cognition is intact. In which order should the practical nurse (PN) prioritize the following actions? Arrange the steps from highest priority (first action) to lowest priority (last action).

A practical nurse is caring for an 8-year-old client who is recovering from an appendectomy on a pediatric unit. When providing diversional activities, which behavior or interest should the nurse expect as most characteristic of this child's current psychosocial developmental stage?