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A practical nurse (PN) is assigned to care for a client who gave birth 12 hours ago. The PN is preparing to gather data regarding the client's uterine tone and postpartum bleeding. In what order should the PN perform the following actions? Arrange the steps from first to last.
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An older adult client in an assisted living facility becomes suddenly agitated, shouting loudly and throwing magazines across the common room. Which action should the practical nurse (PN) take first?
A nursing team on a medical-surgical unit consists of a Registered Nurse (RN), a Licensed Practical/Vocational Nurse (LPN/VN), an Unlicensed Assistive Personnel (UAP), and a Health Care Provider (HCP). Match each client care task to the most appropriate healthcare team member based on their scope of practice.
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A practical nurse (PN) at a family medicine clinic is helping to evaluate a 4-year-old client accompanied by a guardian. The guardian states that the child tripped over a living room rug, causing an injury to the left arm. A subsequent X-ray reveals a spiral fracture of the humerus. While preparing the client for a splint, the PN observes numerous bruises in varying stages of healing across the child's abdomen and back. Which of the following actions should the PN take? Select all that apply.
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Following a lumbar puncture, an adult client is admitted to the medical-surgical unit for observation. The client is awake, alert, and has stable vital signs. Which positioning measure must the practical nurse implement to minimize the risk of complications?
A practical nurse is preparing to administer a scheduled transdermal medication patch to a client. Arrange the following steps for administration in the correct chronological order.
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An adult client is prescribed a 24-hour urine collection to evaluate kidney function and creatinine clearance. In which order should the nurse implement the steps of this procedure? Arrange the actions from first to last.
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A practical nurse is conducting a postoperative assessment on a -year-old client who underwent a transurethral resection of the prostate (TURP) three hours ago. The client is receiving continuous bladder irrigation (CBI). Which clinical finding requires the most immediate escalation to the supervising registered nurse?
A practical nurse is caring for a toddler who weighs kg and is diagnosed with acute otitis media. The healthcare provider prescribes cefdinir mg/kg PO every hours. The pharmacy dispenses cefdinir oral suspension labeled mg / mL. How many mL should the nurse administer for one dose? (Record answer to the nearest tenth. Do not include units in answer.)
A client diagnosed with major depressive disorder with psychotic features becomes severely agitated, demands to leave the inpatient psychiatric unit immediately, and stands blocking the main exit door. Which actions should the practical nurse (PN) take? Select all that apply.
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A practical nurse (PN) is caring for a traditional Chinese American client who is 24 hours postpartum. The client is experiencing constipation, and the provider has prescribed increased oral fluid intake and a high-fiber diet. The dietary department delivers a lunch tray containing a pitcher of ice water, a fresh raw fruit salad, and a cold turkey sandwich. The client pushes the tray away and refuses to eat or drink. Which action by the PN demonstrates the best cultural competence?
A licensed practical nurse is providing home hospice care for a client with end-stage renal disease who has transitioned to the active dying phase. The client is unresponsive, exhibits Cheyne-Stokes respirations, and has cool, mottled extremities. The client's spouse is pacing the bedroom, crying, and states, "I should have insisted on starting dialysis last month. This is all my fault." Which actions should the nurse take? Select all that apply.
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During a well-child visit, the caregiver of a 4-year-old child expresses frustration to the nurse. The caregiver states, 'He insists on picking out his own clothes every morning, and the outfits never match.' Which statement should the nurse provide to reinforce expected developmental milestones?
A client on an acute inpatient behavioral health unit has a history of impulsive actions and poor emotional regulation. The client approaches the practical nurse in the communal dining area and demands an extra meal tray. When the nurse explains that meal service has ended, the client's face flushes, they step within inches of the nurse's face, and shout aggressively, "You are the worst nurse here! I am going to make sure you lose your job!" Which action by the practical nurse is the most appropriate initial intervention?
The practical nurse (PN) is evaluating clinical scenarios involving older adult clients in a subacute care unit. Which of the following nursing interpretations or interventions demonstrate a correct understanding of physiological aging, safety management, and atypical disease presentation? (Select all that apply.)
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A client receiving treatment for post-traumatic stress disorder states to the practical nurse, "I should have died in that accident instead of my friend. I do not deserve to be here." Which response by the nurse is most therapeutic?
While completing morning rounds on a maternity unit, a practical nurse (PN) observes a client who had a stillbirth the previous day. The client is holding a baby blanket and weeping silently. Which of the following actions is the most appropriate for the PN to take first?
A practical nurse (PN) is teaching a client with left-sided hemiparesis how to independently put on a front-button shirt. To promote the client's independence and safety, in what order should the PN instruct the client to perform the following steps? Arrange the actions in the correct sequence from first to last.
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A practical nurse (PN) is caring for a client with end-stage heart failure who has a signed Do Not Resuscitate (DNR) order on file. The client suddenly develops acute, severe chest pain and extreme dyspnea. The client grasps the PN's arm and gasps, 'Please do whatever it takes to save me! I changed my mind!' The client's designated healthcare proxy is at the bedside and states, 'No, they are just panicking. Do not intervene; the DNR must be followed.' Arrange the following actions the PN should take in the correct order of priority.
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Match each clinical task with the interprofessional team member whose scope of practice is most appropriate to safely perform the action.
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