PN Practice test 6 Questions/Answers (Updated)

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Independent questions Questions 1 to 20 do not refer to a case. 1. Mrs. Gillis, 58 years old, has edema in both feet. Antiembolic stockings (TEDs) have been ordered. What is the most important ste... p for the practical nurse to take before applying the stockings? a. Assess for pitting edema b. Check for popiteal pulses c. Wash legs and feet with warm water d. Elevate legs for 10 to 15 minutes before applying 2. The practical nurse is caring for a client who has undergone a caesarean section. For which of the following procedures should the nurse wear non-sterile gloves? a. Assessing the fundus b. Palpating the breasts c. Providing perineal care d. Assessing the abdominal dressing 3. Bill Brown, 85 year old, obese, had arthritis. He is on a bedpan. Which approach should the practical nurse take to remove Mr. Brown’s bedpan? a. Roll Mr. Brown onto his side b. Explain how Mr Brown can remove the bedpan himself c. Ask Mr. Brown to raise his buttocks by flexing his knees d. Have Mr. Brown grasp the overhead trapeze to lift his buttocks 4. The practical nurse finds Mrs. Dowee, 76 years old, lying on the floor in her room. She has a reddened area the left side of her forehead and is using her daughter’s name to call to the practical nurse. How should the practical nurse document this incident? a. Found lying on floor in room. Calling staff by daughter’s name. Reddened area 2 cm above left eye. b. Fell on floor. Disorientated to person. Reddened area 2 cm above left eye. c. Fell on floor of room. Confused. Calling staff by daughter’s name. Reddened area on left side of forehead. d. Found lying on floor in room. Confused. Reddened area on left side of forehead. 5. Susan has been admitted for severe bleeding following a therapeutic abortion. She is crying when the practical nurse comes in to assess her. What should the practical nurse do? a. Explain birth control methods available for Susan b. Explain that it is normal to feel guilty for quite some time c. Ask Susan if she would like to talk to a pastoral care worker d. Ask Susan if she would like to talk about why she is crying 6. Mr. Gomez’s wife tells you no one can take care of her husband as well as she did when he was home. The most appropriate response is which of the following? a. Listen to her with empathy. b. Tell her he will receive even better care now. c. Ask her to stay and complete her husband’s care d. Ask Mr. Gomez if he would rather be cared for at home. 1 7. Mr. Macht has a feeding tube in place and receives his medications via this route. One of his medications is only available in capsule form. Which factor is most important for the practical nurse to consider before administering this medication? a. The amount of water required to dissolve the capsule and its contents b. Crushing capsules requires extra time and effort; administer this medication last c. How the action of the medication changes once removed from the capsule d. Consider the size of the capsule required to be diluted; administer this medication first 8. An aboriginal client wishes to have a “sweet grass smudge” ceremony in her room before she has surgery. What should the practical nurse do first? a. Ask the client to describe the ceremony b. Post an invitation to staff to attend the ceremony c. State that this ceremony is not allowed in the hospital d. Encourage her to go ahead and perform the ceremony 9. While taking a 46 year old client’s vital signs, the practical nurse obtains an oral temperature of 35.3°C. What should the practical nurse do first? a. Inform the nurse in charge or the physician b. Document the temperature on the flow sheet c. Cover the client with a warm blanket d. Measure the temperature again 10. The practical nurse checks the pulse of a client, 65 years old with congestive heart failure; there is an order for Lanoxin (digoxin) 0.125 po qd. The client’s pulse rate is found to be 52 beats per minute. Which action is most appropriate? a. Withhold the medication, document b. Withhold the medication, contact the physician c. Administer the medication, document the pulse rate d. Administer the medication and re-check the pulse in 30 minutes 11. A client is being discharged with a prescription for an anticoagulant, Heparin. Which of the following instructions should be included in the discharge plan? a. Rotate injection sites b. Aspirate prior to injection c. Report any bruising at the injection site d. If a dose is missed, double the next dose 12. The client has an order for an IV of 2/3 & 1/3 at 100 ml per hour. How many drops per minute would the practical nurse set the infusion if the drop rate factor is 15? a. 13 b. 17 c. 25 d. 28 13. A client with Clostridium difficile is admitted to the unit. To prevent the transmission of Clostridium difficile the practical nurse uses which of the following precautions? a. Airborne precautions b. Droplet precautions c. Sputum precautions d. Contact precautions 14. Which nursing intervention would be most beneficial in discussing a diagnosis of HIV with a client? a. Include the family in the teaching b. Encourage the client to express their emotions c. Give a thorough explanation of the illness and prognosis d. Ask the client what they know about HIV and AIDS 15. The practical nurse is providing care to Mr. Barton, a second practical nurse who is administering medications, hands over the medication and says to give them when care is done. What is the most appropriate response? a. Ask the medication nurse to come back or arrange to administer now. b. Place the medications in a safe place, administer when finished care. c. Discard the medication and chart the missed dose d. Ask the nurse to leave the meds at the bedside, they can be administered later. 16. Mrs. Miller is a new admission and is visually impaired. As soon as the practical nurse leaves the room, Mrs. Miller rings her call bell. What is the most appropriate response? a. Respond to the call bell immediately. b. Tell Mrs. Miller you will return in 10 minutes. c. Let the care assistant know the call bell is ringing. d. Return to the nursing station; use the intercom to ask Mrs. Miller what she needs. 17. While walking past the laundry room you see smoke coming from one of the machines. Which of the following describes the priority action of the practical nurse? a. Activate the alarm b. Extinguish the fire c. Close all doors and windows d. Rescue clients in danger 18. Mr. Crossin, a 43 year old man with Down’s syndrome and aphasia, is a resident in a group home. Mr. Crossin has been exhibiting signs of memory loss and agitation. In the past week Mr. Crossin was found outside the home wandering and lost. A new intervention has been added to his care plan stating that Mr. Crossin is to be locked in his room if he tries to leave. How should the practical nurse initially respond to this intervention? a. Report this intervention to Mr. Crossin’s physician b. Assess the effectiveness of the new intervention c. Ask for a team conference as soon as possible d. Refuse to implement the new intervention 19. What element is the basis for the development of a therapeutic relationship? a. Trust b. Empathy c. Advocacy d. Collaboration 20. Mr. Rae admitted following a cerebral vascular accident (CVA) and has difficulty swallowing and is ordered a puree diet. The practical nurse mistakenly provides him with another’s client’s meal tray of regular diet. Which action demonstrates accountability? a. Report the incident b. Monitor for aspiration c. Make a change to client’s diet on care plan d. Document how the client tolerated the meal 3 4 [Show More]

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