A PN works at a fitness centre. She has been employed to perform health assessments, health
counselling, and first aid as necessary.
Mr. Lack introduces himself to the PN as a new client to the fitness centre. He is 54, obese and flushed
and appears short of breath. What should be the PN's initial assessment question? - ✔ ✔ "Have you
consulted your physician about an exercise plan?"; he appears to have risk factors for cardiovascular
disease, all clients should consult with their physician prior to initiating an exercise plan
A PN works at a fitness centre. She has been employed to perform health assessments, health
counselling, and first aid as necessary.
Reza, age 32, has just run 10km on a treadmill and asks the PN to take his BP. The PN obtains a reading
of 146/90 in his right arm. What is the appropriate nursing action in response to this BP reading? - ✔
✔ Tell him to rest for 20min and reassess the BP; physical activity increases the cardiac output and
thus increases the BP, 20-30min of rest following exercise is indicated before a resting BP can be
considered reliable
A PN works at a fitness centre. She has been employed to perform health assessments, health
counselling, and first aid as necessary.
The PN has noticed that one of her adolescent clients, Bart has developed acne and reduced body fat,
with increased muscle size and strength. She suspects that he is using anabolic steroids to improve his
sports performance. What would be the most appropriate approach for the PN to initiate a discussion
about the possible use of steroids? - ✔ ✔ "I've noticed that your muscle size has increased quite a bit
and you have developed acne."; this initial answer is a statement of facts and does no accuse him, it will
likely lead to a discussion of the causes of his muscle bulk & acne
A PN works at a fitness centre. She has been employed to perform health assessments, health
counselling, and first aid as necessary.
The PN is called to see Valery, who is on the floor of the gym, crying and saying she has "twisted" her
ankle. What interventions should the PN perform while waiting for the doctor to assess her? - ✔ ✔
Rest, ice, compression, elevation; movement should be limited, cold is applied to produce
hypothermia, compression with an elastic bandage limits swelling & the limb is elevated to impede
edema formation
A PN works at a fitness centre. She has been employed to perform health assessments, health
counselling, and first aid as necessary.
,A client in the thoracic unit pulls out his right-sided chest tube. What is the immediate action by the PN?
- ✔ ✔ Place an occlusive dressing over the puncture site; an occlusive dressing is needed to prevent
air from entering the pleural space
A first year PN student about to enter her first clinical practice experience has artificial nails. Her nursing
professor tells her the policy states she must have nails removed. What is the most appropriate
rationale for this policy? - ✔ ✔ Artificial nails may harbour micro-organisms; studies have shown
especially if not well maintained, may have crevices that enable micro-organisms to flourish
A nurse manager is concerned about the incidence of work-related accidents on the unit, causing many
staff nurses to be on long-term disability. What is the first action the manager should take to address
these problems? - ✔ ✔ Compile a list of all data on staff accidents for the past 2 years; this is the first
action as the manager needs objective data on the # of accidents and types of accidents on the unit
A physician has written the following order for pain relief for Mr. Mad "meperidine (morphine) 10mg,
PO, Q3-4hrs, PRN." What is the appropriate PN action? - ✔ ✔ Contact the physician for clarification
of the drug; meperidine is the generic name for Demerol, not morphine, the ordered dose is within the
normal dosing range for morphine, the medication order must be clarified with the prescriber prior to
any other action
A PN in a community mental health clinic is in the midst of a counselling session with Mr. Olan. Ms.
Isabella approaches the PN and asks to speak with her. How should the PN response to this situation? -
✔ ✔ "Ms. Isabella, I am with Mr. Olan until 10. I will see you directly afterward."; this response is
clear, provides exact information without appearing punitive and demonstrates respect for both clients
A PN is concerned about the morbidity of tuberculosis in her city. Which of the following best defines
the morbidity of tuberculosis? - ✔ ✔ The rate of tuberculosis infection in a population; morbidity
refers to the incidence of disease within a defined population
A PN is grocery shopping when she observes a young toddler experience a tonic-clonic seizure. What is
the PN's responsibility in this situation? - ✔ ✔ Observe the seizure and protect the child from injury;
the safest option with a child is to observe the seizure, make sure the child is not injuring themselves
and ensure that they are maintaining a patent airway and not to actively intervene or attempt to
restrain the child, these observations will be helpful when emergency medical personnel arrive at the
scene
A PN suspects one of her colleagues has falsified her credentials as a RPN. what the PN do? - ✔ ✔
Report her suspicion, with rationale, to the nurse manager; this is the appropriate chain of command,
the manager will investigate
The PN is concerned about transmission of pathogens among the clients of the fitness centre, as many
people use the equipment during the day. What would be the most effective action to reduce the
potential of transmission of communicable diseases? - ✔ ✔ Installation of alcohol gel dispensers for
, client hand hygiene between uses of equipment; hand hygiene is the most effective action to reduce the
transmission of infectious diseases
A PN works at a fitness centre. She has been employed to perform health assessments, health
counselling, and first aid as necessary.
What additional advice might the PN provide to her clients regarding "gym hygiene"? - ✔ ✔ Place a
towel on any surfaces you will be touching with bare skin; placing a towel on common surfaces will
protect the skin from bacteria that may be on the bench, do not use the undesirable of the towel after it
has been placed on the bench
A PN works in a hospice for people who are terminally ill with HIV/AIDS. One of her clients is Georgia, an
indigenous woman who became HIV-positive many years ago as a result of IV heroin use. She was non
adherent to her antiretroviral therapy and is now receiving palliative care for late chronic infection and
AIDS.
The PN is trained in therapeutic touch, which she uses as therapy for Georgia. What is therapeutic
touch? - ✔ ✔ Rebalancing of energy through the hands of the practitioner to the person; with the
hands of the practitioner either on the body or close to the body, energy flow is redirected & brings the
person back into energy balance, it may be of value to reduce anxiety and pain
A PN works in a LTC. The clients are primarily adults over 80 years of age, with physical and cognitive
disabilities.
Many of the clients have urinary incontinence. Evidence-informed practice suggests that which of the
following is most effective in reducing urinary incontinence in people with dementia? - ✔ ✔
Scheduled toileting and prompted voiding; evidence-informed practice has determined that behaviour
modification, in the form of routine toileting & prompting the client to void, reduces urinary
incontinence in people with dementia
A PN works in a hospice for people who are terminally ill with HIV/AIDS. One of her clients is Georgia, an
indigenous woman who became HIV-positive many years ago as a result of IV heroin use. She was non
adherent to her antiretroviral therapy and is now receiving palliative care for late chronic infection and
AIDS.
Georgia talks to the PN about the days when she was "turned on" to heroin by a male friend. What
feeling would she describe as a result of injecting heroin? - ✔ ✔ Euphoria; after injection of heroin,
users feel a strong sense of euphoria
A PN works in a hospice for people who are terminally ill with HIV/AIDS. One of her clients is Georgia, an
indigenous woman who became HIV-positive many years ago as a result of IV heroin use. She was non
adherent to her antiretroviral therapy and is now receiving palliative care for late chronic infection and
AIDS.
