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1. An older client with metastatic breast cancer is • Instructions for care
experiencing shortness of breath as a result of a should be included in
bilateral pneumonia the client the clients living will
has a living will and the family is requesting hos- • Care can be pro-
pice care which information should the practical vided in home where
nurse (PN) reinforce with the client resides
client and family regarding hospice? • Care focuses on
comfort dignity and
emotion support
2. An older female client adult who has been ad- Remind the client
mitted to long term facility yesterday is confused what day of the week
about what day of the week it is it is
her history does not include that she was con-
fused prior to admission what action should the
practical nurse (PN) take?
3. A client who is primigravida at herm to the prenatal Send the client home
clinal and tells the practical nurse (PN) that she is
having contractions every
5 minutes the PN monitors the clint for an hour
using external fetal monitor and determines that
the clients contractions are 7
to 15 minutes apart lasting to 20 to 30 sec-
onds with mild intensity by palpitation which actin
should the PN take?
4. A client who is a gravida 1 para 0 is transferred Apply light warm
to the recovery room following a normal vaginal blanket and assure
delivery of a healthy newborn her that this is normal
the practical nurse (PN) observes that the client is following delivery
shaking uncontrollably and states she's cold
5. The practical nurse (PN) is assessing an older Auscultate all the
client with left sided heart failure what intervention lung fields
is most important for the PN
to implement
6.
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While administering prescription medication to an Determine if client
older adult resident in a extended care facility the has had difficulty
practical nurse notice that hearing in the past
the client is having difficulty hearing what action
is most important for the PN to take?
7. The healthcare provider Gives a pregnant woman • Add lenhl and black
a prescription for one prenatal vitamin with iron beans
daily and tells her that she • Increase green leafy
needs to increase iron rich foods in her diet be- vegetables in the diet
cause her hemoglobin is 8.2 gramsldi when a list • Oatmeal is a good
of iron list foods is given to the choice for breakfast
client the client tells the practical nurse she's a
vegetarian and does not eat bleeds what instruc-
tions should the PN give?
8. A full term 24 hour old infant in the nursery regu- Turn the infant to the
lates and suddenly turns cyanotic which immedi- right side
ate interventions should the
practical nurse (PN) take?
9. The practical nurse (PN) views the midline epi- Observe suture line
siotomy of a client who repots pain in her stiches for separation and
whar action should the action hematoma formation
should the PN take first?
10. The practical nurse (PN) is obtaining fetal heart 180 (NORMAL
rates on four antepartum client in their third 110-160)
trimester of pregnancy what fetal
heart rate should be reported to the registered
nurse?
11. An older client who had a colon resection 8 days Evisceration
ago is straining at stool the practical nurse (PN)
observes from the client
klound followed by appearance of bowel on the
skin which complication has occurred?
12. A female client with immune thrombocytopenic
purpura is transported to a long term facility for
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physical therapy rehabilitation Ensure the client has
to prevent injury the most important for the prac- minimum clutter in
tical nurse (PN) to implement? the room
13. Which location should the practical nurse palpate Beneath the lower
to determine if a client submandibular lymph node jaw
are enlarged?
14. A client is receiving an epidural anesthesia during Maternal hypoten-
labor which observation is the most important ad- sion
verse effect that the
practical nurse (PN) should assess for following
the administration of the epidural
15. The practical nurse (PN) is working in a cancer A older male who
detention mobile clinic. Four individuals come for drinks a 6 pack
screening with a complaint of of beer nightly and
hoarseness a danger sign for cancer of the larynx smokes heavily
which client has the highest risk of development
of cancer of the larynx that
the PN should refer to healthcare provider
16. A home health practical nurse (PN) visits and older Report suspected
client living with offspring who exhibits fear un- abuse to supervisor
kempt and has lost a lot of and protective ser-
weight which action should the PN take vices
17. The practical nurse determines that a client who Massage the uterus
is one day postpartum has a moderate amount of to decrease atony
lochia and rubra and the
uterus is firm diverted and three finger breaths
above umbilicus what should be the first initial
action
18. The practical nurse is caring for a client with coro- The labs results indi-
nary artery disease who is admitted intermitted cate myocadiac dam-
chest pain the admissions age and the client is
lobotomy results indicated elevated tropine 1 and at risk for cardiac dys-
creatine phosphoicinase myoglobulin isoenzymes rhythmias
levels what should the PN
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consider the most significant risk is for this client
on the second day of admissions?
19. Which interventions should thr practical nurse Keep finger nails
(PN) reinforce for a client with pruritis? trimmed short
20. When gathering data about a client with dark skin Finger and toe nails
tones which site should the practical nurse (PN)
observe
21. A 2 day old infant with hydrocephalus returns from • Document strict in-
surgery following placement of a ventriculoperi- take and out take
toneal shunt which nursing • Measure head cir-
intervention should the practical nurse (PN) imple- cumference
ment during postoperative care • Monitor body tem-
perature every 4
hours
22. The birth weight of an infant delivered by a woman Offer nipple feedings
with gestational diabetes is 10.1 pounds the infant of 10% dextrose
is jittery and has a heel
stick glucose level of 40 30 minuets after birth
based on this information which interventions
should the PN implement first
23. The practical nurse (PN) and unlicensed assistive obtain emergency
personal (UAP) enters a clients room and finds the help
client lying on the bed the
PN determines that the client is unresponsive
which action should the PN give the UAP first
24. the practice nurse (PN ) is caring for a client with Implement ongo-
fractured metatarsals after slamming a hand in the ing assessments for
car door after signs of shortness or
administering the prescribed hydrocodone/aceta- slowed breathing
minophen for pain which intervention should the
PN include in the client care?
25. The practical nurse (PN) overhears the female Mood adherence
client with crushing syndrome tell her family in a
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