PN Comprehensive Test Questions
With Complete Solutions
A 34-year-old male client who is admitted to the mental health
unit for paranoia is responding to antipsychotic medications.
After the healthcare team decides to discharge the client, he tells
the practical nurse (PN) that his wife is unfaithful and he plans
to "get her for this." How should the PN respond? Correct
Answers Report to the team that the client's wife should be
informed.
A child with acute streptococcal pharyngitis is prescribed
amoxicillin (Amoxil) suspension. The mother asks the practical
nurse (PN) when her child can return to school. Which
information should the PN provide? Correct Answers After the
child has taken antibiotics for 24 hours.
A client is 24 hours post-endoscopic retrograde
cholangiopancreatography (ERCP) for cholelithiasis. Which
finding should the practical nurse (PN) report to the healthcare
provider? Correct Answers Serum amylase elevation 3 times
above normal value.
A client is wearing a continuous 24-hour Holter monitor for
evaluation of heart rhythm disturbances. What information
should the practical nurse (PN) reinforce with this client?
Correct Answers Keep a diary of activities as long as the
monitor is worn.
,A client who delivered a 7 pound 8 ounce infant 3 hours ago has
a soft, boggy uterus located above the umbilicus. What action
should the practical nurse implement next? Correct Answers
Perform fundal massage.
A client who has been taking furosemide (Lasix) for the past
two months is 2 days postoperative for a suprapubic
prostatectomy. After breakfast, the client is in the bathroom
straining to have a bowel movement when he calls the practical
nurse (PN) complaining of sudden onset of shortness of breath
and acute chest pain. Which condition should the practical nurse
(PN) assess the client? Correct Answers Pulmonary embolism.
A client with a common cold is seeking treatment at the health
clinic. What information should the practical nurse (PN)
reinforce to reduce the spread of infection to family members?
Correct Answers Wash hands after each use of a tissue for nasal
drainage.
A client with acute pancreatitis has a low serum calcium level.
The practical nurse (PN) observes that the lips, nose, and side of
the face contract after the client's face is cleansed with a cloth.
Which electronic documentation describes these findings?
Correct Answers Chvostek's sign noted.
A client with advanced cirrhosis is prescribed lactulose
(Cephulac) 30 ml QID. The client complains that the medicine is
causing diarrhea. Which therapeutic response of the medication
should the PN provide the client? Correct Answers Excretes
ammonia to improve cerebral function.
, A client with atherosclerosis is trying to stop cigarette smoking
and is using a nicotine patch. Which information should the
practical nurse (PN) reinforce with this client? Correct Answers
An increased risk for heart attack occurs with smoking while
using the patch
A client with deep partial-thickness and full-thickness burns of
the face and chest is receiving wound care using the "open
method." The plan of care includes the nursing diagnosis, "Risk
for infection related to impaired tissue integrity." Based on the
expected outcome, "Client remains free of infections," which
nursing intervention should the practical nurse (PN) implement?
Correct Answers Wear gown, cap, mask, and gloves during
direct client care.
A client with hypothyroidism receives a prescription for thyroid
hormone replacement. Which sign(s) of overdose should
practical nurse (PN) reinforce with the client? (Select all that
apply.) Correct Answers -Nervousness.
-Irritability.
-Difficulty sleeping
A couple who are both carriers of the sickle cell trait ask the
practical nurse (PN) to clarify their children's risk of inheriting
this disease? Correct Answers Each child has a 50% chance of
being a carrier.
A female client receives a new prescription for an oral
contraceptive. Which information should the practical nurse
(PN) reinforce with the client? Correct Answers Take the pill at
the same time everyday.
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