PN Medical-Surgical Practice Exam Questions And Verified Correct Detailed Answers .
C. 50-year-old with Prinzmetal's angina. - (ANSWER)Which client should the practical nurse question a
PRN prescription for sumatriptan (Imitrex) for migraine headaches?
D. A low-dose aspirin given daily. - (ANSWER)The practical nurse (PN) is reinforcing information to a
older male client with a history of coronary artery disease about his prescribed daily medication
regimen. Which medication is most likely to reduce the client's risk factors?
A. Pain relief after ear drainage begins. - (ANSWER)An adult client with otitis media has thick, yellow
drainage from the right ear canal. What additional findings should the practical nurse (PN) expect to
identify?
C. Continue to monitor client's blood pressure. - (ANSWER)The practical nurse is caring for a client who
is admitted with signs of possible acute brain attack (Stroke) three hours ago. The client's blood pressure
is 170/96, regular radial pulse 76 beats/minute, respirations are nonlabored at 11 breaths/minute, and a
Sp02 of 99%. What action is most important for the PN to implement?
D. Reports the hospital room is an office. - (ANSWER)A client who was hit in the head with a baseball is
admitted to the hospital for observation. Which finding requires the practical nurse (PN) to follow-up
with further assessment?
D. It is a combination of wear and tear and calcium loss that causes the change. - (ANSWER)An older
female client with osteoporosis asks the practical nurse (PN) to explain why she is now 2 inches shorter
than when she was younger. What information is best for the practical nurse (PN) to provide?
A. 500/mm3. - (ANSWER)A practical nurse (PN) is coordinating the care of four clients on an oncology
unit. Which neutrophil count should the PN identify as a risk for a life-threatening infection in one of the
clients?
C. Surgery can restore vision with corrective lens implants or glasses. - (ANSWER)An older client who has
had a cataract in the right eye for several years tells the practical nurse (PN), "Now I have lost the sight
in my right eye because I waited too long for treatment." What information should the PN provide?
, PN Medical-Surgical Practice Exam Questions And Verified Correct Detailed Answers .
D. Elevate the arm above the level of the heart. - (ANSWER)The practical nurse (PN) is visiting a male
client with diabetes who has a new cast on his arm. The client's fingers are pale, cool, slightly swollen,
and the radial pulse is strong. What should the PN do first?
1. Maintain the client's airway
2. Apply pads to the bedside rails.
3. Avoid stimulation during post-ictal phase.
4. Observe the client for incontinence. - (ANSWER)A client with epilepsy is having bilateral rhythmic
jerking movements of all extremities. After calling for help, which action should the practical nurse (PN)
do next?
B. Sitting upright in a tripod position leaning on an overbed table. - (ANSWER)The practical nurse (PN)
should place a client in which position for a thoracentesis?
A. Implement standard precautions with the CSF specimen. - (ANSWER)Which action should the
practical nurse take when handling a sample of cerebrospinal fluid (CSF) collected for diagnostic testing
from a client?
C. Avoid using ice packs on the exposed area. - (ANSWER)Which instruction should the practical nurse
(PN) reinforce with a female client about skin care after her first radiotherapy treatment?
D. Sleeps with two additional pillows. - (ANSWER)A client with heart failure (HF) takes a daily tablet of
furosemide (Lasix) and lisinopril (Zestril). Which finding during the clinic visit should indicate to the
practical nurse that the client's condition is worsening?
D. Report the change in condition to the healthcare provider. - (ANSWER)A client who is 3 days
postoperative after a laminectomy is coughing up thick green sputum and wheezing. What action is
most important for the practical nurse (PN) to implement?
B. Offer the client the commode or urinal every two hours. - (ANSWER)A male client who had a stroke is
incontinent of urine. Which action should the practical nurse (PN) implement in providing bladder
training?
C. 50-year-old with Prinzmetal's angina. - (ANSWER)Which client should the practical nurse question a
PRN prescription for sumatriptan (Imitrex) for migraine headaches?
D. A low-dose aspirin given daily. - (ANSWER)The practical nurse (PN) is reinforcing information to a
older male client with a history of coronary artery disease about his prescribed daily medication
regimen. Which medication is most likely to reduce the client's risk factors?
A. Pain relief after ear drainage begins. - (ANSWER)An adult client with otitis media has thick, yellow
drainage from the right ear canal. What additional findings should the practical nurse (PN) expect to
identify?
C. Continue to monitor client's blood pressure. - (ANSWER)The practical nurse is caring for a client who
is admitted with signs of possible acute brain attack (Stroke) three hours ago. The client's blood pressure
is 170/96, regular radial pulse 76 beats/minute, respirations are nonlabored at 11 breaths/minute, and a
Sp02 of 99%. What action is most important for the PN to implement?
D. Reports the hospital room is an office. - (ANSWER)A client who was hit in the head with a baseball is
admitted to the hospital for observation. Which finding requires the practical nurse (PN) to follow-up
with further assessment?
D. It is a combination of wear and tear and calcium loss that causes the change. - (ANSWER)An older
female client with osteoporosis asks the practical nurse (PN) to explain why she is now 2 inches shorter
than when she was younger. What information is best for the practical nurse (PN) to provide?
A. 500/mm3. - (ANSWER)A practical nurse (PN) is coordinating the care of four clients on an oncology
unit. Which neutrophil count should the PN identify as a risk for a life-threatening infection in one of the
clients?
C. Surgery can restore vision with corrective lens implants or glasses. - (ANSWER)An older client who has
had a cataract in the right eye for several years tells the practical nurse (PN), "Now I have lost the sight
in my right eye because I waited too long for treatment." What information should the PN provide?
, PN Medical-Surgical Practice Exam Questions And Verified Correct Detailed Answers .
D. Elevate the arm above the level of the heart. - (ANSWER)The practical nurse (PN) is visiting a male
client with diabetes who has a new cast on his arm. The client's fingers are pale, cool, slightly swollen,
and the radial pulse is strong. What should the PN do first?
1. Maintain the client's airway
2. Apply pads to the bedside rails.
3. Avoid stimulation during post-ictal phase.
4. Observe the client for incontinence. - (ANSWER)A client with epilepsy is having bilateral rhythmic
jerking movements of all extremities. After calling for help, which action should the practical nurse (PN)
do next?
B. Sitting upright in a tripod position leaning on an overbed table. - (ANSWER)The practical nurse (PN)
should place a client in which position for a thoracentesis?
A. Implement standard precautions with the CSF specimen. - (ANSWER)Which action should the
practical nurse take when handling a sample of cerebrospinal fluid (CSF) collected for diagnostic testing
from a client?
C. Avoid using ice packs on the exposed area. - (ANSWER)Which instruction should the practical nurse
(PN) reinforce with a female client about skin care after her first radiotherapy treatment?
D. Sleeps with two additional pillows. - (ANSWER)A client with heart failure (HF) takes a daily tablet of
furosemide (Lasix) and lisinopril (Zestril). Which finding during the clinic visit should indicate to the
practical nurse that the client's condition is worsening?
D. Report the change in condition to the healthcare provider. - (ANSWER)A client who is 3 days
postoperative after a laminectomy is coughing up thick green sputum and wheezing. What action is
most important for the practical nurse (PN) to implement?
B. Offer the client the commode or urinal every two hours. - (ANSWER)A male client who had a stroke is
incontinent of urine. Which action should the practical nurse (PN) implement in providing bladder
training?
