When observing an older client with dementia for symptoms of Sundowning syndrome, it is
most important that the practical nurse (PN) assesses for which finding? - ANSWER Ob-
serve for agitation at the end of the day.
A male client is seen in the clinic for benign prostatic hypertrophy (BPH). Which intervention
is essential for the practical nurse (PN) to include in the client's visit? - ANSWER Assess
the client for urinary hesitancy and weak or split urinary stream.
An older adult client is seen in the clinic for problems with urinary frequency, urgency, and
nocturia. The symptoms are an example of which condition? - ANSWER Normal aging
changes
The oral temperature of a client with a urinary tract infection is 103°F. Which intervention
should the practical nurse (PN) implement first? - ANSWER Encourage fluid intake.
A client has had cataract surgery. What is the most important post-surgery instruction that
the practical nurse (PN) should implement? - ANSWER Avoid bending at the waist.
An older client verbalizes to the practical nurse (PN) that he feels a lack of control over his
life. The family member who came with the client states that his father has been exhibiting
increased passive behavior and an unwillingness to participate in family functions. What
word best describes this client's behavior? - ANSWER Powerlessness
The client has end-stage Alzheimer disease and is admitted into hospice care. Which focus
does the nurse expect to note in the plan of care? - ANSWER To allow the client to die
with as much comfort and dignity as possible
1
, The practical nurse (PN) working at an assisted living facility is visiting with a client whose
spouse died 8 months ago. Which behavior by the client suggests ineffective coping with the
spouse's death? - ANSWER Frequently neglects to shower and shave.
The hospitalized client with end-stage renal disease has expressed verbal and written wishes
not to be resuscitated. Which action should the practical nurse (PN) take? - ANSWER
Keep the client as comfortable as possible.
An older client diagnosed with benign prostatic hypertrophy (BPH) asks the practical nurse
(PN) what will happen if he decides not to have it treated. Which information given by the
PN is most accurate regarding BPH? - ANSWER Untreated BPH causes urinary reflux and
possibly hydronephrosis.
The practical nurse (PN) emphasizes ways to prevent constipation to the older adult client.
Which instruction should the PN reinforce in the client's discharge teaching plan? - AN-
SWER Drink several glasses of water throughout the day.
An older adult client is recovering from a hip fracture. The healthcare provider has pre-
scribed home healthcare nursing upon discharge. Which statement describes the primary
goal for the client? - ANSWER Establish self-care and independence.
The practical nurse (PN) reinforces the instructions to the client after a hip replacement.
Which client action indicates the need for further education? - ANSWER Crossing the feet
while lying in bed
The practical nurse (PN) assesses the older adult client's skin for signs of breakdown and ob-
serves that the skin is intact. What interventions by the PN will help maintain healthy skin
integrity? - ANSWER Keep the client well hydrated.
The practical nurse (PN) performs a skin assessment on an older adult client who is on bed
rest. The PN notes a circular area of nonblanchable erythema on the coccyx. Which type of
skin condition does this indicate? - ANSWER Stage 1 pressure ulcer
2
most important that the practical nurse (PN) assesses for which finding? - ANSWER Ob-
serve for agitation at the end of the day.
A male client is seen in the clinic for benign prostatic hypertrophy (BPH). Which intervention
is essential for the practical nurse (PN) to include in the client's visit? - ANSWER Assess
the client for urinary hesitancy and weak or split urinary stream.
An older adult client is seen in the clinic for problems with urinary frequency, urgency, and
nocturia. The symptoms are an example of which condition? - ANSWER Normal aging
changes
The oral temperature of a client with a urinary tract infection is 103°F. Which intervention
should the practical nurse (PN) implement first? - ANSWER Encourage fluid intake.
A client has had cataract surgery. What is the most important post-surgery instruction that
the practical nurse (PN) should implement? - ANSWER Avoid bending at the waist.
An older client verbalizes to the practical nurse (PN) that he feels a lack of control over his
life. The family member who came with the client states that his father has been exhibiting
increased passive behavior and an unwillingness to participate in family functions. What
word best describes this client's behavior? - ANSWER Powerlessness
The client has end-stage Alzheimer disease and is admitted into hospice care. Which focus
does the nurse expect to note in the plan of care? - ANSWER To allow the client to die
with as much comfort and dignity as possible
1
, The practical nurse (PN) working at an assisted living facility is visiting with a client whose
spouse died 8 months ago. Which behavior by the client suggests ineffective coping with the
spouse's death? - ANSWER Frequently neglects to shower and shave.
The hospitalized client with end-stage renal disease has expressed verbal and written wishes
not to be resuscitated. Which action should the practical nurse (PN) take? - ANSWER
Keep the client as comfortable as possible.
An older client diagnosed with benign prostatic hypertrophy (BPH) asks the practical nurse
(PN) what will happen if he decides not to have it treated. Which information given by the
PN is most accurate regarding BPH? - ANSWER Untreated BPH causes urinary reflux and
possibly hydronephrosis.
The practical nurse (PN) emphasizes ways to prevent constipation to the older adult client.
Which instruction should the PN reinforce in the client's discharge teaching plan? - AN-
SWER Drink several glasses of water throughout the day.
An older adult client is recovering from a hip fracture. The healthcare provider has pre-
scribed home healthcare nursing upon discharge. Which statement describes the primary
goal for the client? - ANSWER Establish self-care and independence.
The practical nurse (PN) reinforces the instructions to the client after a hip replacement.
Which client action indicates the need for further education? - ANSWER Crossing the feet
while lying in bed
The practical nurse (PN) assesses the older adult client's skin for signs of breakdown and ob-
serves that the skin is intact. What interventions by the PN will help maintain healthy skin
integrity? - ANSWER Keep the client well hydrated.
The practical nurse (PN) performs a skin assessment on an older adult client who is on bed
rest. The PN notes a circular area of nonblanchable erythema on the coccyx. Which type of
skin condition does this indicate? - ANSWER Stage 1 pressure ulcer
2
