PACK 2026 KEY CONCEPTS AND REVISION
NOTES
◉ Medication administration.
Answer: Process of giving prescribed drugs to patients.
◉ Traction maintenance.
Answer: Ensuring proper application of weights and ropes.
◉ Client assessment.
Answer: Evaluating a patient's condition and needs.
◉ SBAR technique.
Answer: A communication framework used by healthcare providers
to convey client information, consisting of Situation, Background,
Assessment, and Recommendation.
◉ Nystatin suspension administration.
Answer: The method of applying nystatin to the gums of an infant
with a candida infection, typically using a gloved finger to rub the
suspension over the infected area.
,◉ Capillary blood sample for glucose measurement.
Answer: The procedure of obtaining a blood sample from a finger,
which includes interventions like grasping the subcutaneous tissue
and pulling upward.
◉ Effective coughing position.
Answer: The optimal position for a client to facilitate effective
coughing after surgery, which is sitting on the side of the bed with
feet flat on the floor.
◉ Confusion in elderly clients.
Answer: A common occurrence during relocation, where the
practical nurse should remind the client of the day of the week if
they forget.
◉ Stomatitis focused assessment.
Answer: An evaluation of a client's ability to swallow, particularly in
cases of inflammation of the oral mucosa caused by chemotherapy.
◉ Endoscopic procedure care.
Answer: The priority action for a client post-endoscopic procedure
is to assess the gag reflex due to local anesthetic applied to the
throat.
,◉ Ondansetron effectiveness evaluation.
Answer: Monitoring the client for nausea and vomiting following
chemotherapy treatment to assess the effectiveness of ondansetron.
◉ Skin assessment in dark-skinned clients.
Answer: The recommended sites for observing skin conditions in
clients with dark skin tones include the sclera and mucous
membranes.
◉ Evisceration.
Answer: A surgical complication characterized by the complete
separation of a wound with protrusion of the viscera, typically
occurring 7-10 days postoperatively.
◉ Low serum sodium level.
Answer: A serum sodium level of 125 mEq/L, which may indicate
water intoxication, necessitating evaluation of the client's daily
water and ice consumption.
◉ Fall prevention protocol.
Answer: A safety measure on the medical unit that requires the
practical nurse to supervise unlicensed assistive personnel after
identifying omissions in protocol.
, ◉ Scope of practice for practical nurse.
Answer: Activities that a practical nurse is authorized to perform,
such as demonstrating deep breathing and coughing techniques to a
postoperative client.
◉ Impaired mobility nursing diagnosis.
Answer: A diagnosis indicating a client's fear of falling, which can be
addressed by placing a gait belt on the client prior to ambulation.
◉ Walker.
Answer: Assistive device for mobility support.
◉ Self-affirmation statements.
Answer: Positive phrases to reduce anxiety and fear.
◉ Ambulate.
Answer: To walk or move about, often with assistance.
◉ Hoarseness.
Answer: Change in voice quality, potential cancer sign.