PN-2022 (2).
A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse
should identify which of the following as an indication of hopelessness?
a. The client wants to talk about the diagnosis with nursing staff
b. The client has a decreased energy level
c. The client makes funeral arrangements
d. The client requests a second opinion
A nurse is preparing to collect data on a preschooler. Which of the following behaviors by the
child indicates that he is ready to cooperate? (Select all that apply)
c. Allows the nurse to touch him on the arm
d. Plays with toys in the examining room c.
Answers questions asked by the nurse
d. Makes eye contact with the nurse
e. Sits on his parent’s lap when the nurse enters the room
A nurse on a mental health unit is planning care for a group of clients. Which of the
following clients should the nurse see first?
e. A client who has bipolar disorder and is displaying flights of ideas
f. A client who has ADHD and has an inability to concentrate
g. A client who has schizophrenia and is having command hallucinations
h. A client who has depressive disorder and is withdrawn
A nurse is caring for a client who recently gave birth to her first child. The newborn is crying
and the client states, “ I can’t seem to do anything right. What should I do?” Which of the
following responses should the nurse make?
i. “I’ll take him back to the nursery, so you can get some rest.”
j. “Babies need to cry soon after they are born to develop their lungs.”
k. “Let me show you how to swaddle and cuddle him, then you try.”
l. “If I turn him on his side, maybe he’ll go back to sleep.”
A nurse is using a glucometer to measure a client’s capillary blood glucose level, Which of
the following actions should the nurse take?
m. Test the first drop of blood that forms after the puncture
n. Wear sterile gloves
o. Keep the finger in a dependent position
p. Select the central tip of the fingA nurse is reviewing the home medications of a client who
recently had transient ischemic attacks and is to begin taking clopidogrel. The nurse should
instruct the client that which of the following over-the-counter medications interacts
adversely with clopidogrel?
q. Docusate sodium
,PN-2022 (2).
r. Ranitidine
c. Vitamin D3
d. Naproxen
A nurse is collecting data from a client who has a long leg cast that was applied 2 days ago.
The client’s foot is pale with a weak pedal pulse, and the client reports foot numbness. Which of
the following actions should the nurse plan to take first?
s. Administer opioid pain medication
t. Apply an ice pack to the affected extremity
u. Check for pain with passive movement of the affected extremity
v. Elevate the affected extremity with several pillows
A nurse in a provider’s office is reinforcing teaching about cigarette smoking with a client.
Which of the following adverse effects should the nurse include in the teaching?
w. Decreased hemoglobin
b. Somnolence
c. Bradycardia
d. Decreased blood pressure
A nurse is contributing to the development of an in-service program for mental health
nursing staff. The nurse should include that the st
aff can medicate a client against his will, without a court hearing, in which of the following
situations?
x. A client who has a serious mental illness
y. A client who is having difficulty making decisions about his treatment
z. A client for whom the benefits of the medication outweigh the risks
aa. A client who is attempting to hurt himself or others
A nurse is reinforcing teaching with a client who has a new prescription for digoxin. Which of the
following instructions should the nurse include in the teaching?
bb. “Monitor for muscle weakness while taking the medication.”
cc. “Rotate injection sites when administering the medication.”
dd. “Withhold the medication if your pulse rate is above 100 beats per minute.”
ee. “Increase your intake of dietary fiber to increase absorption.”
A charge nurse is discussing confidentiality requirements with a newly licensed nurse when
sharing a client’s medical information. Which of the following individuals should the charge nurse
identify as appropriate with whom to share client information?
ff. A nurse from another unit after a client commits suicide
gg. A social worker who is assigned to an involuntary committed school-age client
hh.A client’s partner after the client reports intimate partner abuse
ii. A client’s employer who is concerned about safety due to substance use
,PN-2022 (2).
A nurse is reviewing laboratory values for a client who is at 34 weeks of gestation. Which of the
following findings should the nurse report to the provider?
jj. Hgb 13.2 g/dL
kk. Urine protein 3 plus
c. Fasting blood glucose 72 mg/dL
d. BUN 15 mg/dL
A nurse is collecting data from a client who is 4 hr postoperative following a
hemicolectomy. Which of the following findings is the nurse’s priority, requiring immediate
intervention?
ll. Pain rating of 9 on a scale from 0 to 10
mm. Blood pressure 160/90 mm Hg
nn. Oxygen saturation 89%
oo. Abdominal dressing with a moderate amount of bright red drainage
A nurse in a provider’s office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following findings should the
nurse report to the provider immediately?
pp. A 2 kg (4.4 lb) weight gain
b. Blurred vision
c. Potassium 3.6 mEq/L
d. Resumption of cigarette smoking
A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which of the
following actions should the nurse take first?
qq. Place the client on bed rest
rr. Obtain the clients ABG levels
ss. Prepare the client for a ventilation-perfusion scan
tt. Elevate the head of the client’s bed
4. A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of
the following laboratory tests is the most accurate of blood glucose effective
management?
a. Urine ketones
b. Glucose tolerance test
c. Glycosylated hemoglobin
d. Fasting blood glucose
5. A charge nurse on a mental health unit is supervising a newly licensed nurse. For which of
the following actions by the newly licensed nurse should the supervising nurse intervene?
a. Requests a client to assist with distributing lunch trays
b. Tells a client he will lose his phone privileges if he does not take his medication
c. Encourages a client to participate in a recreational therapy group
d. Places mechanical restraints on a client who is hitting another staff member
, PN-2022 (2).
6. A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on seizure
precautions. Which of the following materials should the AP place in the client’s room?
a. Oral suction equipment
b. Wrist restraints
c. Tongue depressor
d. Tracheostomy tray
7. A nurse is reinforcing discharge teaching with the faculty of a client who has
dependent personality disorder. Which of the following instructions should the nurse
indicate in the teaching?
a. Maintain a verbal no-harm contract with the client
b. Assume responsibility for making the client’s decisions
c. Encourage the client to be assertive
d. Limit the client’s social interactions
8. A nurse is reinforcing discharge teaching with a client who had a right total hip
arthroplasty. Which of the following instructions should the nurse indicate?
a. “You should avoid crossing your legs for 3 months.”
b. “You should avoid putting a pillow between your legs when in bed.”
c. “You should avoid exercising for the next 6 weeks.”
d. “You should avoid lying on your right side.”
9.
10. A nurse is reinforcing dietary teaching with a client who has hyperemesis gravidarum.
Which of the following instructions should the nurse include in the teaching?
a. Drink 240 mL ( 8 oz) of water with each meal
b. Eat a small meal every 2 to 3 hr
c. Avoid eating dairy products
d. Choose foods that are high in fat
11. A nurse is reinforcing teaching with a client who has GERD and a prescription for
ranitidine. Which of the following statements by the client indicates an understanding of the
teaching?
a. “I have to remain upright for 1 hour after taking the medication.”
b. “I should take this medication in the morning and at night.”
c. “I should expect my tongue to turn black after I take this medication.”
d. “I have to take this medication on an empty stomach.”
12. A nurse is assisting with the admission of a client who has pulmonary tuberculosis. Which of
the following types of isolation precautions should the nurse include?
a. Airborne
b. Droplet
A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse
should identify which of the following as an indication of hopelessness?
a. The client wants to talk about the diagnosis with nursing staff
b. The client has a decreased energy level
c. The client makes funeral arrangements
d. The client requests a second opinion
A nurse is preparing to collect data on a preschooler. Which of the following behaviors by the
child indicates that he is ready to cooperate? (Select all that apply)
c. Allows the nurse to touch him on the arm
d. Plays with toys in the examining room c.
Answers questions asked by the nurse
d. Makes eye contact with the nurse
e. Sits on his parent’s lap when the nurse enters the room
A nurse on a mental health unit is planning care for a group of clients. Which of the
following clients should the nurse see first?
e. A client who has bipolar disorder and is displaying flights of ideas
f. A client who has ADHD and has an inability to concentrate
g. A client who has schizophrenia and is having command hallucinations
h. A client who has depressive disorder and is withdrawn
A nurse is caring for a client who recently gave birth to her first child. The newborn is crying
and the client states, “ I can’t seem to do anything right. What should I do?” Which of the
following responses should the nurse make?
i. “I’ll take him back to the nursery, so you can get some rest.”
j. “Babies need to cry soon after they are born to develop their lungs.”
k. “Let me show you how to swaddle and cuddle him, then you try.”
l. “If I turn him on his side, maybe he’ll go back to sleep.”
A nurse is using a glucometer to measure a client’s capillary blood glucose level, Which of
the following actions should the nurse take?
m. Test the first drop of blood that forms after the puncture
n. Wear sterile gloves
o. Keep the finger in a dependent position
p. Select the central tip of the fingA nurse is reviewing the home medications of a client who
recently had transient ischemic attacks and is to begin taking clopidogrel. The nurse should
instruct the client that which of the following over-the-counter medications interacts
adversely with clopidogrel?
q. Docusate sodium
,PN-2022 (2).
r. Ranitidine
c. Vitamin D3
d. Naproxen
A nurse is collecting data from a client who has a long leg cast that was applied 2 days ago.
The client’s foot is pale with a weak pedal pulse, and the client reports foot numbness. Which of
the following actions should the nurse plan to take first?
s. Administer opioid pain medication
t. Apply an ice pack to the affected extremity
u. Check for pain with passive movement of the affected extremity
v. Elevate the affected extremity with several pillows
A nurse in a provider’s office is reinforcing teaching about cigarette smoking with a client.
Which of the following adverse effects should the nurse include in the teaching?
w. Decreased hemoglobin
b. Somnolence
c. Bradycardia
d. Decreased blood pressure
A nurse is contributing to the development of an in-service program for mental health
nursing staff. The nurse should include that the st
aff can medicate a client against his will, without a court hearing, in which of the following
situations?
x. A client who has a serious mental illness
y. A client who is having difficulty making decisions about his treatment
z. A client for whom the benefits of the medication outweigh the risks
aa. A client who is attempting to hurt himself or others
A nurse is reinforcing teaching with a client who has a new prescription for digoxin. Which of the
following instructions should the nurse include in the teaching?
bb. “Monitor for muscle weakness while taking the medication.”
cc. “Rotate injection sites when administering the medication.”
dd. “Withhold the medication if your pulse rate is above 100 beats per minute.”
ee. “Increase your intake of dietary fiber to increase absorption.”
A charge nurse is discussing confidentiality requirements with a newly licensed nurse when
sharing a client’s medical information. Which of the following individuals should the charge nurse
identify as appropriate with whom to share client information?
ff. A nurse from another unit after a client commits suicide
gg. A social worker who is assigned to an involuntary committed school-age client
hh.A client’s partner after the client reports intimate partner abuse
ii. A client’s employer who is concerned about safety due to substance use
,PN-2022 (2).
A nurse is reviewing laboratory values for a client who is at 34 weeks of gestation. Which of the
following findings should the nurse report to the provider?
jj. Hgb 13.2 g/dL
kk. Urine protein 3 plus
c. Fasting blood glucose 72 mg/dL
d. BUN 15 mg/dL
A nurse is collecting data from a client who is 4 hr postoperative following a
hemicolectomy. Which of the following findings is the nurse’s priority, requiring immediate
intervention?
ll. Pain rating of 9 on a scale from 0 to 10
mm. Blood pressure 160/90 mm Hg
nn. Oxygen saturation 89%
oo. Abdominal dressing with a moderate amount of bright red drainage
A nurse in a provider’s office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following findings should the
nurse report to the provider immediately?
pp. A 2 kg (4.4 lb) weight gain
b. Blurred vision
c. Potassium 3.6 mEq/L
d. Resumption of cigarette smoking
A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which of the
following actions should the nurse take first?
qq. Place the client on bed rest
rr. Obtain the clients ABG levels
ss. Prepare the client for a ventilation-perfusion scan
tt. Elevate the head of the client’s bed
4. A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of
the following laboratory tests is the most accurate of blood glucose effective
management?
a. Urine ketones
b. Glucose tolerance test
c. Glycosylated hemoglobin
d. Fasting blood glucose
5. A charge nurse on a mental health unit is supervising a newly licensed nurse. For which of
the following actions by the newly licensed nurse should the supervising nurse intervene?
a. Requests a client to assist with distributing lunch trays
b. Tells a client he will lose his phone privileges if he does not take his medication
c. Encourages a client to participate in a recreational therapy group
d. Places mechanical restraints on a client who is hitting another staff member
, PN-2022 (2).
6. A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on seizure
precautions. Which of the following materials should the AP place in the client’s room?
a. Oral suction equipment
b. Wrist restraints
c. Tongue depressor
d. Tracheostomy tray
7. A nurse is reinforcing discharge teaching with the faculty of a client who has
dependent personality disorder. Which of the following instructions should the nurse
indicate in the teaching?
a. Maintain a verbal no-harm contract with the client
b. Assume responsibility for making the client’s decisions
c. Encourage the client to be assertive
d. Limit the client’s social interactions
8. A nurse is reinforcing discharge teaching with a client who had a right total hip
arthroplasty. Which of the following instructions should the nurse indicate?
a. “You should avoid crossing your legs for 3 months.”
b. “You should avoid putting a pillow between your legs when in bed.”
c. “You should avoid exercising for the next 6 weeks.”
d. “You should avoid lying on your right side.”
9.
10. A nurse is reinforcing dietary teaching with a client who has hyperemesis gravidarum.
Which of the following instructions should the nurse include in the teaching?
a. Drink 240 mL ( 8 oz) of water with each meal
b. Eat a small meal every 2 to 3 hr
c. Avoid eating dairy products
d. Choose foods that are high in fat
11. A nurse is reinforcing teaching with a client who has GERD and a prescription for
ranitidine. Which of the following statements by the client indicates an understanding of the
teaching?
a. “I have to remain upright for 1 hour after taking the medication.”
b. “I should take this medication in the morning and at night.”
c. “I should expect my tongue to turn black after I take this medication.”
d. “I have to take this medication on an empty stomach.”
12. A nurse is assisting with the admission of a client who has pulmonary tuberculosis. Which of
the following types of isolation precautions should the nurse include?
a. Airborne
b. Droplet
