PN Comprehensive Online Practice 2020 A
PN Comprehensive Online Practice 2020 A
A nurse is assisting with the care of a client who has a terminal illness. The
client practices Orthodox Judaism. Which of the following actions should the
nurse take?
ANS: Assure the client that a family member will stay with the body after
death
RAT: The nurse should assure the client that a family member will remain
with the body until burial
A nurse is caring for a client who is receiving telemetry. which of the
following ECG findings should the nurse report to the charge nurse?
PR interval 0.24 seconds.
A nurse in an urgent care clinic is collecting data from four clients. which of
the following clients should the nurse recommend for treatment?
a client who is experiencing shortness of breath after taking amoxicillin.
A nurse is assisting with the transfer of a client to a long-term care facility.
the nurse should review which of the following sections of the electronic
medical record to locate information about the client’s personal health
insurance?
admission sheet.
A nurse is reinforcing teaching with a client who is scheduled for a lumbar
puncture. which of the following statements should the nurse make?
you should increase your fluid intake after this procedure.
A nurse is reinforcing teaching about puberty with a group of prepubescent
female clients. Which of the following information should the nurse include in
the teaching?
you will likely gain weight before you start to get taller.
A nurse is assisting with a discussion about STI's with a group of
adolescents at a health fair. which of the following statements should the
nurse make?
an infection with gonorrhea may result in infertility.
,PN Comprehensive Online Practice 2020 A
A nurse in a provider’s office is caring for client who is at 34 weeks of
gestation. Which of the following instructions should the nurse anticipate
providing to the client?
monitor your blood pressure using your right arm daily.
A nurse is preparing to administer amoxicillin 875 mg PO every 12 hours. The
amount available is amoxicillin oral suspension 400 mg/5mL. How many mL
should the nurse administer per dose?
11.
A nurse is collecting data from a client who has chronic hepatitis. In which of
the following locations should the nurse expect the client to point to indicate
hepatic tenderness?
B.
A nurse is monitoring a client who is receiving lactated ringers 500 mL over 4
hr. the drop factor of the manual IV tubing is 10gtt/mL. The nurse should
check that the manual IV infusion is delivered at how many gtt/min?
21.
A nurse is reinforcing teaching with a client who has osteoarthritis. Which of
the following instructions should the nurse include?
apply capsaicin cream four times a day.
A nurse is reviewing a client's medication record and notices that a double
dose of oral digoxin was administered 1 hr ago. Which of the following
actions should the nurse take first?
ANS: Obtain a set of the client's vital signs
RAT: The first action the nurse should take when using the nursing process is
to collect data from the client. Digoxin can cause bradycardia. By obtaining
the client's vital signs, the nurse can identify the need for intervention
A nurse is instructing assistive personnel (AP) about caring for a client who
has hepatitis A and is incontinent of stool. Which of the following infection
control precautions should the nurse instruct the AP to use?
,PN Comprehensive Online Practice 2020 A
ANS: Contact
RAT: Hepatitis A is spread by the fecal-oral route. Standard precautions are
usually sufficient to prevent the spread of infection. However, if the client
who has hepatitis A is also incontinent of stool, then contact precautions are
indicated
A nurse is assisting with the transfer of a client to a long-term care facility.
The nurse should review which of the following sections of the electronic
health record to locate information about the client's personal health
insurance?
ANS: Admission sheet
RAT: The nurse will find client data, such as date of birth, occupation, and the
client's source of health insurance, on the client's admission sheet
A nurse is inspecting the skin of a newborn. Which of the following findings
should the nurse report to the provider?
ANS: Generalized petechiae
RAT: Petechiae are an expected finding over the presenting part of the
newborn, such as on the forehead in a brow presentation, and also anywhere
on the head of the newborns who has a nuchal cord, which is an umbilical
cord around the neck. However, petechiae all over the newborn's body can
indicate infection or a decreased platelet count and should be reported to
the provider
A nurse in a provider's office is obtaining the health history from a client who
is scheduled to undergo a cardiac catheterization in 2 days. Which of the
following questions is the priority for the nurse to ask?
ANS: "Do you know if you're allergic to iodine?"
RAT: The greatest risk to the client is an allergic reaction to the contrast
agent, which contains iodine. Therefore, the priority question is to identify
the client's allergies
A nurse is reviewing the medical record of a client who is receiving warfarin
and has atrial fibrillation. Which of the following laboratory values should the
nurse report to the provider?
, PN Comprehensive Online Practice 2020 A
ANS: INR 5.0
RAT: The international normalized ratio (INR) is a measurement of the body's
blood clotting ability. A client receiving warfarin to prevent clot formation
related to atrial fibrillation should have an INR of 2.0 to 3.0. An INR of 5.0 or
greater indicates that the client is at risk for bleeding. Therefore, the nurse
should notify the provider about this laboratory value
A nurse is evaluating the safe use of electrical equipment by a newly hired
assistive personnel (AP). Which of the following actions by the AP
demonstrates an understanding of the proper use of electrical equipment?
ANS: Grasps the plug of a device in the client's room to pull it straight out
from the wall
RAT: The nurse should recognize that by grasping the plug, rather than the
cord, the AP is demonstrating an understanding of proper equipment use
and preventing risk of injury from electronic equipment.
A nurse is reinforcing discharge teaching with the parents of a school-age
child who has severe hemophilia A. Which of the following statements by the
parents indicates an understanding of the teaching?
ANS: "I will soak my child's toothbrush in warm water to soften it before my
child uses it."
RAT: The nurse should instruct the parents to soften their child's toothbrush
in warm water before they use it or allow them to use a sponge-tipped
disposable toothbrush. These actions will minimize trauma to the gums and
prevent bleeding of the oral cavity
A nurse is assisting with the development of an in-service for newly licensed
nurses about seclusion. In which of the following situations should the nurse
identify the need to request a prescription for seclusion?
ANS: A client hits another client because they thought the other client was
talking about them
RAT: The nurse should request a prescription for seclusion for a client who
hits another client to protect the client and others from physical injury
PN Comprehensive Online Practice 2020 A
A nurse is assisting with the care of a client who has a terminal illness. The
client practices Orthodox Judaism. Which of the following actions should the
nurse take?
ANS: Assure the client that a family member will stay with the body after
death
RAT: The nurse should assure the client that a family member will remain
with the body until burial
A nurse is caring for a client who is receiving telemetry. which of the
following ECG findings should the nurse report to the charge nurse?
PR interval 0.24 seconds.
A nurse in an urgent care clinic is collecting data from four clients. which of
the following clients should the nurse recommend for treatment?
a client who is experiencing shortness of breath after taking amoxicillin.
A nurse is assisting with the transfer of a client to a long-term care facility.
the nurse should review which of the following sections of the electronic
medical record to locate information about the client’s personal health
insurance?
admission sheet.
A nurse is reinforcing teaching with a client who is scheduled for a lumbar
puncture. which of the following statements should the nurse make?
you should increase your fluid intake after this procedure.
A nurse is reinforcing teaching about puberty with a group of prepubescent
female clients. Which of the following information should the nurse include in
the teaching?
you will likely gain weight before you start to get taller.
A nurse is assisting with a discussion about STI's with a group of
adolescents at a health fair. which of the following statements should the
nurse make?
an infection with gonorrhea may result in infertility.
,PN Comprehensive Online Practice 2020 A
A nurse in a provider’s office is caring for client who is at 34 weeks of
gestation. Which of the following instructions should the nurse anticipate
providing to the client?
monitor your blood pressure using your right arm daily.
A nurse is preparing to administer amoxicillin 875 mg PO every 12 hours. The
amount available is amoxicillin oral suspension 400 mg/5mL. How many mL
should the nurse administer per dose?
11.
A nurse is collecting data from a client who has chronic hepatitis. In which of
the following locations should the nurse expect the client to point to indicate
hepatic tenderness?
B.
A nurse is monitoring a client who is receiving lactated ringers 500 mL over 4
hr. the drop factor of the manual IV tubing is 10gtt/mL. The nurse should
check that the manual IV infusion is delivered at how many gtt/min?
21.
A nurse is reinforcing teaching with a client who has osteoarthritis. Which of
the following instructions should the nurse include?
apply capsaicin cream four times a day.
A nurse is reviewing a client's medication record and notices that a double
dose of oral digoxin was administered 1 hr ago. Which of the following
actions should the nurse take first?
ANS: Obtain a set of the client's vital signs
RAT: The first action the nurse should take when using the nursing process is
to collect data from the client. Digoxin can cause bradycardia. By obtaining
the client's vital signs, the nurse can identify the need for intervention
A nurse is instructing assistive personnel (AP) about caring for a client who
has hepatitis A and is incontinent of stool. Which of the following infection
control precautions should the nurse instruct the AP to use?
,PN Comprehensive Online Practice 2020 A
ANS: Contact
RAT: Hepatitis A is spread by the fecal-oral route. Standard precautions are
usually sufficient to prevent the spread of infection. However, if the client
who has hepatitis A is also incontinent of stool, then contact precautions are
indicated
A nurse is assisting with the transfer of a client to a long-term care facility.
The nurse should review which of the following sections of the electronic
health record to locate information about the client's personal health
insurance?
ANS: Admission sheet
RAT: The nurse will find client data, such as date of birth, occupation, and the
client's source of health insurance, on the client's admission sheet
A nurse is inspecting the skin of a newborn. Which of the following findings
should the nurse report to the provider?
ANS: Generalized petechiae
RAT: Petechiae are an expected finding over the presenting part of the
newborn, such as on the forehead in a brow presentation, and also anywhere
on the head of the newborns who has a nuchal cord, which is an umbilical
cord around the neck. However, petechiae all over the newborn's body can
indicate infection or a decreased platelet count and should be reported to
the provider
A nurse in a provider's office is obtaining the health history from a client who
is scheduled to undergo a cardiac catheterization in 2 days. Which of the
following questions is the priority for the nurse to ask?
ANS: "Do you know if you're allergic to iodine?"
RAT: The greatest risk to the client is an allergic reaction to the contrast
agent, which contains iodine. Therefore, the priority question is to identify
the client's allergies
A nurse is reviewing the medical record of a client who is receiving warfarin
and has atrial fibrillation. Which of the following laboratory values should the
nurse report to the provider?
, PN Comprehensive Online Practice 2020 A
ANS: INR 5.0
RAT: The international normalized ratio (INR) is a measurement of the body's
blood clotting ability. A client receiving warfarin to prevent clot formation
related to atrial fibrillation should have an INR of 2.0 to 3.0. An INR of 5.0 or
greater indicates that the client is at risk for bleeding. Therefore, the nurse
should notify the provider about this laboratory value
A nurse is evaluating the safe use of electrical equipment by a newly hired
assistive personnel (AP). Which of the following actions by the AP
demonstrates an understanding of the proper use of electrical equipment?
ANS: Grasps the plug of a device in the client's room to pull it straight out
from the wall
RAT: The nurse should recognize that by grasping the plug, rather than the
cord, the AP is demonstrating an understanding of proper equipment use
and preventing risk of injury from electronic equipment.
A nurse is reinforcing discharge teaching with the parents of a school-age
child who has severe hemophilia A. Which of the following statements by the
parents indicates an understanding of the teaching?
ANS: "I will soak my child's toothbrush in warm water to soften it before my
child uses it."
RAT: The nurse should instruct the parents to soften their child's toothbrush
in warm water before they use it or allow them to use a sponge-tipped
disposable toothbrush. These actions will minimize trauma to the gums and
prevent bleeding of the oral cavity
A nurse is assisting with the development of an in-service for newly licensed
nurses about seclusion. In which of the following situations should the nurse
identify the need to request a prescription for seclusion?
ANS: A client hits another client because they thought the other client was
talking about them
RAT: The nurse should request a prescription for seclusion for a client who
hits another client to protect the client and others from physical injury
