PN Comprehensive Online Practice 2020 B
1. A nurse at a long-term care facility is caring for a client who requires oral suctioning. Which of
the following supplies should the nurse plan to use for this task?
- Yankauer catheter
2. A nurse in a long-term care facility is serving on the ethics committee, which is addressing a
client care dilemma. Which of the following strategies will facilitate resolving the dilemma?
(Select all that apply) - Determine the facts related to the dilemma
Identify possible solutions
Consider the client's wishes
3. A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The client
states, "I really thought I'd be back to my usual routines by now, but I can't think of anything
else except that my son is gone." Which of the following responses should the nurse make?
- "Grieving for your son is hard work. It will take as much time as you need to come to terms
with your loss."
4. A nurse is reinforcing teaching with a client about cancer prevention. The nurse should include
that frequent consumption of which of the following foods increases the risk for developing
cancer?
- Lamb
5. A nurse notices an assistive personnel (AP) taking a nap in the break room during meal time. The
nurse also notes that the AP is drowsy while performing routine tasks. Which of the following
actions should the nurse take?
- Report the observations about the AP to the unit's nurse manager
6. A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the
following clients should the nurse identify as being at risk for urinary retention?
- A school-age child who has allergic rhinitis and is taking diphenhydramine
,7. A nurse is caring for a client following a bronchoscopy. Which of the following actions should the
nurse take first?
- Check for a gag reflex
8. A nurse is assisting with the admission of a client who has a latex allergy. The nurse should
identify that which of the following supplies has the potential to contain latex?
- Indwelling urinary catheter
9. A nurse is performing postmortem care for a client prior to the arrival of the client's family for
viewing of the body. Which of the following actions should the nurse take?
- Gently close the client's eyelids
10. A nurse is reinforcing teaching with a client who has dumping syndrome about measures to
reduce manifestations. Which of the following instructions should the nurse include in the
teaching?
- Avoid foods with a high sugar content
11. A nurse is collecting data from a client who is experiencing a situational crisis following the loss
of a job. The client states, "I don't think I can go through this again." Which of the following
actions is the nurse's priority? - Determine if the client is experiencing psychotic thinking
12. A nurse is contributing to the plan of care for a client following a transurethral resection of the
prostate (TURP). Which of the following interventions should the nurse include? - Irrigate the
bladder using sterile technique
13. A nurse is caring for an infant who is receiving IV fluids for dehydration. Which of the following
should the nurse recognize as a positive response to therapy? - Moist mucous membranes
14. A nurse is assisting with the admission of a client who is experiencing alcohol withdrawal. Which
of the following medications should the nurse expect the provider to prescribe for the client? -
Chlordiazepoxide
15. A nurse is caring for a client who is scheduled for surgery in the morning. The nurse learns that
the client has decided not to have surgery even though they have already signed the informed
, consent form. Which of the following actions should the nurse take? - Report the situation to
the provider who obtained the informed consent
16. A nurse is collecting data from a client who is in severe pain. Which of the following questions
should the nurse ask first? - "Where is your pain located?"
17. A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for
ferrous sulfate elixir. Which of the following statements by the client should indicate to the
nurse an understanding of the teaching? - "I will rinse my mouth after taking this medication"
18. A nurse is contributing to the plan of care for a client who is postoperative following a
rhinoplasty. Which of the following interventions should the nurse recommend? - Instruct the
client to avoid the Valsalva maneuver
19. A nurse is collecting data from a postpartum client who had a vaginal birth 2 days ago. Which of
the following findings is the nurse's priority to report to the provider? - Client reports burning
with urination
20. A nurse is preparing to administer digoxin to a client who has heart failure. Which of the
following findings should indicate to the nurse that the medication has been effective? - Cardiac
workload decreases
21. A nurse is reinforcing teaching about stress management techniques with a client who has
moderate anxiety disorder. Which of the following responses by the client indicates an
understanding of the teaching? - "I will imagine myself in a calm place when I can't concentrate"
22. A nurse is reinforcing teaching with a client about taking warfarin to treat atrial fibrillation.
Which of the following statements by the client indicates an understanding of the teaching? - "If
I forget to take a dose, I can take it later on the same day"
23. A charge nurse in a long-term care facility notices an assistive personnel's (AP) repeated failure
to provide oral care for clients. Which of the following actions should the charge nurse take? -
Discuss this behavior with the AP while reinforcing expectations
1. A nurse at a long-term care facility is caring for a client who requires oral suctioning. Which of
the following supplies should the nurse plan to use for this task?
- Yankauer catheter
2. A nurse in a long-term care facility is serving on the ethics committee, which is addressing a
client care dilemma. Which of the following strategies will facilitate resolving the dilemma?
(Select all that apply) - Determine the facts related to the dilemma
Identify possible solutions
Consider the client's wishes
3. A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The client
states, "I really thought I'd be back to my usual routines by now, but I can't think of anything
else except that my son is gone." Which of the following responses should the nurse make?
- "Grieving for your son is hard work. It will take as much time as you need to come to terms
with your loss."
4. A nurse is reinforcing teaching with a client about cancer prevention. The nurse should include
that frequent consumption of which of the following foods increases the risk for developing
cancer?
- Lamb
5. A nurse notices an assistive personnel (AP) taking a nap in the break room during meal time. The
nurse also notes that the AP is drowsy while performing routine tasks. Which of the following
actions should the nurse take?
- Report the observations about the AP to the unit's nurse manager
6. A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the
following clients should the nurse identify as being at risk for urinary retention?
- A school-age child who has allergic rhinitis and is taking diphenhydramine
,7. A nurse is caring for a client following a bronchoscopy. Which of the following actions should the
nurse take first?
- Check for a gag reflex
8. A nurse is assisting with the admission of a client who has a latex allergy. The nurse should
identify that which of the following supplies has the potential to contain latex?
- Indwelling urinary catheter
9. A nurse is performing postmortem care for a client prior to the arrival of the client's family for
viewing of the body. Which of the following actions should the nurse take?
- Gently close the client's eyelids
10. A nurse is reinforcing teaching with a client who has dumping syndrome about measures to
reduce manifestations. Which of the following instructions should the nurse include in the
teaching?
- Avoid foods with a high sugar content
11. A nurse is collecting data from a client who is experiencing a situational crisis following the loss
of a job. The client states, "I don't think I can go through this again." Which of the following
actions is the nurse's priority? - Determine if the client is experiencing psychotic thinking
12. A nurse is contributing to the plan of care for a client following a transurethral resection of the
prostate (TURP). Which of the following interventions should the nurse include? - Irrigate the
bladder using sterile technique
13. A nurse is caring for an infant who is receiving IV fluids for dehydration. Which of the following
should the nurse recognize as a positive response to therapy? - Moist mucous membranes
14. A nurse is assisting with the admission of a client who is experiencing alcohol withdrawal. Which
of the following medications should the nurse expect the provider to prescribe for the client? -
Chlordiazepoxide
15. A nurse is caring for a client who is scheduled for surgery in the morning. The nurse learns that
the client has decided not to have surgery even though they have already signed the informed
, consent form. Which of the following actions should the nurse take? - Report the situation to
the provider who obtained the informed consent
16. A nurse is collecting data from a client who is in severe pain. Which of the following questions
should the nurse ask first? - "Where is your pain located?"
17. A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for
ferrous sulfate elixir. Which of the following statements by the client should indicate to the
nurse an understanding of the teaching? - "I will rinse my mouth after taking this medication"
18. A nurse is contributing to the plan of care for a client who is postoperative following a
rhinoplasty. Which of the following interventions should the nurse recommend? - Instruct the
client to avoid the Valsalva maneuver
19. A nurse is collecting data from a postpartum client who had a vaginal birth 2 days ago. Which of
the following findings is the nurse's priority to report to the provider? - Client reports burning
with urination
20. A nurse is preparing to administer digoxin to a client who has heart failure. Which of the
following findings should indicate to the nurse that the medication has been effective? - Cardiac
workload decreases
21. A nurse is reinforcing teaching about stress management techniques with a client who has
moderate anxiety disorder. Which of the following responses by the client indicates an
understanding of the teaching? - "I will imagine myself in a calm place when I can't concentrate"
22. A nurse is reinforcing teaching with a client about taking warfarin to treat atrial fibrillation.
Which of the following statements by the client indicates an understanding of the teaching? - "If
I forget to take a dose, I can take it later on the same day"
23. A charge nurse in a long-term care facility notices an assistive personnel's (AP) repeated failure
to provide oral care for clients. Which of the following actions should the charge nurse take? -
Discuss this behavior with the AP while reinforcing expectations
