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Practice Test Assessment
Performance
Blam!
100% Let's review your results from 2/3/2022 at 10:22 pm PST
Correct
Correct
The practical nurse (PN) performs a random blood glucose test
for a client with a history of hypoglycemia and complains of
dizziness. After test completion, which action should the PN
perform first?
Remove gloves and wash hands.
Document results and actions in the medical record.
, Dispose of lancet and test strip in proper receptacle.
Discuss the test results with the client.
Rationale
Disposal of the lancet and test strip (C) prevents the transmission of bloodborne
pathogens and is the priority. (A, B, and D) should follow, implementing sharps
precautions.
Regarding client confidentiality, what information represents
the correct understanding by the practical nurse of the
guidelines set forth by HIPAA (Health Insurance Portability
and Accountability Act)?
Only clients can pick up their prescriptions at a pharmacy.
Past medical records for clients should be stored in a secured place.
Computers that access client information cannot be in the public part
of a nursing station.
Whiteboards with a list of client names are prohibited in areas that the
public can see.
Rationale
The Health Insurance Portability and Accountability act of 1996 (HIPPA) establishes
that records with protected health information (PHI) must be stored in a secured
place. The other options are not part of the HIPPA act.
Which action should the practical nurse (PN) implement to
provide a sense of control to a toddler who is hospitalized?
Put a cover over the child's crib.
, Ask parents to stay with the child.
Assign the same nurses to care for the child.
Follow the child's usual routines for feeding and bedtime.
Rationale
Routines are important to toddlers and give the child a sense of control, so
following the child's usual routines during hospitalization should be
implemented as much as possible.
Which interventions should the practical nurse (PN)
implement in the postoperative period for a client who
had surgery for cancer of the oral cavity? (Select all
that apply.)
Select all that apply
Provide meticulous oral hygiene.
Advise the client to avoid straining at stool.
Obtain daily weights to determine need for NGT
feedings. Observe for temporary or permanent loss
of taste.
Monitor for gastric indigestion.
Rationale
Postoperative problems related to excision of a cancerous lesion in the oval
cavity include the risk for infection, delayed wound healing in the oral mucosa,
and gustatory deficits, if the client's tongue is resected or biopsied. Meticulous
oral hygiene reduces oral flora and minimizes the risk for infection.
Monitoring daily weight provides information about the client's need for
supplemental NGT feedings to improve nutritional intake for healing and
recovery. Observing for temporary or permanent loss of taste may indicate
trauma of the tongue and glossopharyngeal nerve.
, Which intervention is most important for the practical
nurse to
implement when suctioning the nasopharyngeal airways
for a child after cardiac surgery?
Perform oropharyngeal suctioning PRN.
Suction for no longer than 5 seconds at a time.
Assess for symptoms of respiratory distress during
suctioning. Administer supplemental oxygen before
and after suctioning.
Rationale
Hypoxia increases the cardiac workload after cardiac surgery, so supplemental
oxygen should be administered with a manual resuscitation bag before and
after suctioning (D) to prevent hypoxia. Although (A, B, and C) should be
implemented, providing oxygenation is most important. To maintain a patent
airway, oropharyngeal suctioning for a child after cardiac surgery should be
performed PRN without deep insertion of the suction catheter which can cause
vagal stimulation and laryngospasm. Suctioning should be intermittent and
maintained for no more than five seconds to prevent depleting the oxygen
supply.
Signs of respiratory distress warrant cessation of suctioning if the client is
experiencing intolerance.
A female client with terminal cancer is tearful and is
becoming increasingly withdrawn from her family and
the nursing staff.
She refuses medications, treatments, food, and
frequently says, "Why is God doing this to me?" Which
intervention should the practical nurse implement?
Monitor for an increased suicide risk.
Practice Test Assessment
Performance
Blam!
100% Let's review your results from 2/3/2022 at 10:22 pm PST
Correct
Correct
The practical nurse (PN) performs a random blood glucose test
for a client with a history of hypoglycemia and complains of
dizziness. After test completion, which action should the PN
perform first?
Remove gloves and wash hands.
Document results and actions in the medical record.
, Dispose of lancet and test strip in proper receptacle.
Discuss the test results with the client.
Rationale
Disposal of the lancet and test strip (C) prevents the transmission of bloodborne
pathogens and is the priority. (A, B, and D) should follow, implementing sharps
precautions.
Regarding client confidentiality, what information represents
the correct understanding by the practical nurse of the
guidelines set forth by HIPAA (Health Insurance Portability
and Accountability Act)?
Only clients can pick up their prescriptions at a pharmacy.
Past medical records for clients should be stored in a secured place.
Computers that access client information cannot be in the public part
of a nursing station.
Whiteboards with a list of client names are prohibited in areas that the
public can see.
Rationale
The Health Insurance Portability and Accountability act of 1996 (HIPPA) establishes
that records with protected health information (PHI) must be stored in a secured
place. The other options are not part of the HIPPA act.
Which action should the practical nurse (PN) implement to
provide a sense of control to a toddler who is hospitalized?
Put a cover over the child's crib.
, Ask parents to stay with the child.
Assign the same nurses to care for the child.
Follow the child's usual routines for feeding and bedtime.
Rationale
Routines are important to toddlers and give the child a sense of control, so
following the child's usual routines during hospitalization should be
implemented as much as possible.
Which interventions should the practical nurse (PN)
implement in the postoperative period for a client who
had surgery for cancer of the oral cavity? (Select all
that apply.)
Select all that apply
Provide meticulous oral hygiene.
Advise the client to avoid straining at stool.
Obtain daily weights to determine need for NGT
feedings. Observe for temporary or permanent loss
of taste.
Monitor for gastric indigestion.
Rationale
Postoperative problems related to excision of a cancerous lesion in the oval
cavity include the risk for infection, delayed wound healing in the oral mucosa,
and gustatory deficits, if the client's tongue is resected or biopsied. Meticulous
oral hygiene reduces oral flora and minimizes the risk for infection.
Monitoring daily weight provides information about the client's need for
supplemental NGT feedings to improve nutritional intake for healing and
recovery. Observing for temporary or permanent loss of taste may indicate
trauma of the tongue and glossopharyngeal nerve.
, Which intervention is most important for the practical
nurse to
implement when suctioning the nasopharyngeal airways
for a child after cardiac surgery?
Perform oropharyngeal suctioning PRN.
Suction for no longer than 5 seconds at a time.
Assess for symptoms of respiratory distress during
suctioning. Administer supplemental oxygen before
and after suctioning.
Rationale
Hypoxia increases the cardiac workload after cardiac surgery, so supplemental
oxygen should be administered with a manual resuscitation bag before and
after suctioning (D) to prevent hypoxia. Although (A, B, and C) should be
implemented, providing oxygenation is most important. To maintain a patent
airway, oropharyngeal suctioning for a child after cardiac surgery should be
performed PRN without deep insertion of the suction catheter which can cause
vagal stimulation and laryngospasm. Suctioning should be intermittent and
maintained for no more than five seconds to prevent depleting the oxygen
supply.
Signs of respiratory distress warrant cessation of suctioning if the client is
experiencing intolerance.
A female client with terminal cancer is tearful and is
becoming increasingly withdrawn from her family and
the nursing staff.
She refuses medications, treatments, food, and
frequently says, "Why is God doing this to me?" Which
intervention should the practical nurse implement?
Monitor for an increased suicide risk.
