PN Comprehensive Online Practice 2022 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.
,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?
,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?
, 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
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.
,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?
,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?
, 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
