ASI PREDICTOR TEST (BOOK 4)
Case 1
Mrs. C, 80 years old, is admitted to day surgery for the extraction of cataract in her left eye.
1. A practical nurse who has just started a shift has been assigned to Mrs. C. What should the practical
nurse do to most accurately identify this client?
1. Refer to the name on the bed.
2. Ask a co-worker to identify Mrs. C
3. Check the client’s name on her armband.
4. Say Mrs. C’s name, and wait for a response.
2. Which of the following communication techniques should the practical nurse use to facilitate Mrs. C’s
understanding of her postoperative care?
1. Speak loudly so that Mrs. C can hear, and ask her if she understands.
2. Stand by Mrs. C’s left side, speak in a clear and concise manner, and ask her if she has any
questions.
3. Provide Mrs. C with an instructional video on cataract surgery.
4. Stand in front of Mrs. C, speak in a clear and concise manner, and ask her if she has any
questions.
3. Mrs. C has just returned from the recovery room. She is disoriented and restless. What should the
practical nurse do to best promote Mrs. C’s safety?
1. Keep Mrs. C’s bed in the lowest position with the side rails up.
2. Turn on the light above Mrs. C’s bed to facilitate her vision.
3. Keep all of Mrs. C’s on her bedside table.
4. Ensure that Mrs. C’s walker remains close to her bed.
4. Mrs. C is seen at the eye clinic the next day. The practical nurse removes the dressing as ordered and
observes increased redness and swelling around the left eye. What should the practical nurse do next?
1. Report the findings immediately.
2. Cleanse Mrs. C’s eye and re-patch.
3. Chart the findings in the nurse’s notes.
4. Instruct Mrs. C to apply ice to her eye when she gets home.
5. Mrs. C falls when walking down the hall at the eye clinic. After assessing Mrs. C and helping her off the
floor, which of the following actions should the practical nurse take with regard to documentation and
safety?
1. Help her to a chair, report the fall, and complete an incident report.
2. Once she is in a chair, fill out and incident report, and document the fall in the nurse’s notes.
3. Ask another staff member to assist her to a chair, and fill out and incident report.
4. Assist her to a chair and immediately document the fall in the nurse’s notes.
END OF CASE
,Case 2
Mr. Little, a 19-year-old client, confides in the practical nurse that he is experiencing pain and
itching in the genital area. His tests confirm a diagnosis of Herpes Simplex Virus Type 2.
6. Which one of the following questions would be most appropriate for the practical nurse to ask Mr. Little
initially during data collection?
1. “Were you upset when you found out about your diagnosis?”
2. “Did you know that herpes is transmitted sexuality?”
3. “How have you prevented transmission since your diagnosis?”
4. “What do you understand regarding your diagnosis?”
7. Which one of the following actions would be most appropriate for the practical nurse to take in order to
encourage Mr. Little to discuss his feelings?
1. Stay with Mr. Little until he is willing to share his feelings.
2. Explain that it is normal to feel embarrassed.
3. Be accepting of Mr. Little’s reaction to his diagnosis.
4. Encourage Mr. Little to discuss his sexual relationships.
8. Which one of action is most important for the practical nurse to follow when assessing Mr. Little’s
genital area?
1. Wear disposable gloves.
2. Wear a mask if genital areas are open
3. Wear a clean gown
4. Wear sterile latex gloves
9. What is the primary reason for the practical nurse to practice medical asepsis when caring for Ken?
1. To protect the hospital
2. To protect Mr. Little
3. To protect the practical nurse
4. To protect other clients
10. Which one of the following statements is most likely to encourage Mr. Little to take responsibility for
his own behaviors?
1. “You should wear loose fitting pajamas.”
2. “Avoid intercourse while your lesions are open.”
3. “Let’s review this list of recommended practices you should consider following.”
4. “You need to stay on bedrest for a couple of days.”
END OF CASE
, Case 3
Mrs. Lillian Goldstone, 78 years old, has been admitted with a diagnosis of varicose veins. Her
lower extremities are edematous.
11. What should the practical nurse do initially to assist Mrs. Goldstone to move up in bed?
1. Elevate the head of the bed prior to assisting her.
2. Raise the bed to a working height prior to assisting her.
3. Ask her to extend her knees during the move.
4. Ask her to push with her feet during the move.
12. What should the practical nurse do to assist Mrs. Goldstone with her personal hygiene?
1. Wash the lower extremities from distal to proximal areas.
2. Rub the feet dry to promote circulation.
3. Do pericare washing from front to back.
4. Apply powder to keep the skin dry.
13. When discharged, Mrs. Goldstone will be staying with her daughter, Catherine. Which one of the
following actions by the practical nurse would be most appropriate when explaining to Catherine how to
care for her mother?
1. Instruct Catherine to apply a hot water bottle to her mother’s affected leg.
2. Teach Catherine to encourage her mother to wear prescribed anti-embolic stockings.
3. Suggest that Catherine assist her mother in performing ROM exercises.
4. Recommend that Catherine encourage her mother to remain on bedrest.
14. Mrs. Goldstone asks why her feet are swollen. Which one of the following responses by the practical
nurse would be most appropriate?
1. “Why do you think your feet are swollen?”
2. “Hanging your feet over the side of the bed may have made them swell.”
3. “The circulation from your feet is slowed down, causing the swelling.”
4. “You have a condition called varicose veins.”
15. Which one of the following physician’s orders for Mrs. Goldstone should the practical nurse clarify
prior to implementing care?
1. Maintain accurate intake and output.
2. Initiate an exercise program today.
3. Maintain complete bedrest.
4. Remove antiembolic stocking h.s.
16. Mrs. Goldstone has progressed to activity as tolerated. On her third hospital day, she reports pain in
her right calf. On examination, the area feels warm to touch. What should the practical nurse do first?
1. Massage Mrs. Goldstone’s leg gently to relieve the pain.
2. Report Mrs. Goldstone’s manifestations to the physician immediately.
3. Return Mrs. Goldstone to bed, and report the observations.
4. Assess and report Mrs. Goldstone’s blood pressure and pulse.
END OF CASE
Case 1
Mrs. C, 80 years old, is admitted to day surgery for the extraction of cataract in her left eye.
1. A practical nurse who has just started a shift has been assigned to Mrs. C. What should the practical
nurse do to most accurately identify this client?
1. Refer to the name on the bed.
2. Ask a co-worker to identify Mrs. C
3. Check the client’s name on her armband.
4. Say Mrs. C’s name, and wait for a response.
2. Which of the following communication techniques should the practical nurse use to facilitate Mrs. C’s
understanding of her postoperative care?
1. Speak loudly so that Mrs. C can hear, and ask her if she understands.
2. Stand by Mrs. C’s left side, speak in a clear and concise manner, and ask her if she has any
questions.
3. Provide Mrs. C with an instructional video on cataract surgery.
4. Stand in front of Mrs. C, speak in a clear and concise manner, and ask her if she has any
questions.
3. Mrs. C has just returned from the recovery room. She is disoriented and restless. What should the
practical nurse do to best promote Mrs. C’s safety?
1. Keep Mrs. C’s bed in the lowest position with the side rails up.
2. Turn on the light above Mrs. C’s bed to facilitate her vision.
3. Keep all of Mrs. C’s on her bedside table.
4. Ensure that Mrs. C’s walker remains close to her bed.
4. Mrs. C is seen at the eye clinic the next day. The practical nurse removes the dressing as ordered and
observes increased redness and swelling around the left eye. What should the practical nurse do next?
1. Report the findings immediately.
2. Cleanse Mrs. C’s eye and re-patch.
3. Chart the findings in the nurse’s notes.
4. Instruct Mrs. C to apply ice to her eye when she gets home.
5. Mrs. C falls when walking down the hall at the eye clinic. After assessing Mrs. C and helping her off the
floor, which of the following actions should the practical nurse take with regard to documentation and
safety?
1. Help her to a chair, report the fall, and complete an incident report.
2. Once she is in a chair, fill out and incident report, and document the fall in the nurse’s notes.
3. Ask another staff member to assist her to a chair, and fill out and incident report.
4. Assist her to a chair and immediately document the fall in the nurse’s notes.
END OF CASE
,Case 2
Mr. Little, a 19-year-old client, confides in the practical nurse that he is experiencing pain and
itching in the genital area. His tests confirm a diagnosis of Herpes Simplex Virus Type 2.
6. Which one of the following questions would be most appropriate for the practical nurse to ask Mr. Little
initially during data collection?
1. “Were you upset when you found out about your diagnosis?”
2. “Did you know that herpes is transmitted sexuality?”
3. “How have you prevented transmission since your diagnosis?”
4. “What do you understand regarding your diagnosis?”
7. Which one of the following actions would be most appropriate for the practical nurse to take in order to
encourage Mr. Little to discuss his feelings?
1. Stay with Mr. Little until he is willing to share his feelings.
2. Explain that it is normal to feel embarrassed.
3. Be accepting of Mr. Little’s reaction to his diagnosis.
4. Encourage Mr. Little to discuss his sexual relationships.
8. Which one of action is most important for the practical nurse to follow when assessing Mr. Little’s
genital area?
1. Wear disposable gloves.
2. Wear a mask if genital areas are open
3. Wear a clean gown
4. Wear sterile latex gloves
9. What is the primary reason for the practical nurse to practice medical asepsis when caring for Ken?
1. To protect the hospital
2. To protect Mr. Little
3. To protect the practical nurse
4. To protect other clients
10. Which one of the following statements is most likely to encourage Mr. Little to take responsibility for
his own behaviors?
1. “You should wear loose fitting pajamas.”
2. “Avoid intercourse while your lesions are open.”
3. “Let’s review this list of recommended practices you should consider following.”
4. “You need to stay on bedrest for a couple of days.”
END OF CASE
, Case 3
Mrs. Lillian Goldstone, 78 years old, has been admitted with a diagnosis of varicose veins. Her
lower extremities are edematous.
11. What should the practical nurse do initially to assist Mrs. Goldstone to move up in bed?
1. Elevate the head of the bed prior to assisting her.
2. Raise the bed to a working height prior to assisting her.
3. Ask her to extend her knees during the move.
4. Ask her to push with her feet during the move.
12. What should the practical nurse do to assist Mrs. Goldstone with her personal hygiene?
1. Wash the lower extremities from distal to proximal areas.
2. Rub the feet dry to promote circulation.
3. Do pericare washing from front to back.
4. Apply powder to keep the skin dry.
13. When discharged, Mrs. Goldstone will be staying with her daughter, Catherine. Which one of the
following actions by the practical nurse would be most appropriate when explaining to Catherine how to
care for her mother?
1. Instruct Catherine to apply a hot water bottle to her mother’s affected leg.
2. Teach Catherine to encourage her mother to wear prescribed anti-embolic stockings.
3. Suggest that Catherine assist her mother in performing ROM exercises.
4. Recommend that Catherine encourage her mother to remain on bedrest.
14. Mrs. Goldstone asks why her feet are swollen. Which one of the following responses by the practical
nurse would be most appropriate?
1. “Why do you think your feet are swollen?”
2. “Hanging your feet over the side of the bed may have made them swell.”
3. “The circulation from your feet is slowed down, causing the swelling.”
4. “You have a condition called varicose veins.”
15. Which one of the following physician’s orders for Mrs. Goldstone should the practical nurse clarify
prior to implementing care?
1. Maintain accurate intake and output.
2. Initiate an exercise program today.
3. Maintain complete bedrest.
4. Remove antiembolic stocking h.s.
16. Mrs. Goldstone has progressed to activity as tolerated. On her third hospital day, she reports pain in
her right calf. On examination, the area feels warm to touch. What should the practical nurse do first?
1. Massage Mrs. Goldstone’s leg gently to relieve the pain.
2. Report Mrs. Goldstone’s manifestations to the physician immediately.
3. Return Mrs. Goldstone to bed, and report the observations.
4. Assess and report Mrs. Goldstone’s blood pressure and pulse.
END OF CASE
