PN Comprehensive Online Practice 2020 B
1. Nurse is preparing to administer metoclopramide 10 mg IM. Available is metoclopramide 5
mg/mL. How many mL should the nurse administer? (Round to the nearest whole): 2 mL
2. Change the appliance two times each week.
The nurse should change the appliance two times each week to maintain an effective seal around
the stoma. The nurse should remove the appliance carefully and cleanse the client's stoma.: Nurse
in a long-term care facility is contributing to the plan of care for a client who has a new
ostomy. Which of the following interventions should the nurse include?
Empty the pouch when it is three-fourths full. Change the
appliance two times each week. Cleanse the stoma with
hydrogen peroxide solution.
Irrigate the pouch every 3 days with 250 mL of cold tap water.
3. The child was born at 34 weeks of gestation
The nurse should identify that children born prematurely are at an increased risk for physical
maltreatment. This increased risk is due to possible im- pairment of bonding during infancy and an
increased need for care due to medical concerns as a result of their premature delivery.: Nurse is
contributing to an in-service for newly-licensed nurses about child maltreatment. Nurse should
include that which of the following characteristics increases a child's risk of physical
maltreatment?
The child has 2 parents in the home The
child is 13 years old
The child has guardians who are unemployed The child
was born at 34 weeks of gestation
4. The facility had 12% fewer urinary tract infections over the past 6 months.
Quality improvement relates to improving outcomes for clients, staff, or the facility. The nurse
should document a reduction in urinary tract infections as an improvement in care quality.: Nurse at
a long-term facility is part of a team preparing a report on the quality of care at the facility.
Which of the following information should the nurse recommend including in the report to
demonstrate improvement in care quality?
Staff at the facility worked 23% more overtime than in the previous year.
, PN Comprehensive Online Practice 2020 B
The facility increased nurse-to-patient ratio by 1 resident per nurse over the past month.
The facility had 12% fewer urinary tract infections over the past 6 months. Central supply
ordered twice the number of dressing supplies than the prior year.
5. Determine the client's mobility status.
The first action the nurse should take when using the nursing process is to determine the client's
mobility status. The nurse should begin collecting data about the client's ability to move freely
within their environment while
preventing injury.: Home health nurse is caring for an older adult client who just returned home
following a total knee arthroplasty. Which of the following actions should the nurse take first?
Talk to the client about developing a family support system. Assist the
client to develop attainable, short-term goals.
Reinforce teaching with the client about how to care for a surgical wound. Determine the
client's mobility status.
6. List of potential complications to report
Discharge instructions are defined as any form of documentation provided to the client, upon
discharge to home, which facilitates safe and appropriate continuity of care. The nurse should plan to
include a list of potential com- plications that should be reported to the provider in the client's
discharge instructions.: Nurse is caring for a client who is being discharged home following a
cerebrovascular accident. Which of the following documents should the nurse plan to include
with the discharge report?
Provider's progress notes Physical
therapy record
List of potential complications to report
Medication administration record (MAR)
7. Nurse in a long-term care facility is assisting with an in-service for newly hired assistive
personnel about legal issues within the facility. Which of the following should the nurse include as
an example of assault?
Telling another nurse rumors about a client newly admitted to the unit Informing a client that the
nurse is going to administer an injection even though the client refuses
Telling a clergy member that one of their church members has been admitted
, PN Comprehensive Online Practice 2020 B
to the facility without the client's permission
Placing a restraint on a client to keep them in bed before trying alternative measures: Informing a clie
that the nurse is going to administer an injection even though the client refuses
This is an example of assault, which is the threat of unlawful touching of an individual. The nurse
should respect the client's right to refuse treatment and not administer an injection against the
client's wishes.
8. "You will need to have a full bladder for the procedure."
A full bladder is necessary because it moves the uterus upward for optimal visualization of the
fetus and stabilizes the uterus for optimal reflection of sound waves.: Nurse is reinforcing
teaching with a client who is at 20 weeks of gestation and will undergo routine abdominal
ultrasonography the following day. Which of the following statements should the nurse
include in the teaching?
"The doctor will insert a probe into your vagina."
"The doctor will have to obtain a sample of amniotic fluid." "You will
have a minimal amount of x-ray exposure."
"You will need to have a full bladder for the procedure."
9. Reports lack of appetite
The nurse should identify that the greatest risk to a child who has a decreased appetite is pulmonary
infection. Anorexia, along with other manifestations, such as loss of weight and lethargy, are
commonly seen in children who have CF with an infection exacerbation. Typical manifestations of
pulmonary infection, such as fever and tachypnea, might not be seen in a child who has CF.
Additionally, a child who is anorexic is at increased risk for diminished lung function.: Nurse on an
acute care unit is collecting data from a school-age child who has cystic fibrosis (CF). Which of
the following findings is the priority for the nurse to report to the provider?
Reports lack of appetite Frothy
stools with a foul odor
Height at the 55th percentile for age and gender Report of
gastroesophageal reflux
10."The people I live with should be tested for TB."
For effective treatment of TB, clients are prescribed pharmacological treat-
, PN Comprehensive Online Practice 2020 B
ment for 6 to 9 months.
Clients who are taking rifampin for treatment of TB are likely to have urine that turns orange, not green
The nurse should reinforce principles of infection control with the client. However, it is not necessary
for the client to use disposable utensils at home.: Nurse is reinforcing teaching with a client who
has tuberculosis (TB). Which of the following statements by the client indicates an
understanding of the teaching?
"I will take the TB medications for a total of 3 months." "The people
I live with should be tested for TB."
"The TB medication might turn my urine green." "I will
need to use disposable utensils at home."
11.Expose the glans of the penis
Cleanse the penis using an antiseptic swab Begin urination
Pass the cup into the urine stream Move the cup
out of the urine stream
Replace the foreskin: Nurse is reinforcing teaching with a male client who is uncircumcised
about obtaining a clean-catch midstream urine specimen. Identify the sequence of actions the
nurse should instruct the client to take after washing their hands.
Cleanse the penis using an antiseptic swab. Begin
urination.
Pass the cup into the urine stream. Expose
the glans of the penis.
Move the cup out of the urine stream.
Replace the foreskin.
12.Axillary
The nurse should obtain the newborn's temperature using the axillary method because this method is
accurate and safe for newborns. Axillary temperatures are expected to range from 36.5º to 37.5º C
(97.7º to 99.5º F) in newborns.-
: Nurse is checking a newborn's vital signs. Which of the following methods of temperature
measurement should the nurse use?
Rectal
Axillary
1. Nurse is preparing to administer metoclopramide 10 mg IM. Available is metoclopramide 5
mg/mL. How many mL should the nurse administer? (Round to the nearest whole): 2 mL
2. Change the appliance two times each week.
The nurse should change the appliance two times each week to maintain an effective seal around
the stoma. The nurse should remove the appliance carefully and cleanse the client's stoma.: Nurse
in a long-term care facility is contributing to the plan of care for a client who has a new
ostomy. Which of the following interventions should the nurse include?
Empty the pouch when it is three-fourths full. Change the
appliance two times each week. Cleanse the stoma with
hydrogen peroxide solution.
Irrigate the pouch every 3 days with 250 mL of cold tap water.
3. The child was born at 34 weeks of gestation
The nurse should identify that children born prematurely are at an increased risk for physical
maltreatment. This increased risk is due to possible im- pairment of bonding during infancy and an
increased need for care due to medical concerns as a result of their premature delivery.: Nurse is
contributing to an in-service for newly-licensed nurses about child maltreatment. Nurse should
include that which of the following characteristics increases a child's risk of physical
maltreatment?
The child has 2 parents in the home The
child is 13 years old
The child has guardians who are unemployed The child
was born at 34 weeks of gestation
4. The facility had 12% fewer urinary tract infections over the past 6 months.
Quality improvement relates to improving outcomes for clients, staff, or the facility. The nurse
should document a reduction in urinary tract infections as an improvement in care quality.: Nurse at
a long-term facility is part of a team preparing a report on the quality of care at the facility.
Which of the following information should the nurse recommend including in the report to
demonstrate improvement in care quality?
Staff at the facility worked 23% more overtime than in the previous year.
, PN Comprehensive Online Practice 2020 B
The facility increased nurse-to-patient ratio by 1 resident per nurse over the past month.
The facility had 12% fewer urinary tract infections over the past 6 months. Central supply
ordered twice the number of dressing supplies than the prior year.
5. Determine the client's mobility status.
The first action the nurse should take when using the nursing process is to determine the client's
mobility status. The nurse should begin collecting data about the client's ability to move freely
within their environment while
preventing injury.: Home health nurse is caring for an older adult client who just returned home
following a total knee arthroplasty. Which of the following actions should the nurse take first?
Talk to the client about developing a family support system. Assist the
client to develop attainable, short-term goals.
Reinforce teaching with the client about how to care for a surgical wound. Determine the
client's mobility status.
6. List of potential complications to report
Discharge instructions are defined as any form of documentation provided to the client, upon
discharge to home, which facilitates safe and appropriate continuity of care. The nurse should plan to
include a list of potential com- plications that should be reported to the provider in the client's
discharge instructions.: Nurse is caring for a client who is being discharged home following a
cerebrovascular accident. Which of the following documents should the nurse plan to include
with the discharge report?
Provider's progress notes Physical
therapy record
List of potential complications to report
Medication administration record (MAR)
7. Nurse in a long-term care facility is assisting with an in-service for newly hired assistive
personnel about legal issues within the facility. Which of the following should the nurse include as
an example of assault?
Telling another nurse rumors about a client newly admitted to the unit Informing a client that the
nurse is going to administer an injection even though the client refuses
Telling a clergy member that one of their church members has been admitted
, PN Comprehensive Online Practice 2020 B
to the facility without the client's permission
Placing a restraint on a client to keep them in bed before trying alternative measures: Informing a clie
that the nurse is going to administer an injection even though the client refuses
This is an example of assault, which is the threat of unlawful touching of an individual. The nurse
should respect the client's right to refuse treatment and not administer an injection against the
client's wishes.
8. "You will need to have a full bladder for the procedure."
A full bladder is necessary because it moves the uterus upward for optimal visualization of the
fetus and stabilizes the uterus for optimal reflection of sound waves.: Nurse is reinforcing
teaching with a client who is at 20 weeks of gestation and will undergo routine abdominal
ultrasonography the following day. Which of the following statements should the nurse
include in the teaching?
"The doctor will insert a probe into your vagina."
"The doctor will have to obtain a sample of amniotic fluid." "You will
have a minimal amount of x-ray exposure."
"You will need to have a full bladder for the procedure."
9. Reports lack of appetite
The nurse should identify that the greatest risk to a child who has a decreased appetite is pulmonary
infection. Anorexia, along with other manifestations, such as loss of weight and lethargy, are
commonly seen in children who have CF with an infection exacerbation. Typical manifestations of
pulmonary infection, such as fever and tachypnea, might not be seen in a child who has CF.
Additionally, a child who is anorexic is at increased risk for diminished lung function.: Nurse on an
acute care unit is collecting data from a school-age child who has cystic fibrosis (CF). Which of
the following findings is the priority for the nurse to report to the provider?
Reports lack of appetite Frothy
stools with a foul odor
Height at the 55th percentile for age and gender Report of
gastroesophageal reflux
10."The people I live with should be tested for TB."
For effective treatment of TB, clients are prescribed pharmacological treat-
, PN Comprehensive Online Practice 2020 B
ment for 6 to 9 months.
Clients who are taking rifampin for treatment of TB are likely to have urine that turns orange, not green
The nurse should reinforce principles of infection control with the client. However, it is not necessary
for the client to use disposable utensils at home.: Nurse is reinforcing teaching with a client who
has tuberculosis (TB). Which of the following statements by the client indicates an
understanding of the teaching?
"I will take the TB medications for a total of 3 months." "The people
I live with should be tested for TB."
"The TB medication might turn my urine green." "I will
need to use disposable utensils at home."
11.Expose the glans of the penis
Cleanse the penis using an antiseptic swab Begin urination
Pass the cup into the urine stream Move the cup
out of the urine stream
Replace the foreskin: Nurse is reinforcing teaching with a male client who is uncircumcised
about obtaining a clean-catch midstream urine specimen. Identify the sequence of actions the
nurse should instruct the client to take after washing their hands.
Cleanse the penis using an antiseptic swab. Begin
urination.
Pass the cup into the urine stream. Expose
the glans of the penis.
Move the cup out of the urine stream.
Replace the foreskin.
12.Axillary
The nurse should obtain the newborn's temperature using the axillary method because this method is
accurate and safe for newborns. Axillary temperatures are expected to range from 36.5º to 37.5º C
(97.7º to 99.5º F) in newborns.-
: Nurse is checking a newborn's vital signs. Which of the following methods of temperature
measurement should the nurse use?
Rectal
Axillary
