PN EXAM
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
A healthy 58-year-old client asks the practical nurse (PN) about taking the
pneumococcal vaccine (Pneumovax). Which statement should the PN offer to the
client that provides the most accurate information about this vaccine? - ANSWER-
The immunization is administered once to older adults or persons with a history of
chronic illness.
The practical nurse (PN) administers two newly prescribed medications, isosorbide
dinitrate (Isordil), a nitrate, and hydrochlorothiazide (HCTZ), a
diuretic, to a client. Which follow-up observation is most important for the PN to
perform? - ANSWER-Monitor the client's blood pressure.
Which outcome would indicate that the drug lactulose (Cephulac) has had a
therapeutic effect? - ANSWER-Two or three soft stools per day
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PN EXAM
A 43-year-old female client is receiving thyroid replacement hormone following a
thyroidectomy. What adverse effects associated with thyroid hormone
toxicity should the practical nurse (PN) reiterate to the client to report promptly to
the health care provider? - ANSWER-Tachycardia and chest pain
A client is receiving ampicillin sodium (Omnipen) for a sinus infection. The
practical nurse (PN) should reinforce that the client notify the health care provider
immediately if which symptom occurs? - ANSWER-Rash
Before administering an antiinfective agent to a client with a urinary tract
infection, which nursing intervention is most important? - ANSWER-Obtain a
clean-catch urine specimen.
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PN EXAM
A client who is receiving chemotherapy asks the practical nurse (PN), "Why is so
much of my hair falling out each day?" Which response by the PN best explains
the reason for alopecia? - ANSWER-Chemotherapy affects the cells of the body
that grow rapidly, both normal and malignant."
A male client who is being discharged to his home accompanied by his wife asks
the practical nurse (PN) to give him a dose of hydrocodone (Vicodin) before he
leaves the hospital. How should the PN respond to this client's request? -
ANSWER-Ask him to describe the location and severity of the pain and to rate it
on a scale from 1 to 10.
A client is receiving clonidine (Catapres) 0.1 mg/24 hour via transdermal patch.
Which assessment finding indicates that the desired effect of the medication is
achieved? - ANSWER-Blood pressure change from 180/120 to 140/70 mm Hg
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