100% Correct
During a clinic visit for a sore throat, a client's basal metabolic panel reveals a serum
potassium of 3.0 mEq/L. Which intervention should the PN recommend to the client
based on this finding?
A. Increase intake of dried peaches and apricots
B. Reduce intake of red meats
C. Encourage use of soft toothbrush
D. Force fluid intake to 1500 mL daily - ANSWER A
The PN is reviewing instructions for the use of pilocarpine eye drops with a client who
has glaucoma. The client replies that the cloth used to anesthetize the eye if eye pain is
experienced. What action should the PN implement?
A. Document in the chart that the client understands then action and the use of eye
drops
B. Reassure the client that the drops will not be needed often since eye pain in
glaucoma is not common
C. Reteach the client about the action of the eye drops to decrease pressure in the
eyes D. Explain to the client that they eye drops do provide pain relief, but do not
anesthetize the eyes. - ANSWER D
The PN is reviewing care instructions with a client who has diabetic retinopathy and is
experiencing glare around lights. What should the PN reinforce with the client?
A. Cover eyes with moist, cool compresses to reduce fasciculations
B. Make adjustments to personal schedule to avoid driving at night
C. Exert pressure on the inner cants whiners tearing occurs
D. Apply an eye shield at bedtime after installing eye drops - ANSWER B
The PN is assigning care for a group of clients on the urology medical unit. Which client
care interventions should the pN assign to the UAP? Select All That Apply
A. Empty bedside drainage unit for a client with indwelling urinary catheter
B. Teach the client with fluid restrictions how to measure urine output
C. Irrigate an indwelling urinary catheter for a client with bladder suspension
D. Transport a urine culture sample to the laboratory
E. Obtain a post-voided residual volume - ANSWER A,E
,A client on bedrest refuses to wear the prescribed pneumatic compression devices after
surgery. Which action should the PN implement in response to the client's refusal?
A. Emphasize the importance of active foot flexion
B. Check the surgical dressing
C. Complete an incident report
D. Explain the use of incentive spirometer q2 hours - ANSWER A
The PN is caring for a client who had an acute brain attack with resulting expressive
aphasia and urinary incontinence. To ensure care for the client, which task should the
PN delegate to the UAP?
A. Explain how to use a communication board
B. Document progress in use of communication board
C. Encourage voiding by assisting client to bedside commode
D. Establish bladder training schedule and training methods - ANSWER C
When reinforcing diet teaching for a client who was diagnosed with hypokalemia, which
foods should the PN encourage the client to eat? Select All That Apply
A. Orange juice, oranges, bananas
B. Preserved meat, apple juice, seeds
C. Collard greens, kale, turnips
D. Soy Beans, lima beans, spinach
E. White grape juice, clear fat-free broth, consommé - ANSWER A,C,D
When caring for a client with colostomy, which topical skin preparation should the PN
apply around the stoma?
A. Antiseptic cream
B. Petroleum jelly
C. Cornstarch
D. Stomadhesive - ANSWER D
The PN observes an UAP prepare to exit a client's room. The UAP's hands appear
visibly soiled as the UAP uses a hand rub for 19 seconds to cleanse the hands. Which
action should the PN take?
A. Confirm that the UAP completed hand hygiene correctly
B. Instruct the UAP to wash the hands for one minute
C. Ask the UAP why the hands were so obviously soiled
D. Advise the UAP to use the hand rub for 30 seconds - ANSWER D
, A male client with TB returns to the clinic for daily antibiotic injections for a urinary
infection. The client has been taking anti tubercular medications for 10 weeks and
states he has ringing in his ears. Which prescribed medication should the PN report to
the HCP?
A. Pyrixodine with a B complex multivitamin
B. Gentamicin 160 mg IM daily
C. Rifampin 600 mg PO daily
D. Isoniazid 300 mg PO daily - ANSWER B
An older client is admitted to the psychiatric unit for assessment of a recent onset of
dementia. The PN notes that in the evening this client often becomes restless,
confused, and agitated. Which intervention is most important for the PN to implement?
A. Ask family members to remain with the client in the evenings from 5 to 8 pm
B. Administer a prescribed PRN benzodiazepine at the onset of a confused state
C. Ensure that the client is assigned to a room close to the nurses' station
D. Postpone administration of nighttime medications until after 11 pm. - ANSWER C
Which action should the PN implement when using standard precautions to provide
client care?
A. Apply sterile gloves to obtain a finger stick blood sample
B. Wear clean exam gloves to perform perineal catheter care
C. Replace the needle cap after giving an intramuscular injection
D. Wear a paper gown to prevent transmission of droplet pathogens. - ANSWER B
When administering an analgesic to a client with low back pain, which intervention
should the practical nurse implement to promote the effectiveness of the medication?
A. Massage the lower back and position the client in proper alignment
B. Encourage the client to ambulate frequently and take deep breaths
C. Assist client in performing passive and active range of motion exercises
D. Give medication with a full glass of water and offer high roughage foods - ANSWER
B
A young adult male tells the PN he has decided to change his hours at work so that he
has more time to devote to his community. Which stage of Maslow's development is this
young adult attempting to achieve?
A. Self-Actualization
B. Intimacy vs. Isolation
C. Altruism