with 100% Correct Verified Detailed Answers
latest updated version 2025 Graded A+ (Fortis)
1. A client's results for this morning's platelet count is 30,000/mm
3 . What action should the practical nurse (PN) implement first?---
correct precise answer --- Institute bleeding pre- cautions.
2. A client is admitted with a C4 spinal cord injury (SCI) after
falling from a roof at a construction site. After returning to the unit
for a CT scan to confirm the vertebral fracture, which assessment by
the practical nurse has the highest priority?--- correct precise answer
--- Check the respiratory effort and pulse oximeter reading.
3. A client with cholelithiasis is admitted with jaundice due to
obstruction of the common bile duct. Which finding is most important
for the practical nurse to report to the healthcare provider?--- correct
precise answer --- Hard, rigid abdomen.
4. Which actions should the practical nurse implement for a client
whose frac- tured tibia is causing swelling of the lower leg?--- correct
precise answer --- Ice application and elevation.
5. A male client with increased intracranial pressure (ICP) due to a
skull fracture is in the supine position with his legs elevated. What
should the practical nurse (PN) do first?--- correct precise answer ---
Raise the head 30 degrees and lower the feet.
,6. A client with Parkinson's disease asks the practical nurse (PN) to
explain how this disease causes his muscles to malfunction. Which
underlying patho- physiology should the PN use as a basis for the
explanation?--- correct precise answer --- Degeneration of the basal
ganglia leads to a decrease in dopamine levels.
7. A client with newly diagnosed essential hypertension is learning
to cope with stressful situations in his life. Which activity should the
practical nurse (PN) implement to help the client learn constructive
coping?--- correct precise answer --- Role play a situation the client
identifies as stressful.
8. Which finding should the practical nurse (PN) identify as typical
for a client who is hypoxic?--- correct precise answer --- Hemoglobin
of 10 grams/dl
9. Which finding for a client with heart failure (HF) should the
practical nurse (PN) report to the charge nurse?--- correct precise
answer --- Distended neck veins while upright.
10. The practical nurse (PN) is caring for a client with chronic
obstructive pulmonary disease (COPD). To reduce carbon dioxide ( CO
2 ) retention in the lungs, which information should the PN
reinforce?--- correct precise answer --- Use pursed-lip and abdominal
breathing.
11. A male client who has been taking a four-drug regimen for
tuberculosis (TB) tells the practical nurse (PN) that he has finished
the first drug, isoniazid, and will start taking rifampin next. How
, should the PN respond?--- correct precise answer --- The four-drug
protocol should be taken concurrently.
12. The practical nurse (PN) is reviewing the health history of a
client with coronary artery disease (CAD). Which finding should the
PN identify that places the client at risk for stroke?--- correct precise
answer --- Atrial fibrillation.
13. After receiving report, the practical nurse (PN) begins
assessment for a client with chronic obstructive pulmonary disease
(COPD) who has just completed a respiratory treatment. The PN finds
the client sitting upright in bed with oxygen at 6 liters/minute per
nasal cannula. Which intervention is most important for the PN to
implement?--- correct precise answer --- Decrease oxygen flow rate to
2 liter/minute and attach pulse oximeter.
14. A male client is having an intraocular pressure (IOP)
measurement using a tonometer for the first time. The client is fearful
that the test hurts and may damage his vision. Which explanation
should the practical nurse provide?--- correct precise answer --- A
topical anesthetic will be used on the eye surface.
15. A client with major burns is receiving cimetidine (Tagamet).
Which finding should the practical nurse (PN) obtain to best evaluate
the effectiveness of the medication?--- correct precise answer ---
Absense of blood in the stool.
16. A male client with metastatic gastric cancer is being discharged
home, but the client and family members are fearful of managing the
client's symptoms at home. What action should the practical nurse