Questions, Verified Answers & Complete
Study Guide (2025 Edition)
A 16-year old client who has admitted to the psychiatric unit. Which
nursing intervention is MOST important for the practical nurse (PN) to
implement?
1. Do not leave the client alone
2. Assess the family history for depression
3. Obtain information about previous suicide attempts
4. Limit visitation until the clients vital signs are stable - ---
✔✔✔ANSWER----? Do not leave the client alone
,The practical nurse is initiating a new prescription for nitroglycerin
transdermal patch for a client with angina pectoris. What action has the
highest priority in preventing tolerance to the nitrogylcerin?
1. Shave the chest hairs to ensure adequate skin contact
2. Label the patch with date, time, and nurse's initials
3. emove the patch at bedtime as prescribed - ---✔✔✔ANSWER----
Remove the patch at bedtime as prescribed
Constant observation is an intervention included in the plan of care for
a female client with dementia because she is at risk for falls. When she
walks to the door and asks to leave, the practice nurse (PN) is unable to
convince her to return to her room. Which action should the PN take?
1. Allow the client 10 minutes to stand by the door
2. Request assistance to remove the client from the exit
3. Distract the client by offering to walk with her
4. Administer a PRN prescription for agitation - ---✔✔✔ANSWER---
-Distract the client by offering to walk with her
A female client with obsessive compulsive disorder is admitted to the
hospital for a cardiac catheterization. The afternoons before the
procedure, the client begins to keep detailed notes if the nursing care
she is receiving. At bedtime, she shows the list to the practical nurse
(PN). Which action should the PN implement?
1. Ask the client to explain why she is writing down each nursing task
, 2. Encourage her to express her feelings about the upcoming procedure
3. Recommend strategies to control her obsessive compulsive behaviors
4. Explain the rationales for each nursing responsibilities - ---
✔✔✔ANSWER----Encourage her to express her feelings about the
upcoming procedure
An 18-year-old female client who was released 3 weeks ago following
two months of treatments for anorexia returns to the HCP office for a
follow-up visit. Which statement indicates to the PN that the client is
recovering and coping after treatment for anorexia nervous?
1. "If I don't go to college scholarship my parents will be very
disappointed in me"
2. "My parents attempt to smother me, but I will not allow them to
make my decisions."
3. "I know that I am fat and I plan to lose at least ten more pounds."
4. "I will not binge eat, vomit after I eat, or take laxatives or diuretics." -
---✔✔✔ANSWER----"I will not binge eat, vomit after I eat, or take
laxatives or diuretics."
A resident in a long term care facility is to receive fluconazole 150mg PO
daily for seven days. The medication is available in 50mg tablets and the
medication needs to be given for four more days. To ensure that there
are sufficient tablets for the remaining four days, the practical nurse