Latest Study Guide
1. What position should the infant be placed in while awaiting confirmation of
tracheoesophageal fistula (TEF)?
Lateral position
Prone position
Sitting position
Supine position with the head of the crib elevated 30 degrees
2. Why is hepatitis considered the greatest health risk for a client using cocaine
and heroin?
Cocaine and heroin use does not affect the risk of hepatitis.
Hepatitis is a common side effect of cocaine and heroin withdrawal.
Cocaine and heroin use can lead to behaviors that increase the risk
of hepatitis transmission, such as sharing needles.
Cocaine and heroin directly cause liver damage, leading to hepatitis.
3. When preparing to administer nasal spray, what should the nurse tell the
patient?
"You will need to blow your nose after I give you this medication."
"You should sit up for 5 minutes after you receive the nasal spray."
"You will need to blow your nose before I give you this medication."
"When I give you this medication, you will need to hold your breath."
,4. If a client with GERD reports continued heartburn after starting
pantoprazole, what should the practical nurse do next?
Advise the client to stop taking pantoprazole.
Switch the client to a different proton pump inhibitor.
Increase the dosage of pantoprazole immediately.
Assess the client's medication adherence and dietary habits.
5. The practical nurse (PN) palpates a client's radial pulse and notes that the
pulse disappears when light pressure is applied. How should the PN
document this finding?
Pulse skips beats.
Thready pulse volume.
Missing pulse.
Light pressure applied to pulse.
6. Which method of examination is being used when the nurse's hands are used
to assess the temperature of a patient's skin?
Percussion
Palpation
Observation
Inspection
7. Why is it important for a practical nurse to report the appearance of a
postoperative dressing to the charge nurse?
The charge nurse will handle all dressing changes.
It is not necessary to report unless there is a significant change.
, Only the surgeon needs to be informed about the dressing.
Reporting the dressing's appearance is crucial for ensuring
appropriate follow-up care and preventing complications.
8. Why is it important for a client to gently blow their nose before using a nasal
spray like fluticasone furoate?
Blowing the nose helps to increase blood flow to the nasal area.
Blowing the nose prevents the medication from causing a headache.
Blowing the nose reduces the risk of nasal infections.
Blowing the nose clears nasal passages for better medication
absorption.
9. What should the practical nurse ask the client about after noticing cloudy
urine with a foul odor?
Dietary habits
Urinary frequency
Recent medications
Fluid intake
10. A nurse is caring for a client who is 2 hr PP. The nurse notes the client's
perineal pad has a large amount of lochia rubra w/ several clots. Which of
the following actions should the nurse perform first?
Measure blood pressure
Administer carboprost IM
Massage the fundus
Check for full bladder
, 11. When analyzing the results of a patient's urinalysis, which of the following
findings will the nurse recognize as an indication of a urinary tract infection?
cloudy urine with the presence of glucose
clear urine with the presence of glucose
Urine with elevated nitrite level
Urine with the presence of ketones and protein < 20 V
12. What is the most appropriate initial response for a practical nurse when a
client expresses fear about surgery?
Would you like to speak with the surgeon
I was afraid before I had surgery too
It is normal to have some fears before surgery
Tell me what is making you feel afraid.
13. A patient with a recent ankle sprain reports increased swelling and pain after
12 hours of injury. What should the practical nurse do next?
Switch to applying heat to the injured area.
Advise the patient to keep the ankle elevated without any ice.
Encourage the patient to perform range of motion exercises
immediately.
Continue applying ice to the injured site at 15-minute intervals.
14. If the practical nurse identifies a possible fracture in the child's arm after the
fall, what should be the next step in the nursing intervention process?
Perform a range of motion exercises to assess mobility.
Apply ice and send the child home with pain medication.