NURSING 101 PN Practice test 7 Questions/Answers (UPDATED)

Document Content and Description Below

Independent questions Questions 1 to 21 do not refer to a case. 1. When receiving physician’s orders by telephone, the practical nurse must do which of the following to minimize the risk for err... or? a. Write as the physician gives the order, then repeat the order back to for verification b. Repeat the orders back to the physician, then write the orders on the order sheet c. Write the client’s name, next of kin, and date on the order sheet d. Write the physician’s name on the order sheet 2. The practical nurse is caring for a client with bipolar disorder who is currently in the manic phase and is trying to get the client involved in a diversional activity. Which of the following would be the most appropriate activity? a. Bridge b. Ping-pong c. Jigsaw puzzle d. Exercise class 3. A client is in the clinic waiting room awaiting results of the biopsy of his prostate gland. The client is laughing and cracking jokes. How should the practical nurse respond? a. Ask the client to be quiet b. Ignore the client’s behavior c. Overlook the client’s different behavior d. Recognize the client is manifesting anxiety 4. A 36-year-old woman has had a total hip replacement. The postoperative orders include aspirin 325mg po daily. Which of the following is the rationale for this treatment? a. Prevent joint inflammation b. Produce a mild anticoagulant effect c. Provide better pain control d. Maintain normal body temperature 5. A client states that he has difficulty climbing stairs. Which of the following would be the best way for the practical nurse to validate this claim? a. Ask a family member if this is true b. Watch the client as he climbs the stairs c. Request a physical therapy referral for the client d. Ask the client what happens when he climbs the stairs 6. The physician has prescribed propranolol (Inderal), a non-selective beta-adrenergic blocking agent, to treat a client’s hypertension. The practical nurse should monitor the client for which of the following side effects? a. Nervousness b. Photophobia c. Tachycardia d. Dyspnea 7. The practical nurse is discussing nutrition with the client who is a 3-month pregnant gravida 1, para 0. Which of the following is the most important consideration in the prenatal diet? a. Limit fluid intake to prevent edema in the body tissues of both mother and fetus b. Follow a low calorie diet to maintain the mother’s weight c. Follow a diet high in protein to provide adequate nourishment for the fetus d. Follow Canada’s Food Guide to Healthy Eating 8. Which of the following assessments would be of most concern to the practical nurse during an examination of a 2-week-old newborn? a. A unlateral Moro reflex b. The Babinski reflex is present c. A cephalohematoma is present d. The infant is waking up twice during the night 9. Which of the following is the most appropriate nursing action when caring for the client with confirmed viral meningitis? a. Wound precautions b. Droplet precautions c. Standard precautions d. Strict isolation precautions 10. A prenatal client is complaining of low back pains. The practical nurse might suggest which of the following for some relief of the discomfort the client is experiencing? a. Sitz baths b. Heating pads to the back c. Pelvic rock-tilt exercises d. Visits to the chiropractor 11. A client in her sixth month of pregnancy is complaining of insomnia. Which of the following interventions would the practical nurse suggest for this client? a. Keeping legs uncrossed b. Gravol 50 mg po at hs c. Warm milk at bedtime d. A balanced diet 12. The practical nurse is collecting data related to the growth and development of a 3-week-old infant. The practical nurse should expect to observe which of the following behaviors in the infant? a. Moro “startle” reflex b. Cooing and babbling c. Recognizing a familiar face d. Holding head erect 13. A client is concerned with edema that develops in her feet throughout the day. Which of the following food choices made by the individual can contribute to the edema formation? a. Eggs and toast b. Tuna fish and cantaloupe c. Hamburger and French fries d. Salami sandwich and potato chips 14. When monitoring the client receiving IV therapy, which of the following observations may indicate infiltration? a. Poor skin turgor b. Redness at insertion site c. Warmth at insertion site d. Swollen area above the catheter 15. A client has been taking a diuretic for the last 3 months. Of the following statements made by the client, which would alert the practical nurse to a possible dietary deficiency caused by the diuretic? a. “I seem to bruise easily these days.” b. “My eyes seem especially sensitive to light.” c. “Every once in a while, my heart feels like it’s skipping beats.” d. “I feel so terribly nervous. Do you think I need a tranquilizer?” 16. A client is a 2-day postoperative caesarean section (C-section) birth. She is of Asian heritage. Because her bowel sounds are present, she is advanced to a clear liquid diet. She is refusing to drink any clear liquids except for hot water, hot tea, and a special broth that her mother brings her from home. Which of the following interventions is appropriate for the practical nurse at this time? a. Explain to the client that hospital clear liquids are healthier b. Insist that the client consult a dietician for additional clear fluids c. Set the client up and assist as needed with the clear fluids she will drink d. Speak with the family about encouraging the client to drink more of a variety of fluids 17. A client is admitted to your medical-surgical unit after delivering a full-term infant who was stillborn. The husband says to the practical nurse, “I will see my baby and take care of the arrangements. I don’t want anyone to say anything to my wife about what happened.” Which of the following is most appropriate for the practical nurse? a. Reassure the husband that his wishes will be respected. b. Explain to the husband that no one will initiate the specific topic with his wife, but they will not stop her from talking about it. c. Encourage the husband to talk with his wife so that they can support each other through the grieving process. d. Explain politely to the husband that his wife is the client and it is the practical nurses’ responsibility to encourage communication in every possible way. 18. An adolescent who is 1 day postpartum is asking the practical nurse about possible birth- control methods. She states that she is very busy and forgetful and does not want to think about it every day. Which of the following is the most appropriate method for the practical nurse to recommend? a. Condoms b. Abstinence c. Estrogen patch d. Birth-control pills 19. Which of the following mothers are at highest risk for postpartum infection? a. A woman with premature rupture of membranes b. A woman who delivered a baby precipitously c. A woman who delivered via C-section d. A woman with a prolonged labor 20. Which of the following illustrates the reason why a Foley catheter is inserted before a C- section? a. To keep the bladder empty so that it does not interfere with surgery b. To make certain that the urinary output is adequate during surgery c. To prevent infection d. To reduce the risk for urinary incontinence during surgery 21. Which of the following clients is most at risk for decubitus formation? a. A 20-year-old client with a lumbar-4 injury confined to a wheelchair b. A 6-year-old client in skeletal traction for a fractured right femur c. An ambulatory 90-year-old client with Alzheimer’s disease d. A 75-year-old client on bedrest following total knee replacement 22. A client who is 1-day postoperative abdominal hysterectomy has a urinary catheter, a Penrose drain, and an IV of Ringer’s lactate infusing at 100 mls/hour. The client is complaining of a sense of urinary urgency and lower abdominal pressure and requests an injection of Demerol. Which of the following is the practical nurse’s first course of action? a. Administer 75 mg of Demerol IM as ordered prn. b. Check when this client was last medicated for pain. c. Determine that urine is draining into the bedside drainage unit. d. Assure the client that catheters often cause this type of discomfort. 23. The physician has ordered a client’s IV to infuse at 100 mls/hour. The IV was started at 1900 hours. When the practical nurse made rounds at 2300 hours, 200mls of fluid had infused into the client. What should the practical nurse do next? a. Notify the charge nurse that the IV has infiltrated. b. Note the amount on the client’s intake and output record. c. Check the tubing and infusion site for possible obstructions. d. Change the rate of flow until the correct amount has infused. 24. Which of the following nursing interventions would best prevent the complication of thrombophlebitis? a. Early ambulation b. Coughing and deep breathing c. Sequential antiembolic devices d. Passive range of motion exercises 25. Which of the following statements made by a client going for a colonoscopy would indicate that further teaching is needed? a. “I will not have to stay in hospital overnight.” b. “I will have to have a clean bowel for this procedure.” c. “Thank goodness I will be put to sleep for the procedure.” d. “My doctor may be able to see where all my bleeding is coming from.” 26. A client taking sertraline (Zoloft) for 1 week tells the practical nurse that she is discouraged because she is not feeling better. How should the practical nurse respond to this client? a. “You must not drink alcohol while you are on this therapy.” b. “Speak with your physician about changing your medication.” c. “It may take a few weeks for a change to be noticed.” d. “Tell me more about what you are feeling.” [Show More]

Last updated: 1 year ago

Preview 1 out of 4 pages