Management of Care1. A practical nurse has just received hand-off on four assigned clients. Which client should the nurse see first?A. A 54-year-old on day 1 after laparoscopic cholecystectomy who rates incisional pain as 6/10 and is due for oral analgesiaB. A 63-year-old with chronic heart failure who is waiting for a sodium-restricted diet handout and an appointment reminderC. A 39-year-old with lower-leg cellulitis whose wet-to-dry dressing change is 30 minutes overdueD. A client with pneumonia and SpO2 86%Check
Management of Care2. Which tasks are appropriate to assign to an unregulated care provider (UCP) for stable clients? (Select all that apply.)Select all that apply.A. Assist a client with a known safe swallow to eat breakfastB. Obtain vital signs on a client 2 days after uncomplicated hernia repair who is stableC. Ambulate a client who uses a walker and has a steady, known gaitD. Teach a newly diagnosed client how to self-inject insulinE. Complete the admission assessment for a client arriving from the emergency departmentCheck
Safety and Infection Control3. A practical nurse prepares to give oral metoprolol to Henrik Solberg, 73. The name on the MAR matches the room sign. Which action correctly identifies the client before administration?A. Scan the bed barcode only because this medical unit always assigns one client per bed, which is a frequent but incorrect shortcutB. Ask the client to state full name and date of birth and compare both with the MAR and identification bandC. Use the room number plus the last name on the door card as the two identifiersD. Ask a roommate to confirm that this is Henrik before opening the unit-dose packageCheck
Safety and Infection Control4. A practical nurse plans fall prevention for an 81-year-old with orthostatic hypotension. Which actions are appropriate? (Select all that apply)Select all that apply.A. Keep the bed in the lowest position when the client is restingB. Place the call bell within reach before leaving the bedsideC. Offer toileting during hourly roundingD. Apply well-fitting nonslip footwear for transfersE. Apply a vest restraint first to stop all ambulationF. Identify the client by room number before the transferCheck
Health Promotion and Maintenance5. A practical nurse is teaching parents of a 6-week-old infant about motor vehicle safety. Which instruction should the nurse include?A. Install an approved rear-facing car seat in the back seatB. Place the infant in a forward-facing seat once the infant can hold the head uprightC. Allow the infant to ride in the front passenger seat if an adult holds the infantD. Use a booster seat if the infant is small enough to sit with a lap belt onlyCheck
Health Promotion and Maintenance6. The practical nurse is teaching safe sleep for a 2-month-old. Which instructions should be included? (Select all that apply.)Select all that apply.A. Place the infant on the back for every sleepB. Use a firm, flat mattress with a fitted sheet onlyC. Add bumper pads so the infant cannot strike the crib railsD. Share a room with the infant without sharing a sleep surfaceE. Place a stuffed animal at the foot of the crib for comfortCheck
Psychosocial Integrity7. A 34-year-old client just learned of a multiple sclerosis diagnosis and says, "I don't know how I will live with this." Which reply is most therapeutic?A. Ask why the client did not expect a serious diagnosis after months of symptomsB. Tell the client not to worry because many people with MS live completely normal livesC. This news is a lot to take in. What worries you most right now?D. Change the subject to the physiotherapy referral so the visit stays practicalCheck
Psychosocial Integrity8. A client with a new ostomy is tearful. Which nurse actions are therapeutic? (Select all that apply.)Select all that apply.A. Sitting in silence after the client says, "I cannot look at it yet."B. Saying, "I can stay with you for a while if you would like."C. Saying, "You look overwhelmed. What is the hardest part right now?"D. Asking, "Why are you so upset about a simple ostomy?"E. Saying, "Cheer up; it is just a small surgery."Check
Basic Care and Comfort9. A 61-year-old client who is alert and oriented reports aching pain after a laparoscopic cholecystectomy. The client says, "I can give you a number." Which pain assessment tool should the practical nurse use first?A. The PAINAD observational scale for advanced dementiaB. The Wong-Baker FACES scale used only for preschool childrenC. The 0-to-10 numeric rating scale the client can useD. A family member's estimate of how much pain is presentCheck
Basic Care and Comfort10. The practical nurse is preparing an 84-year-old client's hearing aids before morning rounds. Which actions are appropriate? (Select all that apply.)Select all that apply.A. Check that a working battery is in place and the aid is turned onB. Inspect the mold or wax guard and remove visible wax per product guidanceC. Soak both aids in a basin of isopropyl alcohol overnightD. Insert the aids before starting a detailed conversationE. Borrow a roommate's extra aid if one battery is deadCheck