Basic Care and Comfort1. 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 Comfort2. 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
Basic Care and Comfort3. 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 Comfort4. A 54-year-old client rates abdominal pain as 8 out of 10. The visitor says, "That cannot be right. We were just laughing." Which action is most appropriate?A. Treat the reported painB. Document that the visitor disproved the pain ratingC. Wait to treat until the client stops smilingD. Ask the visitor to choose a lower number for the chartCheck
Basic Care and Comfort5. A 47-year-old client received oral hydromorphone at 0930 for incisional pain rated 7 out of 10. It is now 1030. Which action should the practical nurse take next?A. Give a second full dose immediately because 1 hour has passedB. Reassess pain intensity and sedation using the same scaleC. Tell the client that oral opioids cannot be reassessed until eveningD. Switch the client to a different scale so the numbers look improvedCheck
Basic Care and Comfort6. A 78-year-old client with limited mobility is at risk for pressure injury. How often should the practical nurse plan to reposition the client unless a different interval is ordered?A. Once per 8-hour shift if the skin looks intact on morning inspectionB. Only when the client asks to be moved during waking hoursC. Every 6 hours while awake and not at nightD. About every 2 hours, with skin checks at each turnCheck
Basic Care and Comfort7. A 69-year-old client's left heel is intact but persistently red and does not blanch. Which action is indicated?A. Keep pressure off the heelB. Vigorously massage the heel to restore circulationC. Apply a heating pad to "open the vessels"D. Place the heel directly on a firm mattress edgeCheck
Basic Care and Comfort8. A 72-year-old client with left-leg weakness is learning to walk with a cane. Where should the practical nurse teach the client to hold the cane?A. In the left hand, on the weaker sideB. On the stronger sideC. Alternating hands every hallway lengthD. Only during stair climbing, never on flat floorsCheck
Basic Care and Comfort9. A 81-year-old client has bilateral hearing aids on the bedside table. The practical nurse needs to explain a transfer. What should the nurse do first?A. Speak loudly from the doorway without inserting the hearing aidsB. Write only, because aids are never used in hospitalC. Insert functioning hearing aids, then speak facing the clientD. Wait until a family member arrives to interpret every word of the teachingCheck
Basic Care and Comfort10. A 58-year-old client is receiving continuous nasogastric tube feeding. Which bed position is required during the feeding unless contraindicated?A. Head of bed elevated at least 30 to 45 degreesB. Flat supine to keep the tube from migratingC. Trendelenburg so formula flows "downhill"D. Chair position only at meal times, flat at nightCheck