Mock 011. A practical nurse is organizing morning care on a medical unit. Which task is appropriate to assign to an unregulated care provider (UCP)?A. Feed a stable client who has a documented safe swallowB. Teach a newly diagnosed client how to use a dry-powder inhalerC. Complete the initial assessment of a client just transferred from the emergency departmentD. Administer oral acetaminophen for a temperature of 38.4 CCheck
Mock 012. A client with a valid do-not-resuscitate (DNR) order becomes unresponsive and pulseless. Family members shout to start CPR. What should the practical nurse do first?A. Start chest compressions until the primary health care provider arrivesB. Stay with the client and continue comfort measures in the plan of careC. Ask security to remove the family before any care continuesD. Call a full code and explain the DNR to the team laterCheck
Mock 013. A capable adult with limited English needs informed consent for a central line. An adult child offers to interpret. What is the best action?A. Have the client sign now and explain the procedure after insertionB. Let the adult child interpret because the client appears more relaxed during this scheduled shiftC. Arrange a qualified interpreter for the informed consent discussionD. Use an unvetted smartphone app and proceed if the client nodsCheck
Mock 014. Which tasks may the practical nurse assign to a UCP caring for a stable client? (Select all that apply)Select all that apply.A. Assist with a complete bed bathB. Obtain and record routine vital signsC. Walk the client with a familiar walkerD. Feed the client after a safe-swallow evaluationE. Teach the client how to self-inject insulinF. Change a sterile central-line dressingCheck
Mock 015. A capable client refuses a scheduled subcutaneous heparin injection. What should the practical nurse do?A. Explore the reason, document the refusal, and notify the providerB. Give the injection because anticoagulation is ordered for safetyC. Write "noncompliant" and omit provider notificationD. Wait until the family leaves and try to inject without discussion during this scheduled shiftCheck
Mock 016. The practical nurse has just received morning report. Which client should be assessed first?A. A client with a healing abdominal wound who is due for a scheduled dressing change during this scheduled shiftB. A client with chronic kidney disease, potassium 6.2 mmol/L, and new muscle weaknessC. A client with osteoarthritis who is requesting a scheduled analgesicD. A client with stable type 2 diabetes waiting for breakfast carbohydrate teachingCheck
Mock 017. A client develops new chest pressure and a blood pressure of 86/50 mm Hg. The covering provider has not returned three pages. What should the practical nurse do next?A. Document the pages only and continue hourly roundingB. Wait 1 hour because the provider is often delayed on rounds during this scheduled shiftC. Escalate through the charge nurse and on-call coverage according to policyD. Ask the family to call the provider's personal cell phoneCheck
Mock 018. A capable 74-year-old client refuses further hemodialysis. Adult children demand that dialysis start "or we will sue." What is the priority nursing action?A. Have the children sign consent as next of kin and send the client to dialysisB. Book dialysis because beneficence always outweighs a refusal in older adultsC. Ask the ethics committee to authorize treatment over the client's objectionD. Confirm that the client understands the consequences and support the informed refusalCheck
Mock 019. When is insulin discharge teaching most appropriate?A. When the client is alert, reasonably comfortable, and not hypoxicB. Immediately after an opioid dose for pain rated 9 out of 10C. While oxygen saturation is 88% on room air and the client is gaspingD. Only after all visitors leave so the nurse can speak more quicklyCheck
Mock 0110. Which information is essential in hand-off for a client receiving a heparin infusion?A. Preferred shower time and television channelB. Current infusion rate, latest aPTT, and any bleedingC. How many visitors sat at the bedside this afternoonD. The brand name of the sequential compression sleeves during this scheduled shiftCheck