Mock 021. The practical nurse is assigned these four clients. Which client should be assessed first?A. Mei-Lin, 44 years old, with new audible stridor after a dose of piperacillinB. Harpreet, 71 years old, day 2 after hip arthroplasty, requesting a pillow adjustmentC. Joaquin, 58 years old, waiting for discharge teaching about a low-sodium dietD. Bridget, 33 years old, reporting incisional pain of 4 out of 10, which does not address the priority safety problemCheck
Mock 022. Which task is appropriate to assign to an unregulated care provider (UCP)?A. Completing the admission assessment for a client with new chest pressure, which does not address the priority safety problemB. Obtaining a blood pressure on Oskar, 62 years old, who is stable on day 3 after cholecystectomyC. Teaching a newly diagnosed client how to draw up insulinD. Changing the sterile dressing on a newly placed central lineCheck
Mock 023. Yasmin, 81 years old, has a valid do-not-resuscitate (DNR) order on the chart. The practical nurse finds her without a pulse and without respirations. Which action is appropriate?A. Begin chest compressions because the family looks distressedB. Ask the family whether they want to reverse the DNR before acting, which does not address the priority safety problemC. Stay with Yasmin, withhold resuscitation, and notify the primary health care providerD. Page a code and then decide after the team arrivesCheck
Mock 024. Kwame needs informed consent for a scheduled colonoscopy and speaks Somali with limited English. His adult daughter offers to translate. What should the practical nurse do?A. Allow the daughter to translate so consent is not delayedB. Have Kwame sign now and explain details after the procedureC. Ask another client who speaks Somali to interpretD. Arrange a qualified interpreter before the consent discussionCheck
Mock 025. Elodie, 55 years old, has capacity and refuses a recommended packed red blood cell transfusion. Which action should the practical nurse take?A. Document the refusal, notify the provider, and continue other indicated careB. Tell Elodie that refusal is not allowed once she is admitted, which does not address the priority safety problemC. Ask her spouse to sign a consent overrideD. Delay documenting until she changes her mindCheck
Mock 026. The practical nurse is giving hand-off about Farid, who is receiving a vancomycin infusion, has a cefazolin allergy, and is on contact precautions for vancomycin-resistant enterococcus (VRE). Which information is essential to include?A. Farid's preferred television channel and meal timesB. Identity, VRE isolation, cefazolin allergy, and the high-alert infusionC. Only the most recent blood pressure because the shift was busyD. The roommate's diagnosis so both clients can be discussed together, which does not address the priority safety problemCheck
Mock 027. The charge practical nurse is making assignments. A client with an active upper gastrointestinal bleed and a systolic blood pressure of 86 mm Hg needs a nurse. Which assignment is most appropriate?A. Assign the client to a UCP who has extra time this shiftB. Assign the client to a student nurse for a learning experienceC. Assign the client to an experienced practical nurse with a lighter unstable-client loadD. Assign the client to a nurse finishing orientation who has never seen a bleed, which does not address the priority safety problemCheck
Mock 028. The primary health care provider writes, "morphine 10 mg now" for Tamara, 47 years old, without a route or indication. What should the practical nurse do first?A. Give the dose intramuscularly because that is a common morphine routeB. Give 5 mg orally as a safer half-dose compromise, which does not address the priority safety problemC. Ask Tamara which route she prefers and document that choice, which does not address the priority safety problemD. Hold the dose and clarify the incomplete order with the providerCheck
Mock 029. Imani is newly prescribed insulin detemir and needs teaching about injection technique. The unit is short-staffed. Which plan is appropriate?A. Provide the teaching and return demonstration personally, then evaluate Imani's techniqueB. Ask the UCP to demonstrate the injection while the nurse documents, which does not address the priority safety problemC. Leave a pamphlet on the over-bed table and check laterD. Have Imani's roommate, who uses insulin, teach the injectionCheck
Mock 0210. Naveen's oxygen saturation has fallen from 94% to 84% on 2 L/min nasal cannula. The provider says, "He always looks like that," and declines to come. What is the practical nurse's next action?A. Document the comment and wait for the next scheduled roundB. Activate the chain of command and stay with Naveen while escalatingC. Increase oxygen to 15 L/min by nonrebreather without notifying anyoneD. Ask the family to call the provider from their cell phoneCheck