Mock 031. A practical nurse is organizing morning care for four clients. Which task is appropriate to assign to an unregulated care provider (UCP)?A. Feed a stable client who has an intact swallow evaluationB. Complete the admission assessment for a client with new chest painC. Teach a newly diagnosed client how to use a home glucometerD. Administer scheduled oral acetaminophen to a client with osteoarthritisCheck
Mock 032. A capable 67-year-old client refuses a scheduled subcutaneous heparin injection after the practical nurse explains the indication and the risk of clotting. What should the nurse do?A. Hide the syringe in an intravenous bag so anticoagulation still occursB. Document the refusal, notify the primary health care provider, and keep the client safeC. Ask the client's adult child to sign a consent so the injection can be given during this hospitalizationD. Discharge the client immediately for nonadherence to the plan of careCheck
Mock 033. A client with limited English proficiency needs informed consent for a colonoscopy. Who should interpret the consent discussion?A. The client's bilingual 14-year-old grandchildB. A housekeeping staff member who happens to speak the languageC. A qualified medical interpreterD. The roommate who is from the same countryCheck
Mock 034. A client with pneumonia is dyspneic with an SpO2 of 86% on room air. Discharge teaching on inhaler technique is due. What should the practical nurse do first?A. Begin inhaler teaching immediately while the client can still concentrateB. Give pamphlets only and skip demonstration to save oxygenC. Ask a UCP to demonstrate inhaler technique at the bedsideD. Apply oxygen as ordered and reassess ventilation before attempting teachingCheck
Mock 035. Which information must the practical nurse include in a change-of-shift hand-off? (Select all that apply)Select all that apply.A. Pending blood culture results still not reportedB. Airborne isolation for suspected pulmonary tuberculosisC. The nurse's opinion that the family is "difficult"D. Current heparin infusion rate and the most recent aPTTE. Documented allergy to cefazolinF. The client's favorite television channelCheck
Mock 036. The practical nurse receives report on four clients. Whom should the nurse assess first?A. A client whose potassium is 6.3 mmol/L and who reports new muscle weaknessB. A client with a stage 2 pressure injury who is due for a scheduled dressing changeC. A client with chronic osteoarthritis who is requesting a scheduled oral analgesicD. A client awaiting discharge teaching after an uncomplicated cholecystectomyCheck
Mock 037. The practical nurse receives this written order: "metoprolol 50 mg PO." What is the most appropriate action?A. Give 50 mg immediately because that dose is commonly usedB. Clarify the incomplete orderC. Give 25 mg "to be cautious" and document a half doseD. Ask a UCP to telephone the pharmacy and choose a scheduleCheck
Mock 038. At the start of shift, a practical nurse smells alcohol on a colleague's breath and observes slurred speech. What is the priority action?A. Joke about the odor and wait to see whether the colleague "sobers up"B. Post the observation in a staff social media group for "transparency"C. Remove the colleague from client care and report according to agency policyD. Ignore the finding if the colleague has more seniorityCheck
Mock 039. A 71-year-old client with decision-making capacity refuses a blood transfusion that adult children demand. What should the practical nurse do?A. Transfuse because next of kin may override a capable adultB. Obtain written consent from the eldest child insteadC. Tell the client that all other treatments will stop if transfusion is refusedD. Support the refusal, notify the provider, and document the discussionCheck
Mock 0310. An unregulated care provider reports that a previously stable client's blood pressure is 78/42 mm Hg and the client is diaphoretic. What should the practical nurse do first?A. Assess the client now and notify the provider of the significant changeB. Tell the UCP to repeat the blood pressure in 2 hoursC. Document the UCP finding and continue the medication passD. Instruct the UCP to start a 0.9% sodium chloride bolusCheck