Mock 041. The practical nurse is organizing morning care. Which task is appropriate to assign to an unregulated care provider (UCP)?A. Complete the admission assessment for a 49-year-old with new facial droopB. Assist a stable 69-year-old with routine oral care after breakfastC. Teach a newly diagnosed client how to use a dry-powder inhalerD. Administer oral ibuprofen for osteoarthritis pain rated 4 out of 10Check
Mock 042. An 84-year-old with a valid do-not-intubate order and a documented comfort-focused plan develops pneumonia. Adult children demand immediate intensive-care intubation. What should the practical nurse do first?A. Intubate because family consensus outweighs a written directiveB. Hide the directive until the children leave so resuscitation can start when the client is otherwise stableC. Stay with the client, continue comfort measures, and notify the provider of the family conflictD. Ask security to remove the children before any care continuesCheck
Mock 043. A 58-year-old with advanced dementia lacks decision-making capacity and needs urgent hip repair. A legally appointed substitute decision-maker is at the bedside. Who provides informed consent?A. The substitute decision-maker, after receiving the procedure informationB. The unregulated care provider who has known the client for yearsC. The client, because any spoken word counts as consent in dementiaD. No one; surgery proceeds without a signature in all urgent orthopedic casesCheck
Mock 044. The practical nurse receives this written order: "furosemide 40 mg now." What is the most appropriate action?A. Give 40 mg by mouth because that route is used most often on the unitB. Give 40 mg intravenously over 1 minute to "make sure it works"C. Ask a UCP to choose the route based on whether the client can swallowD. Clarify the incomplete order with the provider before giving the drugCheck
Mock 045. Which information must the practical nurse include in a unit-to-unit transfer hand-off? (Select all that apply)Select all that apply.A. Pending troponin results that have not yet been reportedB. Airborne isolation status and N95 requirementsC. Allergies and the current heparin infusion rateD. Code status and the last recorded vital-sign trendE. A hallway comment that the family is "impossible to please"F. The UCP's guess that the client is "lazy about rehabilitation"Check
Mock 046. The practical nurse receives morning report on four clients. Whom should the nurse assess first?A. An 81-year-old with sodium 118 mmol/L and new muscle twitchingB. A 63-year-old with a healing abdominal incision due for a scheduled dressing changeC. A 41-year-old with osteoarthritis requesting a regularly scheduled analgesicD. A 55-year-old with stable type 2 diabetes waiting for carbohydrate counting teachingCheck
Mock 047. An unregulated care provider reports that a previously stable client's oxygen saturation is 84% on room air and the client is using accessory muscles. What should the practical nurse do first?A. Tell the UCP to recheck the saturation in 1 hour after breakfast in the current care settingB. Assess the client immediately and notify the provider of the significant changeC. Document the value and continue the medication pass in orderD. Ask the family to buy a home pulse oximeter for comparisonCheck
Mock 048. The practical nurse finds an unattended computer in a corridor displaying a client's diagnosis and address. What should the nurse do first?A. Finish a phone call, then mention the screen at the next staff meeting before other priorities are addressedB. Ask visitors to look away while the nurse reads the open noteC. Secure the session by locking or logging off the computer, then follow reporting policyD. Print the screen so quality reviewers can see who left it openCheck
Mock 049. A medically stable client is ready for discharge but has no housing, no refrigerator for insulin, and no money for a taxi. What is the priority nursing action?A. Send the client out with a printed insulin pamphlet onlyB. Delay all teaching until the client "gets a job"C. Advise the client to skip insulin until housing is foundD. Refer to social work and collaborate on a feasible plan for medication storage, food access, and transportCheck
Mock 0410. A client says, "Nobody gave me my morning pills." Which documentation is most appropriate?A. Client states, "Nobody gave me my morning pills." Morning medications were reviewed with the client and the record.B. Client is noncompliant and enjoys causing trouble on night shiftC. Client is a liar; ignore this complaint in the chartD. UCP says the client is "always like this," so no note is neededCheck