Mock 051. The practical nurse is organizing morning care for Esi Mensah, 73, who is stable after an uncomplicated hernia repair. Which task is appropriate to assign to an unregulated care provider (UCP)?A. Assist Esi to walk to the bathroom using a gait belt as directed for this clientB. Teach Esi how to inject enoxaparin at homeC. Administer oral hydromorphone for incision pain rated 6 out of 10D. Complete Esi's initial postoperative neurologic assessmentCheck
Mock 052. Tomás Ribeiro, 51, needs informed consent for a laparoscopic cholecystectomy and speaks Portuguese with limited English. Who should interpret the consent discussion?A. No interpreter; Tomás should sign because he nodded onceB. A qualified professional interpreter as indicatedC. Tomás's bilingual 12-year-old nephew who is visiting after schoolD. A visitor from another room who "knows a little Portuguese"Check
Mock 053. The practical nurse receives this written order for Yara Al-Fassi, 66: "hydromorphone 1 mg now." What is the most appropriate action?A. Give 1 mg by mouth because that route is used most often on the unit when the client is otherwise stableB. Give 1 mg intravenously over 2 seconds to "cover the pain faster"C. Clarify the incomplete order with the provider before giving the drugD. Ask a UCP to choose the route based on whether Yara can swallowCheck
Mock 054. In an elevator with visitors present, a coworker begins discussing Keiko Fujita's diagnosis and home address. What should the practical nurse do first?A. Ask visitors to memorize the address so they can "help with discharge" when the client is otherwise stableB. Post the diagnosis on the unit whiteboard under Keiko's room numberC. Join the conversation so the visitors hear a "complete picture"D. Stop the discussion and continue it in a private area without visitorsCheck
Mock 055. Which information belongs in an incident report after a medication event? (Select all that apply)Select all that apply.A. Objective facts about what was given, when, and to whomB. Immediate client assessment findingsC. Notifications made to the provider and supervisorD. Corrective actions taken at the time of the eventE. A note that the night nurse is "always careless"F. A guess that the pharmacy "probably mixed the bag wrong" without factsCheck
Mock 056. The practical nurse receives morning report on four clients. Whom should the nurse assess first?A. Jonah Crowe, 57, with potassium 6.8 mmol/L and new peaked T waves as indicated nowB. Magda Kowalski, 69, with a healing abdominal incision due for a scheduled dressing change when the client is otherwise stableC. Soren Lindqvist, 34, with osteoarthritis requesting a regularly scheduled analgesicD. Amina Diallo, 48, with stable hypothyroidism waiting for levothyroxine teachingCheck
Mock 057. A UCP reports that Rafael Ortega, 61, who was previously stable, is clutching his chest and saying the pressure is "like an elephant." What should the practical nurse do first?A. Tell the UCP to recheck Rafael in 1 hour after breakfastB. Assess Rafael immediately and notify the provider of the significant changeC. Document the comment and finish the rest of the medication pass first when the client is otherwise stableD. Ask family to drive Rafael to a walk-in clinic after lunchCheck
Mock 058. The practical nurse discovers that a discharge summary with identifiers was faxed to the wrong clinic. What should the nurse do first?A. Post the fax number on social media so others can "double-check" when the client is otherwise stableB. Ignore it if the receiving clinic "seems professional"C. Follow facility privacy policy to contain the disclosure and report itD. Send a second copy of the same summary to the same wrong numberCheck
Mock 059. Leilani Kealoha, 28, is medically ready for discharge after an asthma exacerbation but cannot afford the prescribed combination inhaler and has no spacer at home. What is the priority nursing action?A. Tell her to share a roommate's inhaler to "make do"B. Send her out with a pamphlet only and no workable medication plan when the client is otherwise stableC. Advise her to skip controller therapy until her next paycheckD. Collaborate with the provider and social work on an affordable inhaler plan and a spacerCheck
Mock 0510. Henrik Boe, 76, says, "You people skipped my evening furosemide." Which documentation is most appropriate?A. Client states, "You people skipped my evening furosemide." The medication administration record was reviewed with the client. for this clientB. Client is noncompliant and enjoys arguing with night staffC. Client is a liar; omit this complaint from the chartD. UCP says Henrik is "always like this," so no note is needed when the client is otherwise stable before other priorities are addressedCheck