Mock 061. The practical nurse is organizing lunch for Zahra Nouri, 64, who is stable on day 2 after an uncomplicated cholecystectomy. Which task is appropriate to assign to an unregulated care provider (UCP)?A. Assist Zahra with a regular diet tray after swallowing has been clearedB. Teach Zahra how to inject dalteparin at homeC. Administer oral oxycodone for incision pain rated 5 out of 10D. Complete Zahra's first pain reassessment after intravenous morphine when the client is otherwise stableCheck
Mock 062. Callum MacLeod, 47, needs discharge teaching about a new anticoagulant and speaks only Gaelic and limited English. Who should interpret the teaching?A. No interpreter; Callum should initial the form because he smiledB. A qualified professional interpreter as indicatedC. Callum's bilingual 10-year-old child who is waiting in the lobbyD. A housekeeping staff member who "heard Gaelic once"Check
Mock 063. The practical nurse receives this written order for Ines Vargas, 33: "metoprolol 50 mg now." What is the most appropriate action?A. Give 50 mg by mouth because that route is used most often on the unitB. Give 50 mg intravenously over 5 seconds to "control the pulse faster" when the client is otherwise stableC. Clarify the incomplete order with the provider before giving the drugD. Ask a UCP to choose the route based on whether Ines can swallowCheck
Mock 064. In the public cafeteria, a coworker discusses Otis Bramble's HIV status loud enough for nearby visitors to hear. What should the practical nurse do first?A. Ask visitors to keep the diagnosis secret as a favorB. Write the diagnosis on a sticky note labeled with Otis's room number when the client is otherwise stableC. Add laboratory details so the story is "clinically complete"D. Stop the discussion and continue it in a private area without visitorsCheck
Mock 065. 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 blood cultures that have not yet been reportedB. Contact isolation status and required personal protective equipmentC. Allergies and the current insulin infusion rateD. Code status and the last recorded vital-sign trendE. A hallway comment that the family is "too demanding"F. The UCP's guess that the client is "faking shortness of breath"Check
Mock 066. Evening hand-off lists these four remaining tasks. Whom should the practical nurse see first?A. Dinesh Patel, 52, with a capillary glucose of 1.9 mmol/L who is diaphoretic and confusedB. A 63-year-old with a healing abdominal incision due for a scheduled dressing change when the client is otherwise stableC. A 41-year-old with osteoarthritis requesting a regularly scheduled analgesicD. A 55-year-old with stable hypothyroidism waiting for levothyroxine teachingCheck
Mock 067. A UCP reports that previously oriented Mei Lin, 78, is newly pulling at her oxygen and calling staff by her sister's name. What should the practical nurse do first?A. Tell the UCP to recheck Mei Lin after lunch entertainmentB. Assess Mei Lin 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 take Mei Lin home to "sleep it off"Check
Mock 068. The practical nurse finds an unencrypted USB drive labeled with client identifiers in a public waiting area. What should the nurse do first?A. Email the file names to a group chat to identify the owner when the client is otherwise stableB. Plug it into a personal laptop to "see whose it is"C. Secure the device, prevent further access, and report per privacy policyD. Leave it on the magazine table so the owner can returnCheck
Mock 069. Yusuf Demir, 59, is medically ready for discharge after a new venous thromboembolism but the community pharmacy cannot fill warfarin until Monday and he has no ride. What is the priority nursing action?A. Tell him to take a roommate's warfarin tablets to "make do"B. Send him out with a pamphlet only and no workable medication plan when the client is otherwise stableC. Advise him to skip warfarin until the pharmacy opensD. Collaborate with the provider, pharmacy, and social work on bridging supply and transportCheck
Mock 0610. After a fall, Hanae Saito, 81, says, "Nobody answered my light so I walked alone." Which documentation is most appropriate?A. Client states, "Nobody answered my light so I walked alone." Post-fall assessment and notifications were completed. for this client using facility policy as the guideB. Client is noncompliant and enjoys falling to get attentionC. Client is a liar; omit the fall from the chartD. UCP says Hanae is "always like this," so no note is needed when the client is otherwise stable before other priorities are addressedCheck