Reduction of Risk Potential1. A practical nurse is teaching a client how to use an incentive spirometer after open cholecystectomy. What is the primary purpose of this device?A. To measure peak expiratory flow during an acute asthma exacerbationB. To deliver aerosolized bronchodilator medication deep into the lungs during routine postoperative nebulizer therapyC. To suction retained secretions from the large airways after surgeryD. To expand the alveoli after surgery and help prevent postoperative atelectasisCheck
Reduction of Risk Potential2. Which actions help prevent catheter-associated urinary tract infection? (Select all that apply)Select all that apply.A. Use sterile technique for indwelling catheter insertionB. Keep the drainage bag below bladder levelC. Advocate for catheter removal as soon as it is no longer indicatedD. Keep the tubing free of dependent loopsE. Disconnect the bag daily and wash it in the bathroom sinkF. Irrigate the catheter with sterile water every shift as a routineCheck
Reduction of Risk Potential3. A practical nurse is teaching a client how to use an incentive spirometer after open cholecystectomy. What is the primary purpose of this device?A. To measure peak expiratory flow during an acute asthma exacerbationB. To deliver aerosolized bronchodilator medication deep into the lungs during routine postoperative nebulizer therapyC. To suction retained secretions from the large airways after surgeryD. To expand the alveoli after surgery and help prevent postoperative atelectasisCheck
Reduction of Risk Potential4. Where should the practical nurse position an indwelling (Foley) catheter drainage bag?A. Clamped on the over-bed table so staff can see the urine volume easilyB. Taped to the upper thigh so the bag rests on the mattress beside the hipC. Below the level of the bladderD. Hung from the side rail at the same height as the client's umbilicusCheck
Reduction of Risk Potential5. Before giving the first intermittent feeding through a newly placed nasogastric tube, what should the practical nurse do first?A. Warm the canned formula in a microwave until it is steamingB. Confirm nasogastric tube placement according to facility protocolC. Instill 60 mL of air and rely only on epigastric auscultationD. Place the client flat to keep formula from rising into the esophagusCheck
Reduction of Risk Potential6. A client asks what a hemoglobin A1C of 8.4% means. Which teaching statement is accurate?A. It reflects average blood glucose over about the past 2 to 3 monthsB. It is identical to this morning's fasting plasma glucose result drawn before breakfastC. It confirms only overnight hypoglycemic episodesD. It measures glucose solely after a 75 g oral glucose challengeCheck
Reduction of Risk Potential7. Two hours after colonoscopy with polypectomy, which finding is expected?A. Repeated maroon stools plus new lightheadednessB. Sudden severe pain with a board-like abdomenC. Bright-red rectal bleeding that soaks two pads in 20 minutesD. Passage of flatus with mild abdominal crampingCheck
Reduction of Risk Potential8. Which action best helps prevent deep vein thrombosis after hip arthroplasty?A. Massage both calves vigorously every 2 hoursB. Keep both legs dependent over the side of the bed at all timesC. Encourage prescribed early ambulation as DVT prophylaxisD. Apply continuous heat packs behind both kneesCheck
Reduction of Risk Potential9. A client is scheduled for general anesthesia at 1100. Breakfast trays arrive at 0800. What should the practical nurse do?A. Allow black coffee only because it is a clear liquid at 0800B. Withhold food and fluids as ordered to maintain NPO statusC. Offer dry toast to reduce gastric acid before surgeryD. Give the full tray and document that the client ate lightlyCheck
Reduction of Risk Potential10. A client has not voided 6 hours after indwelling catheter removal. Which action is most appropriate first?A. Perform a bladder scan to estimate retained urine volume firstB. Insert a new indwelling catheter without further assessmentC. Restrict all oral fluids until a large spontaneous void occursD. Apply firm manual pressure over the bladder until urine appearsCheck