Practical Nurse Assigned Assignment Help: How to Answer This Question

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Original Question

3) The practical nurse (PN) is assigned to care for a client who had an endoscopic procedure in which a local anesthetic was sprayed on the throat. Which priority action should the PN include in this client’s plan or care? A) Assess the gag reflex. B) Observe for belching. C) Inquire about a sore throat. D) Instruct the client to speak. 4) The home health practical nurse (PN) visits a young male client with AIDS who has Kaposi’s sarcoma and peripheral neuropathies. His parents, who provide care for the client, state that their son sleeps most of the time. The PN observes the client is semi-conscious with stable vital signs and cries out in pain when turned or moved. A fentanyl patch is in place and skin lesions are closed and dried. Which intervention should the PN implement? A) Give a complete bed bath to further assess the client. B) Remove the fentanyl patch as directed by the prescription. C) Discuss end-of-life decisions with the client’s parents. D) Call for ambulance transportation to the hospital immediately. 5) The practical nurse (PN) is reviewing instructions for the use of pilocarpine eye drops with a client who has glaucoma. The client states, “I should use these drops to anesthetize my eye if I experience eye pain”. Which action should the PN implement? A) Clarify with the client that the eye pain in glaucoma is uncommon so drops are rarely needed. B) Remind the client that the action of the eye drops is to decrease internal eye pressure. C) Document in the chart that the client understands the action and use of the eye drops. D) Ask the client to describe the intensity of the eye pain using the numerical pain scale 6) In administering nystatin suspension to the gums of an infant with a candida infection, which approach should the practical nurse (PN) use? A) Irrigate the infected area with medicated solution after applying sterile gloves. B) Use a gloved finger to rub the suspension over the infected area. C) Measure the prescribed amount of solution into the infant’s bottle. D) Draw up the medication in a needle-less syringe which the infant can suck. 7) The practical nurse (PN) is caring for a patient who has a prescription for loratadine by mouth daily as needed. Which sign indicates to the PN that there is a need to administer the medication? A) Red papules and pustules on the face. B) Ecchymosis and petechiae on the legs. C) Red welts widespread over the chest. D) Ulceration on the corner of the upper lip. 8) The practical nurse (PN) is caring for an infant admitted with dehydration, irritability, sign of extreme hunger and a palpable olive-like mass in the upper right abdominal quadrant. When feeding the infant, the PN should monitor for which development? A) Frequent pauses. B) Projectile vomiting. C) Coffee-ground emesis. D) Arched back. 9) The spouse of a hospitalized client asks the practical nurse (PN) for acetaminophen for a tension headache. Which action should the PN take? A) Give the spouse acetaminophen from the nurse’s personal supply. B) Determine if the spouse has any medication allergies. C) Request the pharmacy to send acetaminophen to the unit. D) Explain that medication can only be provided to clients. 10) The practical nurse (PN) is assigned to care for a client with rheumatoid arthritis (RA) who is experiencing chronic pain in both hands and wrists. Which information about the client is most important for the PN to obtain when planning care? A) Amount of support provided by family members. B) Measurement of pain using a scale of 0 to 10. C) The ability to perform activities of daily living. D) Nonverbal behaviors exhibited pain occurs. 11) Which location should the practical nurse palpate to determine if a client’s submandibular lymph nodes are enlarged? A) Above the upper jaw. B) Anterior to the temporal bone. C) Beneath the lower jaw D) Lateral to the trachea. 12) The practical nurse (PN) administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication’s effectiveness, which laboratory values should the PN monitor? (Select all that apply.) A) Serum Potassium. B) White blood cell count. C) Sputum culture and sensitivity D) Urinalysis E) Prothrombin time F) Capillary glucose 13) When providing oral care to an unconscious client who is a mouth-breather and does not swallow, which action is most important to the practical nurse (PN) to implement? A) Apply a petroleum-based lubricant to the client’s lips. B) Use an oral suction catheter in the buccal cavity. C) Inspect the cavity using gloved fingers. D) Perform oral cleansing with a sponge toothette. 14) A client with muscle spasticity receives a prescription for baclofen. Which information provided by the client require additional reinforcement of instruction by the nurse? A) Avoid the ingestion of alcohol B) Discontinue when spasms cease C) Take medication with meals D) Use a stool softener as needed 15) A client was recently diagnosed with atrial fibrillation in receiving warfarin. To see the drug’s effectiveness, which laboratory finding should the practical nurse (PN) review? A) Creatinine clearance B) B. Complete blood count C) C. Prothrombin time (PT) D) D. Serum troponin level 16) The practical nurse(PN) is caring for a client with fractured metatarsal after slamming a hand in the car door. After administering the prescribed hydrocodone/acetaminophen for pain, which intervention should the PN include in the client’s care? A) Encourage client to resume normal activities after medication administration B) Observe the client for involuntary movement of the lips and tongue C) C. Implement ongoing assessments for signs of shallow or slow breathing D) D. Assess the skin daily for areas of ecchymosis or other signs of bleeding 17) The healthcare provider prescribes cefazolin 500 mg IM every 6 hours. The available vial is labelled, “cefazolin 1 gram”, and the instructions for reconstitution state. “For IM use, add 2.5 mL sterile water for injection to provide a total volume of 3.0 mL”. After reconstitution, how many mL should be administered to the client? ( Enter numeric value only. If rounding is required, round to the nearest tenth) 18) A client with history of heart failure reports experiencing shortness of breath and swelling in the lower extremities. Which medication should alert the practical nurse (PN) that the client’s symptoms could worsen? A) Atorvastatin B) Digoxin C) Propranolol D) Spironolactone 19) The practical nurse(PN) is working in a cancer detection mobile clinic. Four individuals come for screening with a complaint of hoarseness, a danger sign for cancer of the larynx. Which client has the highest risk for developing a cancer of the larynx that the PN should refer to the healthcare provider? A) A farmer who smokes a half pack of cigarette daily B) An open singer who does not smoke but drinks a glass of wine each day C) An older male who drinks a six pack of beer nightly and smokes heavily D) An office manager whose mother has laryngeal cancer 20) A client receives ondansetron prior to a chemotherapy treatment. How should the practical nurse evaluate the effectiveness of the medication? A) Monitor the client for nausea or vomiting following the treatment B) Assess for changes in vital signs during and after the treatment C) Observe the client for signs of pain or discomfort during the treatment D) Determine if the client feels calm and relaxed before the treatment 21) A client with hypertension complains of persistent dry cough. The practical nurse(PN) should tell the client that this is a common side effect of which daily medication? A) Losartan B) Quinapril C) Spironolactone D) Clonidine 22) A client is being treated for chronic kidney disease. On examination, the client has an elevated blood pressure and is exhibiting changes in mental status. Which intervention in the plan of care should the practical nurse (PN)implement? A) Use a cushion when sitting B) Perform range of motion exercises C) Document abdominal girth D) Weigh every morning 23) A client in the third trimester of pregnancy reports that she feels some “lumpy places ” in her breast and that her nipples sometimes leak a yellowish fluid. She has an appointment with her healthcare provider in two weeks. Which action should the practical nurse take? A) Tell the client to begin nipple stimulation to prepare for breast feeding B) Recommend that the client start wearing a supportive brassiere C) Explain that the normal secretion can be assessed at the next visit D) Reschedule the client’s prenatal appointment for the following day 24) In caring for a client with Buck’s traction, the practical nurse(PN) observes that the prescribed amount weights are hanging freely and the traction rope is on the pulley. Which action should the PN implement next? A) Document that the Buck’s traction is being maintained B) Place the weights on blocks to increase their stability C) Adjust the traction rope so it’s free from the pulley D) Contact the orthopedic technician to adjust the traction 25) A female client with immune thrombocytopenic purpura is transferred to a long term care facility for physical rehabilitation. To prevent injury, which action is the most important for the practical nurse to implement. A) Monitor the client’s blood cell laboratory values B) Ensure the client has minimal clutter in the room C) Assess the client for nerve pain or paralysis D) Evaluate client’s neurological status after exercising 26) The practical nurse(PN) is documenting the insertion of a urinary catheter for a female with urinary retention. Which information should the PN include during the electronic documentation of the process? ( select all that apply) A) Client positioning during procedure B) Amount of lubricant used C) Amount of urine obtained D) Size of urinary catheter E) Appearance of urine obtained 27) In assessing a 2-year-old boy with croup, the practical nurse(PN) finds that he has become increasingly irritable and has developed tachypnea and resting stridor. Which intervention is best for the PN to implement? A) Monitor the client’s oxygen saturation level via pulse oximeter B) Encourage the child to drink adequate amounts of cool, clear liquids C) Instruct the mother to play with the child for simulation and distraction D) Administer a dose of acetaminophen per PRN prescription 28) Two weeks after cast application, a client with fractured right arm returns to the clinic for evaluation. The client seems upset and tells the practical nurse(PN) that the healthcare provider said a callus has formed on the bone. Which action should the PN take? A) Prepare the assist in applying a new cast to reduce pressure points B) Explain that this is an expected part of the bone healing process C) C. Report the client’s concern to the healthcare provider D) D. Teach the client strategies to prevent further calluses 29) The practical nurse(PN) is assigned to care for four children. Which child should be assessed first? A) 18-month-old who has cystic fibrosis and is wheezing B) 2-year-old who is admitted for gastroenteritis and vomiting C) 4 year-old who needs to stand to void before going to x-ray D) 3-year-old who is in isolation with chickenpox lesions and MRSA 30) A male preoperative client who has already signed the informed consent for a surgical procedure confides to the practical nurse that he is really frightened and unsure about undergoing the surgery. Which priority action should be the PN take? A) Document that the client has expressed concerns about the surgery B) Notify the change nurse of the client’s concerns about surgery C) Encourage the client to continue with the scheduled surgery D) Remind the client that the consent has already been obtained 31) A practical nurse(PN) is at the nurses’ station describing her social life, sexual activities, and alcohol drinking in a boisterous voice that might be heard by client and visitors. What is the best action that a peer PN should do? A) Report the situation to the nursing supervisor or peer review committee B) Determine if the conversation was overhead by the clients C) C. Ask the PN to lower her voice when visitors walk by D) D. Suggest going to the nurses’ lounge if she needs to discuss these topics 32) When performing a focused gastrointestinal system assessment, the practical nurse(PN) asks a male client when his last bowel movement occurred. The client answers, “Three days ago”. Which action should the PN implement first? A) Recommend increasing high fiber foods daily B) Determine the client’s usual bowel pattern C) Administer a prescribed PRN stool softener D) Encourage client to ambulate more frequently 33) A client is diagnosed with Clostridium difficile. Which action should the practical nurse(PN) implement to prevent the spread of the organism? A) Keep the door closed to the client’s room at all time B) Don non-sterile gloves when performing direct care C) Place a surgical mask on the client during transport D) Wear a particulate respirator mask when in the room 34) The practical nurse(PN) is reinforcing teaching to a group of evacuees in a mass casually center after a natural flooding disaster. Which information should the PN include in the review? ( select all the apply) A) Take all doses of prophylactic prescriptions for diarrhea B) Wash all fruits and vegetables thoroughly in running tap water C) C. Clean hands using soap, clean water, or waterless antibacterial solutions D) D. Drink only boiled water or bottled oral rehydration solutions E) E. Identify all sexual contacts since the evacuation process 35) The practical nurse(PN) who is working on a skilled nursing until delegates the 2-hour turning schedule for a group of bedfast clients to an unlicensed assistive personnel(UAP).To minimize lower back injury, which strategies should the PN instruct the UAP to implement while moving the clients in bed? (Select all that apply) A) Keep the bed low to the ground B) Encourage the client to help C) C. Avoid use of assistive devices D) D. Relax the abdominal muscles E) Maintain a broad base of support 36) A client receives a prescription for potassium chloride 20 mEq/200 mL intravenously to be infused over 4 hours . The practical nurse( PN) should program the infusion pump to deliver how many mL/hr ? (Enter numerical value only) A) The number of vegetables servings consumed daily B) The amount of salt substitute used in meal preparation C) The percent of processed or canned foods eaten D) The amount of ice chips and water consumed daily 37) The practical nurse(PN) is preparing to assist an elderly client to the bathroom. The PN knows that an elderly adult’s center of gravity changes from the hips to another area of the body. In planning to safely assist this client, the PN knows the center of gravity for the elderly client is in which area of the body? A) Feet B) Upper torso C) Upper extremities D) Head 38) A client is scheduled to receive a sublingual tablet and has difficulty swallowing tablets. Which is the best nursing action? A) Place the tablet under the client’s tongue B) Crush the medication and administer in applesauce C) Place the tablet inside the client’s cheek D) Obtain a liquid form of the medication 39) The practical nurse(PN) is caring for a client whose urine drug screen is positive for cocaine. Which behavior should the PN document as evidence of cocaine withdrawal? A) Elation B) Hyperactive C) Talkative D) Intense cravings 40) The chest x-ray for a client who is admitted for pneumonia shows pleural effusion with decreased Air flow in the entire left upper lobe. What should the practical nurse(PN) expect to hear when auscultation the left upper lobe? A) Loud cracking sounds B) A rubbing pleural sound C) Absent or diminished breath sounds D) Wheezing 41) The practical nurse (PN) is caring for a client who delivered 6 hours ago. Assessment reveal a boggy uterus that is displaced above and to the right of the umbilicus. Which action should the PN take? A) Monitor vital signs B) Inspect the perineal pad C) Notify healthcare provider D) Encourage voiding 42) When obtaining capillary blood sample for glucose measurement, which intervention should the practical nurse (PN) implement? A) Remove any nail polish from the fingernails B) Determine which finger was used previously C) Apply a tourniquet above the antecubital fossa D) Grasp the subcutaneous tissue and pull upward 43) The practical nurse is feeding a 2-month-old male infants with heart failure due to a ventricular septal detect (VSD). Which intervention should the PN implement? A) Weigh before and after feeding B) Insert a nasogastric feeding tube C) Allow infant to rest before feeding D) Feed the infant when he cries 44) The single mother of a child with a head injury is sitting at the child’s bedside crying when the practical nurse (PN) enters the room. The mother states, “Why did this happen to my child? I just can’t cope with this.” What is the best initial response by the PN? A) You can best help your child by remaining calm and positive B) What was happening right before your child was injured C) This must appear devastating to you at the moment D) Do you have someone who can help you cope with this 45) The practical nurse(PN) is speaking with the spouse of a client who has passed away unexpectedly. The spouse appears very calm and states. “No, there must be a mistake.” Which action should the PN take? A) Inquire about a spiritual belief system B) Ask the charge nurse to speak with the spouse C) Encourage viewing of the body to accept the death D)

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