PN Comprehensive Online Practice 2020 B With
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A nurse in a long-term care facility is observing a newly licensed nurse who is providing
tracheostomy care for a client. The nurse identifies proper performance when the newly
licensed nurse selects which of the following solutions to clean the inner cannula? -
Hydrogen peroxide
A nurse caring for a client who took an overdose of acetaminophen. Which of the following
medications should the nurse plan to administer to the client? - Acetylcysteine
A nurse is caring for a client who is in Buck's traction. Which of the following actions should
the nurse take? - Allow the weights to hang freely
A nurse is preparing to administer metoclopramide 10mg IM. Available is metoclopramide
5mg/mL. How many mL should the nurse administer? - 2mL
A nurse is reinforcing discharge instructions with the parent of an infant who has rotavirus.
Which of the following statements by the parent indicates an understanding of the teaching?
- "I will apply diaper cream to my baby's skin during each diaper change"
A charge nurse is observing a newly licensed nurse apply sterile gloves. Which of the
following actions by the newly licensed nurse demonstrates sterile technique? - Putting a
glove on their dominant hand first
A nurse is reviewing laboratory reports for a client who has an Escherichia coli infection and
is receiving gentamicin. Which of the following results should the nurse report to the
provider before administering the next dose? - Creatinine 2.5mg/dL
A nurse is reinforcing teaching with a client regarding prescribed asthma medications. The
nurse should instruct the client to use which of the following medications for treatment of
an acute asthma attack? - Albuterol

A nurse is reinforcing teaching about home care for conjunctivitis with the parent of a
school-age child. Which of the following information should the nurse include? - Separate the
child's used washcloth from those of others
A nurse is preparing to administer an influenza virus immunization to a client by the
intradermal route. Which of the following actions should the nurse take? - Avoid massaging
the site after injecting the vaccine
A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of the
following actions should the nurse take? - Open the outer package flap of the catheterization
kit away from their body
A nurse is reinforcing teaching about food selection with a client who has a moderate burn
injury. Which of the following foods should the nurse recommend as being high in vitamin C?
- Tomatoes
A nurse at a long-term care facility is caring for a client who requires oral suctioning. Which
of the following supplies should the nurse plan to use for this task? - Yankauer catheter
A nurse in a long-term care facility is serving on the ethics committee, which is addressing
a client care dilemma. Which of the following strategies will facilitate resolving the dilemma?
(Select all that apply) - Determine the facts related to the dilemma
Identify possible solutions
Consider the client's wishes
A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The
client states, "I really thought I'd be back to my usual routines by now, but I can't think of
anything else except that my son is gone." Which of the following responses should the nurse
make? - "Grieving for your son is hard work. It will take as much time as you need to come
to terms with your loss."

A nurse is reinforcing teaching with a client about cancer prevention. The nurse should
include that frequent consumption of which of the following foods increases the risk for
developing cancer? - Lamb
A nurse notices an assistive personnel (AP) taking a nap in the break room during meal time.
The nurse also notes that the AP is drowsy while performing routine tasks. Which of the
following actions should the nurse take? - Report the observations about the AP to the unit's
nurse manager
A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the
following clients should the nurse identify as being at risk for urinary retention? - A school-
age child who has allergic rhinitis and is taking diphenhydramine
A nurse is caring for a client following a bronchoscopy. Which of the following actions should
the nurse take first? - Check for a gag reflex
A nurse is assisting with the admission of a client who has a latex allergy. The nurse should
identify that which of the following supplies has the potential to contain latex? - Indwelling
urinary catheter
A nurse is performing postmortem care for a client prior to the arrival of the client's family
for viewing of the body. Which of the following actions should the nurse take? - Gently close
the client's eyelids
A nurse is reinforcing teaching with a client who has dumping syndrome about measures to
reduce manifestations. Which of the following instructions should the nurse include in the
teaching? - Avoid foods with a high sugar content
A nurse is collecting data from a client who is experiencing a situational crisis following the
loss of a job. The client states, "I don't think I can go through this again." Which of the
following actions is the nurse's priority? - Determine if the client is experiencing psychotic
thinking

A nurse is contributing to the plan of care for a client following a transurethral resection of
the prostate (TURP). Which of the following interventions should the nurse include? - Irrigate
the bladder using sterile technique
A nurse is caring for an infant who is receiving IV fluids for dehydration. Which of the
following should the nurse recognize as a positive response to therapy? - Moist mucous
membranes
A nurse is assisting with the admission of a client who is experiencing alcohol withdrawal.
Which of the following medications should the nurse expect the provider to prescribe for the
client? - Chlordiazepoxide
A nurse is caring for a client who is scheduled for surgery in the morning. The nurse learns
that the client has decided not to have surgery even though they have already signed the
informed consent form. Which of the following actions should the nurse take? - Report the
situation to the provider who obtained the informed consent
A nurse is collecting data from a client who is in severe pain. Which of the following
questions should the nurse ask first? - "Where is your pain located?"
A nurse in a provider's office is reinforcing teaching with a client who has a new
prescription for ferrous sulfate elixir. Which of the following statements by the client should
indicate to the nurse an understanding of the teaching? - "I will rinse my mouth after taking
this medication"
A nurse is contributing to the plan of care for a client who is postoperative following a
rhinoplasty. Which of the following interventions should the nurse recommend? - Instruct
the client to avoid the Valsalva maneuver
A nurse is collecting data from a postpartum client who had a vaginal birth 2 days ago.
Which of the following findings is the nurse's priority to report to the provider? - Client
reports burning with urination

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2020 PN Health Care Assessment Comprehensive Practice Exam With Answers (147 Solved Questions)

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