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

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PN Comprehensive Online Practice 2020 B WithSatisfied SolutionsA nurse in a long-term care facility is observing a newly licensed nurse who is providingtracheostomy care for a client. The nurse identifies proper performance when the newlylicensed nurse selects which of the following solutions to clean the inner cannula? -Hydrogen peroxideA nurse caring for a client who took an overdose of acetaminophen. Which of the followingmedications should the nurse plan to administer to the client? - AcetylcysteineA nurse is caring for a client who is in Buck's traction. Which of the following actions shouldthe nurse take? - Allow the weights to hang freelyA nurse is preparing to administer metoclopramide 10mg IM. Available is metoclopramide5mg/mL. How many mL should the nurse administer? - 2mLA 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 thefollowing actions by the newly licensed nurse demonstrates sterile technique? - Putting aglove on their dominant hand firstA nurse is reviewing laboratory reports for a client who has an Escherichia coli infection andis receiving gentamicin. Which of the following results should the nurse report to theprovider before administering the next dose? - Creatinine 2.5mg/dLA nurse is reinforcing teaching with a client regarding prescribed asthma medications. Thenurse should instruct the client to use which of the following medications for treatment ofan acute asthma attack? - Albuterol

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A nurse is reinforcing teaching about home care for conjunctivitis with the parent of aschool-age child. Which of the following information should the nurse include? - Separate thechild's used washcloth from those of othersA nurse is preparing to administer an influenza virus immunization to a client by theintradermal route. Which of the following actions should the nurse take? - Avoid massagingthe site after injecting the vaccineA nurse is preparing to insert an indwelling urinary catheter for a female client. Which of thefollowing actions should the nurse take? - Open the outer package flap of the catheterizationkit away from their bodyA nurse is reinforcing teaching about food selection with a client who has a moderate burninjury. Which of the following foods should the nurse recommend as being high in vitamin C?- TomatoesA nurse at a long-term care facility is caring for a client who requires oral suctioning. Whichof the following supplies should the nurse plan to use for this task? - Yankauer catheterA nurse in a long-term care facility is serving on the ethics committee, which is addressinga client care dilemma. Which of the following strategies will facilitate resolving the dilemma?(Select all that apply) - Determine the facts related to the dilemmaIdentify possible solutionsConsider the client's wishesA nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. Theclient states, "I really thought I'd be back to my usual routines by now, but I can't think ofanything else except that my son is gone." Which of the following responses should the nursemake? - "Grieving for your son is hard work. It will take as much time as you need to cometo terms with your loss."

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A nurse is reinforcing teaching with a client about cancer prevention. The nurse shouldinclude that frequent consumption of which of the following foods increases the risk fordeveloping cancer? - LambA 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 thefollowing actions should the nurse take? - Report the observations about the AP to the unit'snurse managerA nurse on a pediatric unit is collecting data from four newly admitted clients. Which of thefollowing clients should the nurse identify as being at risk for urinary retention? - A school-age child who has allergic rhinitis and is taking diphenhydramineA nurse is caring for a client following a bronchoscopy. Which of the following actions shouldthe nurse take first? - Check for a gag reflexA nurse is assisting with the admission of a client who has a latex allergy. The nurse shouldidentify that which of the following supplies has the potential to contain latex? - Indwellingurinary catheterA nurse is performing postmortem care for a client prior to the arrival of the client's familyfor viewing of the body. Which of the following actions should the nurse take? - Gently closethe client's eyelidsA nurse is reinforcing teaching with a client who has dumping syndrome about measures toreduce manifestations. Which of the following instructions should the nurse include in theteaching? - Avoid foods with a high sugar contentA nurse is collecting data from a client who is experiencing a situational crisis following theloss of a job. The client states, "I don't think I can go through this again." Which of thefollowing actions is the nurse's priority? - Determine if the client is experiencing psychoticthinking

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A nurse is contributing to the plan of care for a client following a transurethral resection ofthe prostate (TURP). Which of the following interventions should the nurse include? - Irrigatethe bladder using sterile techniqueA nurse is caring for an infant who is receiving IV fluids for dehydration. Which of thefollowing should the nurse recognize as a positive response to therapy? - Moist mucousmembranesA 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 theclient? - ChlordiazepoxideA nurse is caring for a client who is scheduled for surgery in the morning. The nurse learnsthat the client has decided not to have surgery even though they have already signed theinformed consent form. Which of the following actions should the nurse take? - Report thesituation to the provider who obtained the informed consentA nurse is collecting data from a client who is in severe pain. Which of the followingquestions 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 newprescription for ferrous sulfate elixir. Which of the following statements by the client shouldindicate to the nurse an understanding of the teaching? - "I will rinse my mouth after takingthis medication"A nurse is contributing to the plan of care for a client who is postoperative following arhinoplasty. Which of the following interventions should the nurse recommend? - Instructthe client to avoid the Valsalva maneuverA 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? - Clientreports burning with urination

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A nurse is preparing to administer digoxin to a client who has heart failure. Which of thefollowing findings should indicate to the nurse that the medication has been effective? -Cardiac workload decreasesA nurse is reinforcing teaching about stress management techniques with a client who hasmoderate anxiety disorder. Which of the following responses by the client indicates anunderstanding of the teaching? - "I will imagine myself in a calm place when I can'tconcentrate"A nurse is reinforcing teaching with a client about taking warfarin to treat atrial fibrillation.Which of the following statements by the client indicates an understanding of the teaching? -"If I forget to take a dose, I can take it later on the same day"A charge nurse in a long-term care facility notices an assistive personnel's (AP) repeatedfailure to provide oral care for clients. Which of the following actions should the chargenurse take? - Discuss this behavior with the AP while reinforcing expectationsA nurse is collecting data from a client who has multiple fractures following a motor-vehiclecrash. For which of the following client statements should the nurse recommend a referralto an occupational therapist? - "I am so frustrated. I cannot even open my milk carton forbreakfast"A nurse is assisting with the admission of an adolescent who has bulimia nervosa. Which ofthe following manifestations should the nurse expect? - hematemesisA nurse is collecting data from a client who is in the diagnostic center and is scheduled toundergo a colonoscopy. Based on the information provided in the client's chart, which of thefollowing pieces of data places this client at risk for colorectal cancer? - BMIA nurse is caring for a client who has an altered mental status and has become aggressive.Which of the following prescriptions should the nurse clarify with the provider prior toadministration? - Zolpidem

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