PN Practice test 100 questions and answers

1. 82 year-old Mary has been diagnosed with a stage I pressure ulcer on her left hip despite a q2h turning schedule. Which of the following would be an appropriate nursing diagnosis for this client? a. Impaired skin integrity r/t effects of pressure and friction b. High risk for impaired skin integrity c. Activity intolerance r/t Stage I pressure ulcer d. Risk for pressure ulcer 2. Jack is postoperative for an abdominal surgical procedure. When assessing the abdominal suture line, which characteristics indicate a delay in would healing? a. Suture line dry and intact b. Incision approximated and pink c. Purulent drainage on dressing d. Jackson-Pratt drain collecting serosanguineous drainage 3. The dose ordered for a client is Demerol 75 mg IM. The medication is available in a 50 mg/ml solution. The nurse prepares: a. 0.5 ml b. 0.75 ml c. 1 ml d. 1.5 ml 4. Wally uses a cane to assist with ambulation. Which of the following statement would indicate the need for addition teaching? a. “My elbow should be slightly flexed when using the cane.” b. “I should hold the cane on my affected side.” c. “I should use the can every time I am walking.” d. “Just having socks on my feet may cause me to slip and fall.” 5. The practical Nurse is measuring the client’s urine output and straining the urine to assess for kidney stones. Which of the following should the nurse record as objective data? a. Client c/o abdominal pain. b. Urine output was 450 mL. c. Client stated “I didn’t see any stones in my urine.” d. Kidney stone not passed as of 1900. 6. A client who is alert and responsive has been admitted with a diagnosis of “to rule out myocardial infarction”. Of the following alterations found on assessment, which is of greatest concern to the Practical Nurse? a. Supine BP 138/76 b. Resp 28 and laboured c. Temp 37°C d. Pulse between 68 to 74 BPM with slight arrhythmia noted 7. The Practical Nurse enters Wilma’s room and asks how she is doing. Wilma’s response is “I am a little nervous this morning.” What is the Practical Nurse’s best reply to Wilma? a. “What do you mean by the word nervous?” b. “Why are you feeling nervous?” c. “You are fine; there is nothing to be nervous about.” d. “Would you like a back rub?” 2 8. The LPN is doing a home visit; the goal is to teach a client’s partner how to change the client’s dressing. Which of the following would best promote teaching? a. Show the partner a video explaining sterile technique b. The LPN completes the wound care while the partner watches c. Have the partner perform the wound care with the LPN present d. Ask the partner to review a pamphlet on wound care, then answer any questions 9. A client tells the nurse, “I want to die.” The nurse responds most appropriately by saying: a. “Why would you say that?” b. “Tell me more about how you are feeling.” c. “The doctor should be told how you feel.” d. “You have too much to live for to think that way.” 10. Administration of controlled substances requires that the nurse: a. Discard and sign for unused quantities b. Count the amount of medication daily c. Keep narcotics to be given with the other client medications d. Notify the charge nurse of discrepancies in medication counts 11. Which of the following statement given during 0700 shift report provides the most important information regarding priority setting for the LPN coming on shift? a. A client had a catheter removed 8 hours ago and has not voided b. A client with Alzheimer’s has been up walking most of the night c. A client who is 3 days post-op has been complaining of incision pain d. A client admitted with congestive heart failure has a BP of 138/80 12. At 1100, the unlicensed care provider reports a client has an elevated temperature. The Practical Nurse assesses the client and finds the skin flushed and very warm. The client is orientated to person, place and time but expresses extreme fatigue. Which of the following is the most appropriate nursing action to take at this time? a. Cancel the client’s lunch b. Place an ice pack on the client’s forehead c. Assist the client in to light weight clothes and offer fluids d. Ask the unlicensed care provider to recheck the temperature in 1 hour 13. The LPN has been assigned to a group of clients. Based on the information provided, which client should be seen first? a. A 68-year-old client who had total hip replacement surgery 6 hours ago and is complaining of moderate discomfort at the surgical site. b. A 32-year-old client with a urinary tract infection who is receiving an intravenous antibiotic and complaining of itching and a “rash”. c. An 82-year-old client with emphysema who is receiving 2 liters of oxygen and is concerned about a pulse oximetry reading of 90%. d. A 48-year-old client with hemoglobin of 9.5 g/dL, is receiving ferrous sulfate supplements, and is complaining of feeling tired. 14. When assessing a postoperative client, a nurse finds that there is tenderness, redness, and swelling in the left calf. The nurse should: a. Massage the lower leg b. Notify nurse in charge or physician c. Keep the leg in a dependent position d. Have the client exercise that extremity