NCLEX-PN Fundamentals Quiz

Which disposable product should the practical nurse place in a biohazard container?

• Used tissue with sputum from a client with bacterial pneumonia.

• Peri-pads saturated with rubra lochia for a client who is one day post-vaginal delivery.

• An empty IV bag from a client with human immunosuppressive virus (HIV).

• A discontinued urinary drainage bag that is full of urine from a client with Hepatitis B.

The healthcare provider prescribes a vest restraint for an older male resident in a long-term facility who frequently falls out of his wheelchair. Which action should the practical nurse (PN) implement?

• Ambulate the client every 4 hours to the bathroom.

• Remove device every 2 hours and change client's position.

• Check with nursing supervisor about legal use of the restraint.

• Apply device loosely to prevent circulation impairment.

The practical nurse (PN) is caring for a client who begins to vomit copious amounts of blood. What action should the PN do first?

• Insert nasogastric tube for gastric suctioning.

• Report the client's vital signs to the healthcare provider.

• Initiate an infusion of normal saline (NS).

• Use a Yankauer-tip device for oropharyngeal suction.

The family of a male client with terminal cancer decides to not tell the client about his prognosis. The client has asked the practical nurse (PN) several times if he is dying. What action should the PN implement?

• Discuss the client's frequent questions with family and healthcare provider.

• Respect the family's wishes and keep denying he has a terminal condition.

• Encourage client to think happy thoughts and to use distraction techniques.

• Respond honestly so the client can make his own end-of-life preparations.

The practical nurse (PN) is collecting data from clients' electronic medical records for the nurse manager's quality assurance review about documentation of client pain relief. What information should the PN include as the best measure of pain relief?

• Frequency of PRN analgesic requests.

• Alternative pain relief measures used. I

• Client pain intensity documented 1 hour after analgesia.

• Vital signs taken 4 hours after analgesia administration.

Which intervention should the practical nurse (PN) implement for a client who is scheduled for a lumbar puncture?

• Explain the reason for the procedure.

• Check results of coagulation studies.

• Ensure the client's bed is positioned flat.

• Schedule the special procedures room.

A client who had abdominal surgery yesterday is receiving morphine via a patient-controlled analgesia (PCA) infusion pump. The client reports a pain level of 6 based on a pain scale of 1 to 10. What action should the practical nurse (PN) implement first?

• Take the client's blood pressure.

• Ask for a description of the pain.

• Remind client to push the PCA button.

• Check the intravenous tubing for kinks.

Which client group is most likely to experience a therapeutic response from therapeutic touch?

• Pregnant women.

• Premature infants.

• Clients with psychoses.

• Clients with headaches.

The wife of an older, overweight man tells the practical nurse (PN) that her husband snores and frequently wakes up jerking or gasping. What action should the PN take?

• Encourage the use of 3 pillows to prevent orthopnea.

• Recommend a home nebulizer if he wheezes.

• Discuss the possibility of a sleep study for sleep apnea.

• Explain common physiological changes related to aging.

A client who is two days postoperative for a colectomy and temporary colostomy tells the practical nurse (PN) that the drainage bag is full of gas. What action should the PN take?

• Assess the client for signs of intestinal obstruction.

• Open the bag's clamp to release the flatus.

• Administer a PRN dose of simethicone (Mylicon).

• Change the bag to determine character of output.