PNP 101 Comprehensive Final Review

The practical nurse is assessing a clients orientation. What are the components of an orientation assessment? Select all that apply.

• Person

• Place

• Language

• Eye Opening

• Time

Answer explanation

Review orientation, GCS, and LOC

The nurse is assessing the client's Cranial Nerve I. What action will the nurse have the client perform?

• Look at a Snellen Chart

• Smell a familiar scent

• Raise their shoulders

• Stick out their tongue

Answer explanation

Snellen Chart - CN II Optic

Shoulders - CN XI Spinal Accessory

Tongue - CN XII Hypoglossal

Where will the nurse place a stethoscope to auscultate the aortic valve?

• 2nd intercostal space, right of sternal border

• 2nd intercostal space, left of sternal border

• 4th intercostal space, left of sternal border

• 5th intercostal space, midclavicular line

A nurse is collecting data about a client's pulmonary system. While auscultating the client’s lungs, the nurse hears continuous gurgling, low-pitched sounds over the trachea and bronchi. Which of the following terms should the nurse use to document this finding?

• Rhonchi

• Crackles

• Wheezing

• Friction Rub

A nurse is checking a client’s bowel sounds. At which of the following times should the nurse auscultate the client’s abdomen?

• After palpating the abdomen

• Prior to percussing the abdomen

• After checking for kidney tenderness

• Prior to inspecting the abdomen

A nurse is checking the apical pulse of a client who is taking several cardiovascular medications. Which of the following actions should the nurse take?

• Count the apical pulsations for a full minute.

• Check the apical pulse with a Doppler device.

• Use the diaphragm of the stethoscope to listen to the apical pulsations.

• Press the stethoscope firmly against the client’s skin.

A nurse is collecting data about a client’s range of motion. Which of the following instructions should the nurse give to the client to observe the elbow rotate for supination?

• "Turn each of your hands and forearms so your palm is facing down."

• "Take each of your hands and touch your shoulders."

• "Turn each of your hands and forearms so your palm is facing up."

• "Move each of your arms to rest at your sides."

A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

• "I will remove the old patch and apply a new one in the same location."

• "I will press the patch securely in place on my forearm."

• "I will clean and dry the area before applying the patch."

• "I will use lotion on the irritated skin before applying a new patch in that area."

A nurse is preparing to administer a bisacodyl 10 mg suppository for a client. Which of the following actions should the nurse take? (Select all that apply.)

• Don sterile gloves.

• Lubricate index finger.

• Use a rectal applicator for insertion.

• Position client supine with knees bent.

• Insert suppository just beyond internal sphincter.

Answer explanation

2 to 4 inches

A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?

• "Keep your eye open for 30 sec after instilling the ointment."

• "Apply the ointment in a thin line into the conjunctival sac."

• "Always wipe from the outer to the inner canthus when wiping away secretions."

• "Use a sterile glove and applicator to apply the antibiotic ointment."