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WorksheetsNCLEX-PN Fundamentals Quiz
Total questions: 20
Worksheet time: 17mins
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.
A client with Clostridium difficile is placed on isolation precautions. Which transmission-based precaution should the practical nurse implement?
Don a particulate respirator mask when in the room.
Wear gown and gloves when rendering direct care.
Close the door to the private negative airflow room.
Prevent the client from leaving the room without a mask.
The practical nurse (PN) is reviewing the schedule of yearly inservice programs for competency-based nursing care. Which criteria should the PN use in selecting programs that provide the best content to maintain nursing competency?
Complex procedures that are done only a few times a month.
Techniques that involve management of biohazard waste products.
Competency demonstrated in orientation with electronic medication administration.
Urgent needs identified by quality assurance to ensure national patient safety goals.
What findings should the practical nurse (PN) document to describe infiltration at a client's intravenous (IV) site?
Infusion pump occlusion alarm noted.
Edema and cool skin at insertion site.
Blood backflow present in IV tubing.
Client states insertion site is painful.
When should the practical nurse (PN) reinforce teaching to a client about a daily surgical dressing change?
First 24 hours after surgery.
The day client is discharged.
In the morning after a.m. care.
During the next dressing change.
A client who is 8 hours postoperative begins using the incentive spirometer (IS) with 750 ml inspiratory volume and coughs up a large, thick, light yellow-white mucous plug. Which action should the practical nurse (PN) take?
Document the findings.
Instruct client to use less inspiratory force.
Request bronchodilator nebulizing treatment.
Obtain client's temperature.
The practical nurse (PN) identifies four assigned clients that need additional follow-up care. Which client issue has the highest priority?
Refuses a scheduled nebulizer treatment.
Requests pain medication for a headache.
Result of fasting glucose is 150 mg/dl.
Infiltrated intravenous secondary medication.
The practical nurse (PN) notifies the healthcare provider that a male client has become combative and needs a protective device to prevent injury to self and others. Which principle should the PN use when selecting a protective device?
A protective device must be applied by qualified personnel.
A restraining device is provided for behavioral use only.
A protective device provides the least amount of immobilization.
A restraining device ensures modification of unsafe client behavior.
The practical nurse (PN) is assigned the PM care of six clients on a medical surgical unit whose morning laboratory results are not available. What action should the PN take?
Ask the clients if a laboratory technician collected blood today.
Call the laboratory to ask if the clients' test results are ready.
Ask the healthcare provider if the blood results were reported.
Collect additional blood specimens and deliver to the laboratory.
An unlicensed assistive personnel (UAP) tells the practical nurse (PN) that another nurse on the unit is acting disrespectfully. What action should the PN implement?
Report the complaint to the nurse-manager.
Tell the UAP to share feelings with the nurse.
Confront nurse about an anonymous staff member's complaint.
Remind the staff that each member of the team is valuable.
The practical nurse (PN) is reviewing discharge information with a client who is positive for HIV. Which action should the PN reinforce with the client to help prevent transmission of HIV?
Apply oil-based lubricant with a natural membrane condom during sexual activity.
Use separate dishes for other household members.
Disinfect areas contaminated with body fluids using 1:10 bleach solution.
Wash soiled clothes in cold water.
