2023
L
P
N
ATI
100
The practical nurse (PN) is told that she keeps her 2-year-old child in a playpen so he will not get dirty. Which statement should the PN use in responding to this concern about using a playpen?
A. Overconcern about appearance can be harmful.
B. Playpens provide a sense of security for the child
C. Playpens provide a safe environment for a toddler.
D. Children need time to actively explore their environment.
D. Children need time to actively explore their environment.
100
A nurse is monitoring a client who has received external radiation for throat cancer. Which of the following findings should the nurse expect?
A. Loose stools
B. Bladder infection
C. Increased appetite
D. Loss of taste
D. Loss of taste
100
A nurse is reviewing laboratory findings for three clients.Which of the following laboratory results should the nurse expect for a client who has cirrhosis?
A. Elevated amylase.
B. Decreased bilirubin.
C. Elevated lipase.
D. Elevated ammonia
D. Elevated ammonia
100
A nurse is collecting data from a client who has diabetic ketoacidosis. Which of the following findings should the nurse expect?
A. Clammy skin
B. Bounding pulse
C. Elevated blood pressure
D. Fruity breath odor
D. Fruity breath odor
100
A nurse is caring for a client who is postoperative following a subtotal thyroidectomy. The nurse should place the client in which of the following positions?
A. Supine
B. Left lateral
C. Semi-Fowler's
D. Dorsal recumbent
C. Semi-Fowler's
200
A nurse in a provider's office is reinforcing teaching about cigarette smoking with a client. Which of the following adverse effects should the nurse include in the teaching?
A. Decreased hemoglobin
B. Bradycardia
C. Decreased blood pressure
D. Somnolence
A. Decreased hemoglobin
200
The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine. Which behavior is most likely seen in this client?
A. Elevated energy level
B. Powerful craving for more
C. High self-esteem
D. Euphoria
A. Elevated energy level
200
When performing a focused gastrointestinal system assessment, the practical nurse (PN) asks a male client when his last bowel movement occurred. The client answers, "Three days ago."
Which action should the PN implement first?
A. Administer a prescribed PRN stool softener.
B. Determine the client's usual bowel pattern.
C. Encourage the client to ambulate more frequently.
D. Recommend increasing high fiber foods daily.
B. Determine the client's usual bowel pattern.
200
Before administering an antibiotic that can cause nephrotoxicity, which laboratory value is most important for the practical nurse (PN) to review?
A. Serum calcium.
B. Serum creatinine.
C. Hemoglobin and Hematocrit.
D. White blood cell count (WBC).
B. Serum creatinine.
200
A nurse enters the room of a school-age child and finds them on the floor experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?
A. Restrain the child's upper extremities.
B. Turn the child onto their back
C. Place a padded tongue blade in the child's mouth.
D. Place a pillow under the child's head.
D. Place a pillow under the child's head.
300
Prior to administering pain medication to an adult postoperative client, what information should the practical nurse (PN) obtain? (Select all that apply.)
A. Height and weight of client prior to admission
B. Client's pain rating on a scale of 1 to 10
C. Time of last administration of pain medication
D. Effectiveness of last pain medication administered
E. History of pain medication use during the past year
B. Client's pain rating on a scale of 1 to 10
C. Time of last administration of pain medication
D. Effectiveness of last pain medication administered
300
The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is counting a client's radial pulse as seen in the picture.
Which action should the PN take?
A. Instruct the UAP to report any abnormal findings.
B. Remind the UAP to check the client's pulse volume.
C. Demonstrate the correct pulse site to the UAP.
D. Confirm accuracy of the pulse rate obtained by the UAP.
C. Demonstrate the correct pulse site to the UAP.
300
A nurse is administering pancrelipase to a child who has cystic fibrosis. Which of the following outcomes should the nurse expect as a therapeutic effect of the treatment?
A. Improved respiratory function
B. Reduced fat in the stools
C. Improved absorption of vitamins B and C
D. Decreased sodium excretion
B. Reduced fat in the stools
300
At the first dressing change, the practical nurse (PN) tells the client that her mastectomy incision is healing well, but the client refuses to look at the incision and refuses to talk about it. Which response by the PN to the client's silence is best?
A. "It's OK if you don't want to look or talk about the mastectomy. I will be available when you're ready."
B. "Would you like me to call another nurse to be here while I show you the wound?"
C. "Part of recovery is accepting your new body image, and you will need to look at your incision."
D. "You will feel better when you see that the incision is not as bad as you may think."
A. "It's OK if you don't want to look or talk about the mastectomy. I will be available when you're ready.
300
A nurse is reinforcing teaching with a client who is postoperative following a laparoscopic cholecystectomy. Which of the following statements by the client indicates an understanding of the teaching?
A. "I should eat a high-fat diet for several weeks."
B. "I should expect to have diarrhea until my diet changes."
C. "I should leave my steri-strips on until they fall off."
D. "I should expect to have nausea for several days."
C. "I should leave my steri-strips on until they fall off."
400
A nurse is assisting with discharge planning for a client who is prescribed home oxygen at 1 to 2 L/min.
The nurse should ensure that the client has which of the following supplies upon discharge?
A. Oxygen mask.
B. Reservoir bag.
C. Petroleum jelly.
D. Nasal cannula.
D. Nasal cannula.
400
A nurse in an acute mental-health facility is caring for an adolescent who is exhibiting destructive behavior. Which of the following actions should the nurse take after applying physical restraints to the client?
A. Plan to remove the restraints as soon as the client is calm.
B. Ensure that the provider has signed a prescription for restraints within 48 hr.
C. Offer the client a nutritious snack every 4 hr.
D. Monitor the client's range of motion every 60 min.
A. Plan to remove the restraints as soon as the client is calm.
400
While receiving report for a client with carcinoma in situ of the left breast, the practical nurse (PN) reviews a pending lab report and notices increased levels of Anti-Glycan Neu5Gc Antibodies (AGNA). Which changes should the PN anticipate to be included in the client's plan of care?
A. Initiation of changes in infection control measures
B. Increasing the client's dietary servings of fruits and vegetables
C. Limiting the client's fluid intake to avoid hemodilution
D. Avoiding the client's exposure to cold temperatures
A. Initiation of changes in infection control measures
400
The practical nurse (PN) is providing instructions to the unlicensed assistive personnel (UAP) preparing to give a total bed bath to an immobile client who has a continuous feeding via gastrostomy tube (GT).
Which instruction is most important for the PN to emphasize?
A. Raise the entire bed while bathing the client to reduce back strain
B. Report any drainage observed around the GT insertion site
C. Keep the head of the bed raised while the tube feeding is infusing
D. Use plenty of pillows to position the client on the side after bathing.
C. Keep the head of the bed raised while the tube feeding is infusing
400
A nurse is reinforcing teaching with the parents of an infant who has a Pavlik harness.
Which of the following statements should the nurse include in the teaching?
A. "You should place the diaper over the strap of the harness.”
B. "The harness can be removed for sleeping each night.”
C. "You can apply lotion under the straps of the harness.”
D. "The harness can promote hip joint development.”
D. "The harness can promote hip joint development.”
500
A nurse is preparing a client's body for a postmortem family viewing.
Which of the following actions should the nurse take?
A. Remove the client's dentures to close their mouth.
B. Place medical equipment to the side of the client's bed.
C. Lie on the head of the client's bed flat.
D. Ask the family if they want to participate in postmortem care.
D. Ask the family if they want to participate in postmortem care.
500
A nurse is collecting data from a client who has heart failure. The nurse notes the client has crackles in the bases of the lungs, shortness of breath, and a respiratory rate of 24/min. Which of the following actions should the nurse take?
A. Maintain the client in high-Fowler's position.
B. Instruct the client to cough every 4 hr.
C. Increase the client's intake of oral fluids.
D. Encourage the client to ambulate to loosen secretions
A. Maintain the client in high-Fowler's position.
500
A nurse is participating in an interprofessional team meeting for a client.
Which of the following information about the client should the nurse include?
Which of the following information about the client should the nurse include?
A. The client has developed difficulty ambulating.
B. The client's next dressing change is scheduled in 4 hr.
C. The client has state-sponsored health insurance.
D. The client's vital signs are checked every 8 hr.
A. The client has developed difficulty ambulating.
500
A nurse in an Inpatient mental health facility is reinforcing teaching with a client who signed a consent form for electroconvulsive therapy. Which of the following statements by the client indicates an understanding of the procedure?
A. "I might have occasional seizures for several days after the procedure."
B. "I might have short-term memory loss after the procedure."
C. "I will have a urinary catheter in place during the procedure."
D. "I will need to follow a full-liquid diet for 24 hours after the procedure."
B. "I might have short-term memory loss after the procedure."
500
A nurse is caring for a client who asks why her newborn is receiving a phytonadione injection. Which of the following statements should the nurse make?
A. This medication prevents your baby from developing bleeding problems."
B. "This medication enhances regulation of your baby's temperature."
C. "This medication enhances your baby's immune response."
D. "This medication prevents your baby from developing jaundice
A. This medication prevents your baby from developing bleeding problems."