CPNRE Predictor Test

Test questions dictated to me by: Claire.

Time allowed: 150 mins (2.5 hours)
# Questions: 100
Multiple Choice questions; select best; only one correct answer

Sample Question (15 mins)
Ken, 40 years, is admitted to post-op following abdominal surgery. He has a penrose drain and an incision covered by a dressing. What drainage should the nurse expect to observe when changing the dressing?
a. sanguinous
b. serous sanguinous
c. purulent
d. serous

Which of the following observations would best indicate that his post-op pain is increasing?
a. he clasps his hands behind his head and sighs deeply
b. he grimaces and holds his hands over his abdomen
c. his blood pressure increase and his pulse increases
d. his respiratory rate is 26 breaths/minute and shallow

Practical nurse caring for him following his surgery. Which one of the following measures should she take?
a. encourage coughing exercises
b. assist to sit in chair
c. check dressing once during shift
d. instruct to perform leg exercises

When changing his dressing, which of the following actions by the nurse is appropriate?
a. cleanse the incision then the drain
b. wear sterile gloves to remove soiled dressing
c. change pin in the open drain
d. dispose the soiled dressing in his garbage

Sarah is 6 y/o with a full right leg cast. Which action by the nurse is most appropriate when giviner her a bed pan.
a. have her use the trapeze to lift up buttox
b. ask her to lift herself using elbows and left leg
c. have two people lift her onto it
d. roll sarah laterally toward her affected leg side

Which of the following is consistent with procedures is consistent with principles of medical asepsis.
a. use cool water to wash hands
b. keep hands lower than elbows
c. wash hands for 4 minutes
d. dry hands from wrist to fingertips

The PN is feeding an unfamiliar client who is aphasic. Client is resistant. What should PN do?
a. refer to policy manual
b. continue feeding: allow more time to swallow
c. reposition client, cont. feeding slowly
d. ask someone who is familar with client for assistance

How can the PN promote autonomy for a client wearing dressings on both eyes?
a. ensure client has call bell
b. assist the client to eat
c. orient the client to the room
d. ask the client to ring the bell before getting out of bed

The PN visits Anna, a 25 y/o new mother, in her home. Anna asks the nurse where she can obtain more information about breast feeding. Which is the best response?
a. I can bring pamphlets tomorrow
b. I have another client with BF problems who can help
c. I can give you telephone numbers for community BF support group
d. after delivery it is important to return to your Doctor to ask these questions

Tommy, 12 y/o, fell and struck his knee while int he hospital play room. In this situation which one of the following activities should the nurse perform?
a. apply antiseptic
b. restrict access
c. call his parents
d. notify the physician

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Predictor Test

1. Mr. Lamming, 62, is hospitalized with emphysema. He is receiving continuous oxygen therapy by nasalcanula.

i. Just finsihed bath, presents with shortness of breath. Sits down, leaning forward slightly. What should the nurse do?
a. increase his oxygen
b. check oxygen level
c. ask him to take deep breaths
d. encourage diaphragmatic breathing

ii. Next day she teaches him how to perform deep breathing exercises. Which of the following shows that he understands.
a. observes abdomen muscles before inhaling
b. counts expirations
c. while supine, exhales deeply and says letter O
d. while sitting, inhales deeply and exhales slowly with pursed lips

iii. Which observation indicates the possibility of a RTI?
a. dyspnya and more frequent use of bronchiodilators
b. increasingly laboured respirations while whistling on exp.
c. reduced breath sounds and reduced tachnia
d. a productive with purulent secretions

iv. Mrs. Lamming asks for info re: emphysema. which is most important to gfive
a. inform her that he will have limit his physical exertion
b. consult with phys. for emphesyma screening test
c. explain that he will recover once drug therapy begins
d. let her know that his lung tissue may regenerate if he stops smoking

v. Mrs. Lamming is aboriginal. She informs PN that they asked the healer to visit Mr. Lamming. What should the PN do?
a. inform them that it is preferrable that only one style of therapy is preferable
b. meeting b/w attending phys. and healer
c. discuss with health care team how to accomodate
d. do some reading on traditional aboriginal beliefs.

2. Mr. Robertson is 30 y/o. 5 years ago diagnosed with rapidly progressing MS. Married for 8 years, has 2 children (7 and 5) Admitted to long term care cuz his wife can no longer care for him at home.
i. What behaviour would indicate that the disease has progressed beyond its early stages?
a. choking on solid foods
b. ataxic gait
c. tingling extremities
d. periodic tremors in extremities

ii. What procedure would the PN implement when using the mech. sling to lift Mr. R from his bed to wheelchair.
a. instruct him to hold onto swivel bar during transfer
b. position chair perpendicular to lift
c. place bed in lowest position
d. ask a coworker to assist in the transfer

iii. Mr. R two sons visit freq. Which of the following responses should the PN give the 7 y/o when he asks whats wrong.
a. your dad has a disease called MS - disease of Nervous system
b. dad has problems with the ways the msgs are sent from brain to body
c. that is a very good question, you should ask your dad
d. can you tell me what your mom and dad have told you about this illness

iv. Which response by the PN would be most encouraging when MR. R indicates his desire to be more involved in his care?
a. would you like to wash and shave yourself daily?
b. we can help you with your goals that you set for yourself
c. you can decide how long you would like to stay up in your wheelchair
d. i am glad you want to participate in your care

3. Shawn is 8 months old who is fed through a gastostomy tube. He is brought to the hosp. with diarhhea and dehydration.
i. His diarrhea has increased. Which sign should PN report immediately
a. depressed fontanel
b. flushed face
c. heart rate of 110
d. resp. rate of 34

ii. What should PN do to maintain his fluid intake?
a. Administer the ordered electrolyte sol'n
b. high glucose juices frequently
c. admin larger quantities of usual tube feeding sol'n
d. small amounts of milk at least once every hour

iv. Shawn's rectal temp is 37.5. He has also developed an irritated rectal area. What should PN consider for morning bath?
a. a tub bath would suit his irritated skin
b. bed bath to maintain g tube inflation
c. a tepid sponge bath would decrease his temp
d. a bed bath should be performed to maintain medical asepsis

v. Shawn's g tube is leaking gastric contents. What should PN do to prevent irritation?
a. apply minimal traction to tube
b. maintain a central position of tube in the opening
c. protect the surrounding skin from drainage
d. cleanse skin surrounding tube daily

vi. His mother is unable to visit for long periods. He cries when she is not there. What should PN do to best communicate care and concerns to Shawn?
a. provide with cuddly teddy bear
b. distract him with colourful mobile
c. stroke his head and upper back
d. ask a volunteer to sit with Shawn

vii. He is having fewer stools per day and his hydration status is improving. Which documentation would best indicate progress
a. two formed yellow stools, mucous membranes moist
b. less frequent stools, turgor improved over yesterday
c. stools small and partially formed, mucous membrane intact
d. three less stools today, skins returns immediately after pinching

4. Mr. Whitney, 53 y/o is admitted to surgical unit following open reducation of a fractured right tibia from motor vehicle crash.

i. Mr Whitney is one day post op, and has a right leg cast. What priority post op assessment should PN perform?
a. pain, level of conciousness, intake and output & peripheral neurovascular status
b. vital signs, pain, intake and output, chest assessment and bowel sounds
c. pain, bowel sounds, level of conciousness and vital signs
d. vital signs, pain, chest assessment and peripheral neurovascular status

ii. The PN notes from pre op records that Mr. W smokes. He is receiving narcotic anelgesic. Which post op teaching would be most important?
a. range of motion exercises
b. incentive spirometry
c. adequate fluid intake
d. ADLs

iii. During care Mr. w states he is worried he will be come constipated. Appropriate response for PN to make?
a. Dont worry it is unlikely you will become constipated
b. We can give you a sepository now if you think you need it
c. We have a bowel protocol that will help you stay regular
d. Let us know when you are uncomfortable and we can give you a laxative

iv. Mr. W rings call bell and states "my leg hurts more than before and feels numb". Upon assessment the PN notes palor and coolness of the right toes and foot. What should PN do?
a. elevate affected extremity on pillows
b. encourage ROM exercises
c. make certain a phys. is made aware of findings
d. admin PRN analgesic

v. Mr. W is preparing for discharge. He states he doesnt know how he will manage on his crutches as his home has stairs. what should pn do?
a. give mr W written instructions for crutches; allow time to practice
b. provide a video demo with technique
c. reinforce use of crutches, written instructions, have him demo before discharge
d. arrange for physiotherapist to visit mr. w at home to provide crutch walking instructions in home environment

5. Miss A is 42 y/o awaiting transfer to anothe runit. While walking to washroom feels dizzy and faint. After insuring client safety, what action is most appropriate?
a. chart ASAP
b. chart after completing morning care
c. complete incident report after shift
d. report incident to nurse at shift change

6. Miss D is 66 has anemia and CHF. Receiving 3 U of packed blood cells over 8 hours. Which assessment indicates a complication related to rate of transfusion?
a. visble pulsation of aorta in lower abd
b. a rash on lower legs and across chest
c. generalized fatigue and nausea, verbalized
d. crackles on oscultation of lungs

7. While on rounds at the nursing home, PN observes a colleague reprimand a client. Which intervention must PN perform
a. call colleague aside, suggest client apology
b. report incident to supervisor and document
c. ask colleague why client was reprimended
d. reassure the client and discuss reprimendation with colleague

8. Mary is 12 months old, admitted to peadiatric unit with acute asthma attack. Upon assessment PN notes bruises in various stages of healing. What should nurse do next
a. inform nurse in charge
b. notify child protection services
c. discuss in shift report
d. talk to coworker

9. The PN is caring for a 69 y/o immobile client with a large pressure ulcer on the coccyx. The dressing change is ordered BID. This morning a small area of the dressing is soaked. What is the best intervention for the PN?
a. request an order for an increase in freq of dressing change
b. place incontinence on client and put extra pads on bed
c. apply plastic tape over dressing to prevent leaking
d. procede with dressing change, apply extra gauze

10. Mrs. W 91 y/o suffered a stroke many years ago. She requires geriatric chair when out of bed. How should pN position her in the chair?
a. in a lateral position; pillows supporting back
b. semi-falors position with affected side supported by pillows
c. in upright position with pillows under feet
d. in a supine position with affected side supported with splint

11. Ms. T is 45 y/o, had a knee replacement and has one unit of whole blood transfusion. Finding indicates adverse reaction?
a. Chills, fever, flushed face
b. Hypoxia, tachypnea, and tachycardia
c. shortness of breath, tachnia and chest pain
d. jaundice, ascites and edema

12. While 73 mr B is being admitted to his room in the nursing home, he notices his roomie is being rushed to hosp. Mr B asks about the helath of his roomie. How should PN re
a. You can ask your new roomie about condition
b. I can appreciate your concern but need to complete your admittance
c. I can see your worried but cannot share
d. Your roomie has been ill for long time, had to be taken to hosp.

13. Mr B, 67 y/o, diagnosed with prostate cancer. Worried about his future. Had a colostomy for many years, has difficulty voiding and does not sleep well. Which nursing intervention should be included in plan of care?
a. arrange for private room to help him sleep
b. perform catheterization to measure residual urine
c. ask clergy member to visit him so he can verbalize his concern
d. offer him the opportunity to express his concern further

14. Mr. G, 37 y/o, admitted to medical ward 2 days ago with cellulitis of left arm. Never been hosp before and unaware of what to expect. how should PN involve staff in planning his care?
a. ask him how he would like his care performed
b. schedule team conference to include him
c. discuss his care in change of shift report
d. develop a care plan using info from mr G

15. While monitoring a blood transfusion, PN assesses vital signs and notes clients temp has gone from 37.2 to 38.5. Client experiencing no other symptoms. Appropriate action
a. continue to monitor for other symptoms
b. notify team leader to discontinue transfusion
c. notify phys. immediately
d. encourage client to drink extra fluids

16. Mr. G, 78 y/o, admitted with pneumonia Accompanied by daughter who takes care of him. Tells PN "I'm not really sick enough to be here, i just have a little cough". How should PN initially plan his care
a. discuss his care with his daughter
b. request interdisciplinary conference to develop care plan
c. involve him in determining goals of care
d. review client standardized care plan for client with pneumonia

17. David, 4 y/o, fell while running with scissors. After hearing cries for help, PN arrives to find David with scissors in left side fo chest with no visible sign of bleeding. Puncture wound considerations at this time:
a. removal of scissors could cause uncontrollable bleeding
b. bleeding from wound will remove microorganisms
c. pressure should be exerted on wound to control bleeding
d. elevating head will prevent hypovelemic shock

18. Mr M 70 y/o, sitting in armchair that is too low for him. How should PN promote comfort and correct body alignment.
a. have him stand and place pillow on seat of chair
b. sit forward, place pillow behind back
c. make note on nursing care plan; chair is not suitable
d. elevate his feet on a foot stool

19. PN is about to perform perineal care on MR W. What should Pn do initially to demo respect?
a. provide privacy for him
b. demo competence
c. ask him to perfrom procedure
d. adhere to principles of med asepsis

20. Mrs M 34. y/o delivered baby one day ago. Which finding indicates risk for hemmorage?
a. firm fundus and bowels smelling lochia
b. soft fundus to left of umbilicus
c. lochia rubra contains small clots
d. heavy lochia flow when first standing up

21. Mrs S, 39 /yo, had histerectima. Employers stopeed by found her sleeping. Employer asks if she will be discharged tmrw.
a. if she is typical client she will stay in hosp for at least two days
b. you should ask her that question when she wakes
c. i dont think it is appropriate to ask that question
d. with earlier discharged, she can go home this evening

22. Mr N, 78 y/o, has type I diabetes mellitus. PN mistakeningly provides him with another client's meal. Which action best indicates that PN has assumed accountability
a. monitors for adverse reaction
b. adjust his diet
c. reports incident
d. documents tolerance to meal

23. Clients IV therapy to be discontinued. Which is most appropriate for PN to take to remove IV.
a. apply pressure, clamp IV, loosen take, glove, remove cannula
b. clamp IV, glove, loosen tape, remove cannula, apply pressure
c. loosen tape, obtain alc swab, glove, remove cannula, apply pressure
d. clamp, obtain gauze, loosen, glove, remove cannula

24. Res at alzheimers unit is periodically verbally and physically aggressive toward residents and staff. What should PN do as the case manager?
a. call residents family and have a conference about the behaviour
b. encourage frequent rest periods and provide soothing music
c. have staff observe and doc residents behaviour for one week
d. contact residents physician and obtain order for a sedative

25. When giving med to a 46 y/o client, by the IM route on the deltoid site, what is the max volume that can be admin in one injection.
a. 0.5 ml
b. 1.0 ml
c. 2.5 ml
d. 3.0 ml

26. Which of following describes oscultation?
a. listening to body sounds from heart, lungs and abd using stetho
b. visually examining using an autoscope and an opthalamoscope
c. tapping body and fingertips to help identify location size and density of underlying structures
d. using touch to assess tenderness, texture temp moisture and organ location

27. Mr J 28 admitted for surgery and is relunctant to take pain med due to previous drug addiction. How should PN address issue?
a. admin pain med as ordered
b. discuss potential for addiction with short term pain management
c. encourage use of pain meds
d. explain consequences of unmanaged pain in healing processes

28. PN is preparing meds for a client on a busy gerontological unit. Two clients wandered itno med room and family member is requesting to speak to PN - what should PN do?
a. concentrate carefully on med orders
b. take family and clients to another room and speak with them
c. escort two clients out of room ask fam member to come back later
d. ask clietn to remain quiet while meds being prepared

29. Mrs A. 72, has no family but feels a special bond with PN. She asks if PN could visit on days off. How should PN respond?
a. agree to occassional visits on days off
b. explain mrs A that visits are possible at work but not on days off
c. tell mrs A that visiting on days off is not encouraged
d. request that nurse in charge discuss this situation with Mrs A

30. A mech lift is needed to transfer 85 y/o dependent male client. Before using lift, which of following measures is most important for PN to consider?
a. have a second staff member available to assist
b. ensure that all hooks/straps in place before beginning
c. be familiar with mech lift and how it functions
d. have client on lift, centred, so there is no risk of injury

31. Mrs J, is receiving a vasodilator. Which of following clinical manifestations should PN report immediately?
a. orthostatic hypertension
b. blurred vision
c. decreased appetite
d. dry mouth and constipation

32. Mrs C 67 y/o, has COPD and is receiving Oxygen via nasal cannula. What should PN do first?
a. verify Oxygen flow rate is as ordered
b. humidification container has sufficient water
c. check positioning of his nasal cannula
d. observe his nares for skin or mucous membrane breakdown

33. Which action by PN is most apporopriate before admin digoxin?
a. take radial pulse for 30 secs
b. take apical pulse for one min
c. check BP
d. check vital signs

34. Mr R, 66, has just been informed he tested positive for HIV. Which of following responses by PN would demo emotional support for Mr R.
a. most ppl with HIV continue to work for many years
b. everyone is at risk to contact this virus
c. would you like me to sit with you for a while
d. would you like some informative pamphlets to read

35. Which of the following positions is most appropriate for adult client when PN is administering a cleansing enema?
a. prone
b. dorsal recumbant
c. left sims position
d. right side lining

36. Erin, 16 with inflammatory bowel. Requires more teaching before discharge. two of her friends are present and anxious to drive home What should PN do?
a. encourage support by including her friends in teaching
b. suggest erin contact local IBD support group
c. provide her with pamphlets to read at home
d. ask friends to leave room before speaking with Erin

37. the PN informed the team leader that Mrs K needs her IV sol'n changed to normal saline at 125 ml/hour. Which of following is most app. for PN to take?
a. change IV sol'n and infusion rate immediately
b. check new order and then change sol'n bag when it is empty
c. obtain new sol'n bag and prepare new infusion
d. verify new order and then change sol'n and confirm rate

38. While assessing Mr F, 82 y/o, PN finds his anti-embolic stocking sare more diff to apply. He receives digoxin and lasix daily. which intervention is most app for PN?
a. weigh him daily, document
b. apply stockings after digoxin has been administered
c. lower both of his legs prior to applying stocking
d. measure both of his calves and order new stockings


39. Mr S, 72, lives independently. While making an initial home visit, PN notes Mr S's poor personal hygiene. House untidy and dirty. How can PN best respond to situation?
a. You are having diff taking care of yourself at home: would you consider long term care facility?
b. Alot of seniors live at home with Community support services, why dont you look into one of these services?
c. I am concerned about you living alone - do you have neighbours who could assit you?
d. Many community services are available, would youl like some assistance with information and contacts?

40. An adult client is receivng IV therapy of normal saline, 0.9 %, via peripheral line. WHich statement by PN is correct?
a. the IV administration sets are changed every 48 to 72 hrs
b. check physicians orders every 4 hrs
c. assess clients iv therapy every 2 hrs for rate of flow and level of fluid
d. iv sol'n bag changed when 100-200 ml remaining

41. PN preparing Mrs K, 68 hindu client, for chest xray. She is dressed in traditional sari and refuses to disrobe and wear gown. What is most appropriate info to give?
a. she must chagne into the gown or xray conn
b. her need to maintian dignity is understood but
c. she may wear her sari as long as it doesn not interfere
d. her concerns are understood but xray must be cancelled

42. PN overhears a colleague speaking loudly and abruptly to a client. Client requests PN assume care for her remainder of the shift. What hsould PN do?
a. Inform colleague of clients request and volunteer to take on assignment
b. let colleauge know that interaction was overheard and discuss further
c. empathize with client; indicate it will be discussed with supervisor
d. inform nurse in charge of the clients request and ask for change of assignment

43. When checking clients IV transfusion, PN notes that the flow rate is decreased. There is swelling at IV site and area feels cool to touch. Client describes and burning sensation. Which action should PN perform?
a. check site every 15 mins
b. apply warm compresses
c. stop infusion
d. apply cold compresses

44. which behaviour of PN is considered profesionally responsible
a. performing all nursing duties as asked
b. reporting accidents or errors at end of shift
c. showing respect to employer and coworkers
d. restricting personal calls at nursing unit

45. A client begins sneezing and shortness of breath following administration of an antibiotic. What should nurse do?
a. ring emerg call bell; assess VS
b. go immediately to nursing station contact phys
c. lower head of bed, obtain an emerg cart
d. raise head of bed; start oxygen

46. Mr O 21, has developed staphylococcyl wound infection following abdominal surgery. most important action for nurse to take when providing care
a. teach client to keep hands away from dressing
b. use gloves when removing soiled dressing
c. ask visitors to wear gown when visiting
d. wear gown/mask when changing dressing

47. Mrs B 68, states she has ongoing pain in left lower leg following exercise. Initial assesment reveals modeled cooled skin and reduced pedal pulses. What might be cause of symptoms?
a. arterial insufficiency
b. deep vein thrombosis
c. venous insufficiency
d. arterial thrombosis

48. An adolescent male has been prescribed amphicillin 250 mg PO QID. Tells PN that he once had a pill that colour which made him sick, what initial action
a. ask physician for order for anti-medic
b. admin meds with food
c. have phys perform an interdermal test
d. with hold meds

49. Which following action by PN whould best ensure sterility when changing an IV sol'n bag.
a. pull spike from bag w/o touching tip
b. wear sterile gloves when changing iV bag
c. remove seal from replacement sol'n bag
d. cleanse tip with alchol swab

50 . Mrs H, 72, receives IM injection of demerol. Upon aspiration, blood appears in the syringe. What should PN do?
a. discard and draw up demerol into new syringe
b. withdraw needle remove blood and inject into another site
c. pull needle up 0.5 cm and aspirate again
d. withdraw syringe, inject using a shorter needle

51. Mr J, has internal and external hemmroids, in preparing for application of rectal cream, PN finds perineal pad soaked with fresh blood. Which approach is most appro
a. cleanse area; apply cream as ordered
b. apply an ice pack to reduce bleeding
c. with hold cream; inform team leader
d. apply clean perineal pad following application of cream

52. When PN is changing IV bag, what is optimum level of fluid that should be maintained in dripped chamber to prevent air from entering tube.
a. 1/4 full
b. half full
c. 3/4 full
d. full

53. Mrs D, 19, admitted with acute abdominal pain. Which question by PN best assesses mrs D pain?
a. Can you describe your pain to me, do you know the 0-10 pain scale
b. how is your pain? anything else i can get for you now?
c. when did your abdominal pain start? sharp or dull?
d. I see your smiling now, is your pain meds working?

54. The PN is providing morning care to Mr L 83 in a long term care fac. Mr L tells PN "I am useless I want to die?". Which communication should nurse use intially.
a. sympathy
b. clarification
c. silence
d. distraction

54. Mrs S, 70 admitted with anemia. She has history of CHF, two hours into her blood transfusion she develops dry cough. What should PN do?
a. discontinue transfusion, sit her upright, monitor VS and report
b. continue transfusion, assess breathing, collect C and S and document
c. stop transfusion, have her deep breath and cough, check oxygen saturation document
d. slow flow rate, monitor VS, report, and document

55. Which of following terms best describe expected response from diuretic medication?
a. anurea
b. polyurea
c. disurea
d. pyuria

56. Ms P has been on bedrest two days. PN observes area on coccyx reddened but intact. Which is best intervention for care plan?
a. cover site iwth protective dressing
b. reposition every two hours
c. apply sheepskin
d. massage around site

57. Mrs. A 70, admitted to hospital upon entering her room PN finds her sitting on her bed crying. Which actions by PN shows appropriate use of touch in communicating care and concern
a. sit infront and pat her gently
b. stand beside her and rub her back
c. sit beside and touch her arm
d. stand beside her and put and arm around her shoulder

58., Of the following what is most important information found on the IV administration set pkg.
a. instructions for use of roller clamp to ctrl rate
b. for height of container as it affects rate
c. identification of drop faction to be used to calc rate
d. of formula to be used to calc rate

59. how should PN proceed when administering ear drops to adult.
a. cleanser internal auditory canal
b. pull the pinna downard and back
c. ask client to lay down for fifteen mins
d. pull pinna upward and back

60. A 13 y/o boy admitted for treatment of partial thickness burns of both legs. Eating small amounts, what foods would be appropriate to serve
a. jello whipped cream
b. chicken soup, crackers
c. high protein shake
d. two scoops of ice cream with bananas

61. Wendy 12, parents expressed concerna bout possible adverse affects from immuno. what should PN do?
a. reassure family that their concerns will be doc'd
b. suggest family speak with physician
c. explain that ther eis much missed info about immunos
d. listen to concerns, asnwer questions, provide factual info

62. Pat is a PN in long term care facility. when transferring a client with a coworder, smells alcohol on breath
a. report to nurse in charge
b. wait and see if his breath smells on antoher day
c. ask another coworker if he has alcohol probs
d. approach alex, say you smell alcohol on his breath

63. Making rounds, PN notices Mrs B feeding tube is not dated. Which action most app
a. check chart to determine last change
b. take necessary to have tubing changed
c. report to team leader
d. ask Mr B when tubing was last changed

64. Harold 16, recently diagnosed with type II diabetes. Unhappy with dietary restriction. when tray comes at lunch - refuses to eat. what should PN do to assist
a. take tray away say nothing - respect need for independence
b. call kitchen, request an alternative meal
c. tell her its important to eat all food on tray
d. ask what she would like to eat now, request a dietary consult

65. Jason 10, not voided since returning from operation room 6 hours ago following an apendectomy. What should PN do first?
a. palpate lower abdomin above symphysis pubis
b. encourage to drink more fluids
c. inform physician
d. tell him he needs to void or catheter will be administered

66. PN notices new order for normal saline. Realizes order is incomplete. what info is necessary?
a. amount in infusion bag
b. lowest amount to be admin
c. rate of infusion
d. duration of iv therapy

67. Mrs J 72 is attending pre op clinic for health teaching. She states she is glad her surgery has been moved up so she can return to her volunteer activites. PN observes her movements are slow, carefully feels chair beforing sitting, reluctant to review written info. Area that PN should asses more closely during teaching session?
a. interest level
b. tactile changes
c. visual changes
d. energy level

68. Mr S, 31 old obese client has pericarditis; receiving antibiotic by IM injection. How should injection be admin?
a. 1.5 inches (length), 18 gauge (width) in vastus lateralis
b. 1.5 inches, 21 gauge, deltoid
c. 2 inches, 18 gauge, dorsal gluteal
d. 2 inchest, 21 gauge, ventral gluteal

69. Observation should PN report for her post op client
a. firm fundus
b. fundus in medium
c. atonic fundus
d. fundus still at umbilicus

70. Mrs F 84 moved into care fac after hip. afraid of falling,
a. encourage to walk with walker
b. reassure
c. assist walking
d. help walking each day

71. Mrs C 68 healing venus stasis leg ulcer. what should pn instruct provide to monitor
a. size
b. drainage
c. blanching of leg
d. alteration...

72. Anemia blood transfusion, 15 mins has headache, anxkous
a. VS
b. correct blood
c. nurse in charge
d. analgesic

73. Girl, 8 y/o w/ cerebral palsy admitted to hospital. Mother informs that daughter cannot remain seated for more than 30 mins. What should PN suggest
a. preferable to remain seated for longer periods of time
b. integrate concerns into care plan
c. workload may not make this request
d. ask mother to participate in her transfers while visiting

74. Woman, 65, diagnosed with hypertension and atherosclerosis. Suggestion by PN encourage her to learn more
a. attend support group
b. jump rope for heart
c. info sheet
d. check BP at pharmacy