Mosby's Canadian Practical Nurse (PN) Practice Test

These questions are part of the practice quiz. Start practicing

• Greenish amniotic fluid observed during labor most likely indicates meconium passage due to fetal distress. Which option correctly reflects this?
• What does DNR mean in clinical practice?
• The elderly couple, Mr. and Mrs. Wales, have some unsteadiness at home. In an environmental assessment, which assistive device would be most important to arrange?
• When a nurse discovers she has given a double dose of medication, which action should be taken first?
• In this context, how should the nurse practitioner’s level of education be described?
• Which response demonstrates therapeutic communication when a patient says, 'No one cares about me' but she loves her grandchildren?
• Why is the patient kept NPO until bowel sounds are heard after GI surgery?
• In the case of Mrs. Scales, a long-term care resident with advanced dementia and hand contractures, a family asks how often splints are applied to her hands. Which is the most appropriate response?
• In the placenta location scenario, what is the primary purpose of the ultrasonogram?
• In the event of a chest tube dislodgement, which action should be taken promptly?
• Which factor is most significant in a patient's susceptibility to a healthcare-associated infection (HAI)?
• Which statement about consent for medications is true in clinical practice?
• Ms. Wilcyska talks to the practical nurse about the days when she was turned on to heroin by a male friend. What feeling would she describe as a result of injecting heroin?
• Why is head circumference measured in a neonatal exam?
• Which of the following is a correct medication order?
• Which term describes the behavior where a patient demeans one nurse as lazy while praising another?
• Which statement best reflects the expected outcome after treatment for Cushing's syndrome?
• A practical nurse has been asked to work an extra 4 hours after a 12-hour shift. The nurse has worked four 12-hour shifts in a row and is fatigued. Which of the following is the most appropriate action?
• To prevent an electrolyte imbalance with HydroDIURIL, which dietary modification should be taught?
• Which nursing consideration best supports family participation during hospitalization of an infant with a heart defect?
• Aisha with anorexia nervosa consumes 12 g of fat per day and a total of 1,100 kcal. What percentage of daily intake is from fat?
• Which sentence would best introduce the topic of sexuality with a patient who recently had nerve-sparing prostate cancer surgery?
• A practical nurse in palliative care feels sadness after a patient's death. What should be the initial step to cope with these emotions?
• Which statement best explains the cause of jaundice in cirrhosis?
• If a patient expresses hopelessness about treatment, what is the most appropriate response?
• Which action best ensures patient safety when a psychiatric patient is displaying aggressive behavior?
• A hepatitis A infection exposure explanation: which is most likely?
• Several days later, the family calls the practical nurse to ask what to do with Mrs. Haliburton's left-over morphine. What should the practical nurse say to them?
• During a dressing change, which action would compromise surgical asepsis?
• Which timeframe is most appropriate for Isabelle to stand holding onto a table?
• Which of the following is a normal skin finding in an older adult?
• Which clinical finding would indicate an infection in a decubitus wound?
• What is the correct instruction for using nitroglycerin sublingual spray during angina?
• A second-year practical nursing student obtains an apical heart rate of 140 bpm on a 6-year-old. The student does not report or act. Who is responsible for this error in care?
• Which statement is true regarding auscultatory gaps in BP measurement?
• Which statement describes the immediate priority after a patient has a tracheotomy?
• Which statement best describes a narrow-spectrum antibiotic agent?
• Stool color light grey to a very light brown could indicate which condition?
• When seeking donations for shelter clients with malnutrition, which type of foods should be prioritized?
• Which practice would most effectively reduce the spread of infectious diseases in a daycare during fall and winter?
• What is a reasonable interim recommendation for someone with GERD who is waiting for an appointment?
• Elevation of the legs reduces edema primarily by which mechanism?
• Why should a patient avoid straining after cataract surgery?
• What is central to concerns in adolescent eating disorders?
• A nurse manager is concerned about work-related accidents; What is the first action the manager should take to address these problems?
• When developing a plan of care for a patient with complex cultural beliefs, which consideration should a practical nurse address first?
• What is the best response by the practical nurse to Ms. Viraj's partner who says he can't understand why she keeps talking about the labour and birth?
• What is the brand name for methylphenidate?
• Which of the following is considered a chemical restraint?
• To validate the effectiveness of pain relief for most clients, which method is best?
• What treatment did the pediatrician indicate Sean requires at the children's hospital?
• A practical nurse on an airplane is asked to assist a passenger who is experiencing chest pain and is diaphoretic. What should be the first action?
• What nursing action best alleviates Mr. Kingsley's throat discomfort?
• Which method is recommended to warm expressed breast milk for a babysitter?
• Mr. Buxton tells the mental health nurse that he has absolutely no memory of hitting Mrs. Buxton. What defense mechanism is this an example of?
• Which is the most appropriate first aid measure before transporting a person with a suspected ankle fracture?
• In which situation would a practical nurse use a code of ethics to guide practice?
• Hilary, a 16-year-old, is concerned about menstruation. Which question might you ask to address her concerns?
• Which statement is true about the practical nurse's role in MAID?
• A community practical nurse is teaching a family member how to care for her 92-year-old mother with diabetes. Which foot care instruction is correct?
• Where is the most appropriate place for Sean and his parents to wait for the ambulance?
• In prenatal care with universal IPV screening, which statement reflects the correct approach?
• During a home safety assessment for older adults, which modification most directly reduces fall risk in the bathroom?
• Mrs. Cohen has primary adrenal insufficiency (Addison's disease). The practical nurse assessing Mrs. Cohen should anticipate which of the following manifestations?
• During heparin therapy for a pulmonary embolism, which blood test should be monitored closely?
• Cluster headaches are typically unilateral and involve which area?
• In a case where a minor has a dependent child, who may provide consent for the dependent child's medical care?
• In managing maternal pain with systemic opioids, which statement best describes the nursing consideration for administering systemic opioid analgesics during labor?
• After elastic wrap is applied to a sprained ankle, the patient reports tingling. What should you do?
• What is the role of a doula during labor and delivery?
• Which option demonstrates family-centred care in a pediatric setting?
• What is the correct instruction for using nitroglycerin dermal patches?
• After a Parkinson's disease diagnosis, which question would be most helpful for the nurse to ask the patient?
• Which intervention is most effective in reducing urinary incontinence in people with dementia, based on evidence-informed practice?
• A 20-week pregnant patient with twins at home and a prior miscarriage is best classified as which Gravida/Para?
• WinRho prophylaxis would be indicated after which event?
• When a family asks about the schedule of an ongoing treatment, what is the most appropriate response?
• A second-year practical nursing student asks about restraints. Which of the following is not considered a restraint category?
• How long is pharmacological treatment for TB typically required?
• Teklie is a 2-year-old with two episodes of watery diarrhea. Which initial recommendation is appropriate for Teklie's parents?
• A community practical nurse is concerned because many chronically ill clients do not have a primary care provider. What short-term solution should the practical nurse suggest?
• After tracheotomy surgery, what is the priority nursing action?
• What is the likely cause of Cushing's syndrome in Ms. Hynes' case?
• Which panel is commonly used to confirm a myocardial infarction?
• Long-term corticosteroid therapy increases infection risk because it does what?
• What self-care activity would you recommend to a client with PAD?
• What is the primary purpose of isolation precautions in the hospital?
• A practical nurse reviews client data and notes that Mr. Barry routinely takes Advair, a combined inhaled steroid and bronchodilator. Which of the following would be a priority assessment for the nurse to perform?
• Premature newborn grunting respirations are most likely an attempt to do which of the following?
• For which condition is antibiotic treatment not indicated?
• Novolin 30/70 is a mixture of which types of insulin?
• Which of the following is the recommended method for managing diaper dermatitis?
• During a walk-in clinic assessment of an elderly patient with fever, which data collection step is most important to help determine a possible delirium cause?
• The practical nurse is speaking with a patient scheduled for below-the-knee amputation who is crying. Which response is most appropriate?
• Which scenario is associated with increased suicide risk?
• A client in a psychiatric unit reports hearing voices saying bad things about them. Which response demonstrates therapeutic communication?
• How do newborns primarily generate heat to stay warm?
• In a hospital where complementary therapies are supported by policy, what must be true for the nurse to provide Reiki?
• Ann is 25 years old and healthy; her grandmother died of ovarian cancer at age 48. Which screening test should she be advised to have?
• For a gravida 1, para 0 woman who experienced a spontaneous abortion at 10 weeks, what is the most important Rh-related question?
• In osteoporosis management prior to discharge, which combination is appropriate?
• Which lifestyle change should the practical nurse recommend to Ms. Wilmot to help manage osteoarthritis?
• Many clients have chronic open and infected wounds. What is the most likely reason these lesions remain chronic?
• A Mantoux skin test shows 7 mm induration. What action should the practical nurse take?
• What action did the manager take to address team issues in the home care setting?
• When Leah has a mild fever due to a cold, what is the recommended management for discomfort?
• Which caller on a suicide prevention hotline would be considered most at risk for suicide?
• If an intravenous infusion is in place, what is the correct method for helping a patient put on a hospital gown?
• What is the expected Babinski reflex response when testing a 1-week-old infant?
• Which statement best describes subcutaneous injection technique?
• A practical nurse reviews client data and notes that one of her clients would benefit from current health information resources. Which short-term resource can be directed to for health information?
• Without supplementation of a specific vitamin, exclusively breastfed infants are at risk for developing which condition?
• A newly assigned practical nursing preceptor begins by addressing which step to improve a student's performance?
• Which of the following is a principle of drug therapy for HIV infection?
• Which statement best describes medical asepsis?
• What is the most common cause of minor rectal bleeding?
• A family visits the child health clinic and the father says vaccines are not effective and he will not consent. What would be the best response by the practical nurse?
• A 4-year-old boy has a measured 39.6°C, with a previous reading of 36.3°C two hours earlier. He reports no fever and feels well. What is the appropriate nursing action?
• If a patient pulls out a chest tube, what is the immediate action?
• Which combination indicates the highest risk for cardiovascular disease and type 2 diabetes based on body shape and BMI?
• Which statement describes the timeframe for antidepressant efficacy with fluoxetine?
• Which of the following best describes the appropriate first step when a nurse encounters a patient who refuses to participate in a plan of care due to a cognitive impairment?
• The practical nurse takes Sandu's vital signs. Which of the following would be normal for a 1-week-old infant?
• What is the correct initial action when you discover used syringes in a clinic washroom?
• What is the primary purpose of performing cardiac catheterization in an infant with a ventricular septal defect (VSD)?
• What is the commonly cited daily intake of folic acid to help prevent neural tube defects?
• Which OTC medication would be of most concern to the nurse reviewing Mr. Lewis’s medications?
• During a skin assessment of a patient of European descent, which finding requires attention as a possible skin change?
• How should the nurse respond to Mrs. Martin about administering Antabuse without her husband’s consent?
• What is the definition of psychosis?
• In a client with suicidal ideation, when is the risk of acting on impulses highest?
• During a seizure, which action aligns with recommended safety?
• Which statement best describes a broader factor in pediatric obesity that nurses should consider in family assessments?
• During a mental health examination, which question best helps determine a client's thought processes and perceptions?
• An immobilized patient is at risk for deep vein thrombosis. Which symptom is most consistent with a DVT in the leg?
• To increase environmentally responsible health care, which process best describes the approach that involves support from hospital staff and community?
• What position should the nurse encourage for Mrs. Gardner to treat SOB?
• Which statement correctly describes inhaled asthma medications in combination therapy?
• A newborn's weight change: which statement is true?
• Which factor most clearly indicates a need for priority colonoscopy screening based on the scenario?
• Which classification of drugs would be prescribed for the treatment of depression?
• Antibiotics are not indicated for which of the following conditions?
• Which position is best to assist breathing for a patient with fatty liver disease and ascites?
• Which would be part of a normal respiratory assessment in a newborn?
• Which statement best describes palliative care for a patient with end-stage cancer receiving home care?
• A moderately active female with a weight of 56.7 kg requires 18 kcal per 0.45 kg to maintain an ideal weight. How many kilocalories per day does she need?
• What is required for disulfiram to be administered to a patient with alcohol use disorder?
• The HPV vaccine is routinely recommended because it protects against which virus?
• What question might help determine whether Mr. Picard's symptoms are delirium or dementia?
• What is the purpose of using sample client health records in orientation to professional practice?
• Which statement best describes Addison's disease manifestations?
• After obtaining vital signs for Mrs. Gupta, what is the appropriate next step?
• In the management of ovarian cancer, the combination of surgery followed by chemotherapy is primarily aimed at which goal?
• What is the most appropriate method to assess pain relief after analgesia is administered?
• What is the most therapeutic statement when informing a patient with epilepsy that driving is no longer allowed?
• Before giving digoxin to a patient with heart failure, how should the nurse respond if the heart rate is below 60 beats per minute?
• Ten-year-old Nicholas has just been diagnosed with a brain tumor; the parents request that Nicholas must not be told. What is the most appropriate response?
• A 5-day-old infant shows a heart rate of 70 bpm after crying. This is best described as:
• The nurse is dealing with a patient who calls the call bell four times in an hour about minor concerns. What is the best intervention?
• Which statement about eating disorders is true?
• When death is imminent and the patient has stopped breathing, what should be the first action by the nurse?
• Prior to administering morphine for cancer-related pain, which action is most appropriate?
• Ms. Blanche has been advised to increase her vitamin D intake to 1 000 international units (IU). How should she best achieve this?
• On an orthopedic unit, what is the most important step to protect clients from hospital-acquired infections?
• A patient with total parenteral nutrition (TPN) is behind by 500 mL. The solution is running at 200 mL per hour. What should the practical nurse do, in accordance with agency policies?
• Which statement best explains why infections may be identified late in older adults?
• Which medication is most effective in alleviating osteoarthritis symptoms?
• Mrs. Buxton phones hysterical and says, “Ronnie is beating me up.” What should the practical nurse’s first response be?
• What is the desirable effect of simethicone for relief of gastrointestinal distress?
• Which symptom should be reported immediately as a fluid/electrolyte imbalance due to ulcerative colitis?
• A practical nurse suspects an adolescent client is using anabolic steroids. What is the most appropriate approach to initiate discussion?
• In a temporary assignment where personal beliefs may conflict with patient care, which action demonstrates professional responsibility?
• Which dietary change should be included in health teaching to help prevent another renal calculi attack?
• When a patient expresses cultural beliefs that differ from standard practice, which approach is most appropriate?
• Which site is appropriate for an intramuscular injection of vitamin K in a newborn?
• Why is head circumference variation monitored in a newborn, beyond size alone?
• When a patient requires two people to assist with a lift, what is the most appropriate nursing action?
• A palliative care patient’s family asks how to recognize that death is imminent. Which statement would be accurate?
• When urine cultures are ordered and IV antibiotics are to be started, what is the correct nursing action regarding specimen collection and antibiotic administration?
• Omotayo, 1 month old, is receiving ampicillin every 6 hours. The safe dose range is 200-400 mg/kg/day. What is the recommended daily dosage range for Omotayo, who weighs 11 pounds (about 5 kg)?
• Immediately after a peripherally inserted central catheter (PICC) line is inserted at the bedside, which assessment is the priority?
• During a severe anxiety attack on a psychiatric unit, which intervention may be used if prescribed?
• The postmastectomy client scenario, Ms. Scharfe, has been crying, refuses to eat, and will not speak to her husband. Which is the best documentation of this client situation?
• To elicit the Moro reflex in a newborn, which action is correct?
• A practical nurse cannot read the obstetrician's handwriting for postpartum orders. What should she do?
• If a nurse discovers that she has administered twice the ordered dose of a medication, what is the most important initial action to take?
• What is the best way for the practical nurse to evaluate a patient’s ability to care for an incision before discharge?
• Which components are included in total parenteral nutrition delivered via a PICC line?
• A pregnant patient asks about the safety of celecoxib. What should the practical nurse advise?
• In suspected PAD, which assessment would the practical nurse perform?
• Which statement would be the most appropriate documentation for an agitated client?
• What is the purpose of giving Slow-K potassium supplement to a patient on furosemide?
• During a skin assessment of a pale-skinned patient of European descent, what is the most important observation?
• Which practice helps decrease the incidence of urinary tract infections (UTIs)?
• Genevieve, age 13, is being assessed for scoliosis. How would you assess for scoliosis?
• The PN indicates that a future vaginal delivery should be discussed with the obstetrician. Which statement reflects this guidance?
• A practical nurse finds a client who has fallen and is bleeding from a head injury. Why should PPE be worn?
• When are lipid-lowering medications such as atorvastatin most appropriately ordered?
• Ms. Benjamin, age 52 years, is scheduled for an elective hysterectomy. She has a prosthetic mitral valve and was advised by her physician to discontinue her daily dose of Aspirin prior to surgery. What property of Aspirin forms the rationale for this action?
• What is the most appropriate nursing action when a pregnant patient reports relief from nausea after using ginger?
• The patient asks about using herbs instead of conventional cancer treatment. What is the best response by the practical nurse?
• What is the most appropriate nurse response to a patient who says, \'I really can\'t go on. I just want to end it all. Please, won\'t you help me die?\'
• When assessing a 2-month-old with persistent inconsolable crying, which action is most appropriate first?
• At the antenatal clinic, a nine-week pregnant patient reports relief from nausea after chewing crystallized ginger. The most appropriate nursing action is to:
• The following is an appropriate topic to discuss with Ross at this clinic visit?
• When discontinuing heparin and starting warfarin for Mr. Cowler, what action should the nurse take?
• Before using a PICC line for TPN, how is proper placement confirmed?
• A 1-minute Apgar score of 3 indicates severe distress. Which observation would most likely be present in the newborn?
• Which of the following is a possible manifestation of appendicitis?
• Which practice demonstrates family-centred care?
• In the clinic, who may view a patient’s health record for treatment purposes?
• Which of the following is the proper disposal method for leftover morphine when a patient dies at home under palliative care?
• A patient on the neurology unit threatens harm to the nurse. What should be the primary action by the practical nurse?
• A preceptor for a practical nursing student addresses a student who struggles to finish work and assess acuity. What should be her initial action?
• What is the primary rationale for removing artificial nails in healthcare settings?
• In addressing gender identity concerns raised by a patient, what is the most appropriate initial action?
• Which statement about fluoxetine (Prozac) is most accurate regarding onset of improvement?
• While assisting a patient, the nurse notices one calf is larger after removing TED stockings. What should be the next action?
• What is the most appropriate action for a practical nurse when caring for an uninsured immigrant seeking care?
• Which rationale best explains asking a patient what foods and drinks she likes to eat?
• Diverticulitis commonly presents with pain localized to which quadrant?
• When addressing a lice outbreak in a daycare, which approach aligns with the recommended plan?
• Which statement best reflects the nurse's approach to preventing future asthma episodes after early discharge?
• A patient with viral gastroenteritis and prolonged diarrhea is at risk for deficiency of which electrolyte?
• With Novolin 30/70, when is hypoglycemia most likely to occur?
• A 1-minute Apgar score of 3 indicates distress. Which observation is most consistent with this score?
• What postoperative position is recommended after laser removal of vocal cord polyps?
• What are the early manifestations of ovarian cancer?
• Which statement demonstrates clarifying therapeutic communication?
• In a situation where a team conflict has arisen, what is the best statement a manager should make to staff to resolve the issue?
• Which test should be ordered to confirm the level of jaundice in suspected cirrhosis?
• Which client is at the highest risk of suicide?
• In a 4-year-old with head injury after a fall, what is the priority assessment?
• Which laboratory result would be of most concern for a patient with chronic renal failure?
• What is the primary purpose of standards of nursing practice as used in clinical decision making?
• When screening for scoliosis, which observation provides the best view of spinal curvature?
• A client with laboured, dyspneic breathing, wheezes, and anxiety requires initial intervention. Which action should the practical nurse take first?
• If a miscarriage occurs and the patient is Rh-negative, what action is required to prevent antibody formation in future pregnancies?
• For a depressed patient with anorexia who reports not being hungry, what is an appropriate intervention to encourage intake?
• The Meaghan pregnancy scenario relates to consent to contact the physician. Which option reflects the appropriate first step?
• For a preschooler diagnosed with autism, which is a priority goal for development?
• Which statement about accountability for a UCP's actions is correct when a resident's fall occurs while the UCP cared for the resident?
• Regarding subcutaneous injections, when is aspiration recommended?
• Which statement best defines morbidity in public health terms for tuberculosis?
• Which action addresses Edgar's non-adherence most effectively?
• Sheldon, age 16, plays school football. Which safety-related question is important to ask?
• At about what age do infants generally pull themselves up onto furniture, according to typical developmental milestones?
• Which statement best describes the prognosis and management of schizophrenia?
• Mr. Ford has an intravenous antibiotic prescribed. How should the practical nurse administer this medication?
• What does the type and cross-match test verify in relation to donor blood?
• In hepatic disease, which laboratory change would indicate impaired liver synthetic function?
• During labor support, a partner asks if they should leave because they cannot help as well as nurses. What is the best response?
• Ms. Hudson is pregnant with twins. Which of the following is a characteristic of fraternal twins?
• Ms. Manche has been ordered an SSRI, sertraline. How should the practical nurse respond if she resists taking the medication?
• A young child experiences a tonic-clonic seizure while a nurse is shopping. What is the first responsibility of the nurse during the seizure?
• What is the most critical issue concerning Edgar's alcohol use?
• What is the most effective action to administer a bitter-tasting prednisone suspension to a toddler?
• Mrs. Haliburton's health record had been kept in her home during palliative care. What should the practical nurse do with Mrs. Haliburton's health record after her death?
• A pregnant woman has just tested HIV-positive. She asks how she should tell her boyfriend. What is the most appropriate response by the practical nurse?
• Which situation requires immediate physician notification in late pregnancy?
• Which professional is essential for designing and supervising an exercise program for osteoarthritis?
• What is the first priority after taking vital signs from Mrs. Gupta after surgery?
• Which of the following is an example of primary prevention?
• In caring for a patient with a new diagnosis of Parkinson's disease, which approach is most supportive of patient involvement?
• Postoperatively, a patient develops a paralytic ileus. What is the most likely cause?
• Which statement describes client consent accuracy?
• PERRLA notation pertains to which organ?
• Before discharge, which action by the parents is most important to reduce allergens in Simon's environment?
• Immediate action to control bleeding after a suicide attempt is to
• Which of the following signs is not typical of bronchiolitis in infants?
• What is the primary reason older adults lose height with age?
• What does the acronym PERRLA stand for?
• Which statement about blood pressure in older adults is true?
• With a least-restraint policy, what is the most important consideration before implementing a restraint?
• During a fitness assessment, a BP reading of 146/90 mm Hg is obtained after running. What is the appropriate action?
• Who owns unused morphine left with a family after a patient dies in palliative care?
• Which manifestation is most likely with Clostridium difficile infection?
• The nurse is concerned about consent for a research drug; which knowledge should the practical nurse have in this situation?
• What is the primary therapeutic goal of antilipemic therapy?
• Which foods should be avoided by a patient on a renal diet due to chronic kidney disease?
• Painless vaginal bleeding in the third trimester is most likely caused by which condition?
• In a multilingual setting, what is the most sustainable approach to addressing language barriers in patient care?
• Which statement best supports advocacy during a multidisciplinary team meeting?
• Which communication technique is demonstrated by asking a patient to 'Tell me more about your grandchildren'?
• Which member of the interprofessional team would be a beneficial resource for a client who has difficulty communicating and eating after a cerebrovascular accident?
• When an advance directive is not available, who should be the substitute decision maker (SDM) for the patient?
• Which statement does not meet the criteria for medical assistance in dying (MAID)?
• What is the principal mode of transmission of an antibiotic-resistant organism such as MRSA in a hospital setting?
• Which is an appropriate and appealing diet for Simon while he is experiencing respiratory distress?
• In MAID context, who provides bereavement care to the family?
• When a postpartum patient does not void after catheter removal, which assessment is most important to perform first?
• Edgar injects seven units of regular insulin at 1600 hours. When should the practical nurse caution him to be alert for a possible hypoglycemic episode?
• In Canada, what is the leading cause of preventable child mortality and morbidity?
• Mrs. Carnegy is hospitalized for pneumonia and asks to continue peppermint, an herbal remedy for IBS. What should the nurse do?
• What action could have prevented needle-stick injury when giving an injection?
• A home pregnancy test kit detects which hormone to determine pregnancy?
• In ovarian cancer management, what does a biopsy typically help determine?
• Which of the following is the most critical consideration when adolescents with diabetes binge drink?
• A laboring patient presents with a fetal heart rate baseline around 110 bpm and variability of 16-18 bpm. This interpretation most strongly supports which option?
• In a long-term care facility, a practical nurse administers the wrong medication in a rush. What is the practical nurse's first responsibility?
• Bradley, age 14, reports being teased about his height. Which response is most appropriate?
• How would the action and effect of a drug that is metabolized by the liver be affected in a client with severe cirrhosis of the liver?
• A client newly admitted to a mental health facility asks, "Do you have a boyfriend?" What is the most appropriate response by the nurse?
• During phototherapy, which management action is appropriate?
• A patient with chronic stable angina is prescribed a nitroglycerin spray. Which teaching should the practical nurse include?
• Which is a normal capillary refill time?
• When another client asks to speak during a counseling session, what is an appropriate response?
• Before becoming addicted, Ms. Wilcyska was married with children and had a job. What is the most likely reason she continued to take heroin in spite of the effects on her family life?
• Mrs. Parsons has stomatitis after chemotherapy. Which comment indicates understanding of oral hygiene instructions?
• Which item is most important to have available at Brian's bedside after surgery?
• What is the best approach to teach a child to cross the street safely?
• Which item is high in potassium and should be limited in a chronic kidney disease diet?
• In discharge planning for a patient from an Indigenous community, what is a key consideration?
• If Tiffany\'s weight declines and she is admitted to an eating disorders unit, which care plan element is most appropriate to monitor fluid status?
• A newly admitted client with dementia presents with agitation. Which action by the practical nurse may provide immediate help to manage her agitation?
• A mother of twins asks about breastfeeding both infants. Which is the most accurate statement?
• Which of the following is a risk factor for the infant of a mother with gestational diabetes?
• Which breakfast option should the nurse recommend for a patient with cirrhosis requiring therapeutic nutrition?
• What should the practical nurse teach about a possible adverse effect of taking an oral anticoagulant such as warfarin?
• Which statement best describes an additional manifestation observed in this Cushing's syndrome case?
• In the last days of life, the patient becomes dehydrated. What is an appropriate practical nurse action?
• Nursing care within the first 3 days postsurgery for Mr. Cetaine would include which of the following?
• Which statement about fibromyalgia best reflects the material?
• In implementing sustainable health care initiatives, which concept best explains why engagement with staff and the community is important?
• Ms. Abbey has a fever; what orders might the practical nurse anticipate?
• For a pain medication order stated as meperidine (morphine) 10 mg orally every 3-4 hours as needed, what is the appropriate nursing action?
• During an interaction with Raize Manche, what would be the most therapeutic response when she says, 'No one cares about me, but I love my grandchildren'?
• If a patient on clonidine asks to stop taking the drug, what is the correct guidance?
• Which statement best describes family involvement in the care of an infant with congenital heart disease?
• Which of the following is an appropriate motor development activity for a 9-month-old?
• Which of the following is the most serious complication of deep vein thrombosis?
• In health teaching for a 6-year-old with new-onset type 1 diabetes, which statement is correct?
• Which statement accurately describes the RICE treatment for an acute ankle sprain?
• During an intramuscular injection, the patient asks why you pulled back on the syringe. What is the best nurse response?
• Which statement about colostomy irrigation is true?
• What is the mechanism of action of H2 receptor antagonists in reducing gastric acidity?
• To confirm patent rectum and anus in a neonate, which step best confirms patency?
• Left-sided heart failure: which finding would you assess for?
• Why is a stool-softening suppository considered the most comfortable initial intervention for constipation in a terminally ill patient?
• Impetigo daycare policy: after starting antibiotics, when should attendance be allowed again?
• How long should the thermometer be kept under the axilla to obtain an accurate reading in a toddler?
• In a TB outbreak within a shelter, which approach reliably improves medication adherence?
• A 2-year-old child in respiratory distress has an order to keep the O2 saturation above 95%. When the saturation falls to 80%, what should be the initial action by the practical nurse?
• In evaluating delirium, which source provides insight into cognitive baseline prior to illness?
• In terms of professional boundaries, what is the appropriate policy for a nurse accompanying a client socially?
• Which of the following would be the correct procedure when taking the blood pressure of a hypertensive client who is monitored at the clinic once a week?
• What question best addresses safety for a teen football player?
• In the alcohol withdrawal case, what is the most important reason alcohol-dependent people need to be monitored carefully while withdrawing from alcohol?
• To determine whether a fracture is present in Sam’s leg, what is the most appropriate initial action?
• In Novolin 30/70, which statement is true about the onset of action of its components?
• If a mother notes weight loss in a 1-week-old infant, what is the best response from the practical nurse?
• Which statement best explains why Mr. Martin's jaundice occurs?
• Ms. Bacci is 10 weeks pregnant with her third pregnancy and reports that previous babies weighed over 10 pounds at birth. Which screening test would be most appropriate?
• Which nutrient taken in excessive amounts has been associated with teratogenic effects on the newborn?
• What is the most important postoperative goal for Brian?
• Mr. Skinner has sustained a C6 spinal cord injury and has developed autonomic dysreflexia. Which of the following is the most common precipitating cause?
• What potential problem should be discussed with the parents of a newborn who has Down syndrome?
• Ms. Drummond has fibromyalgia. Which statement best characterizes this condition according to the material?
• For a new fitness-center client with risk factors for cardiovascular disease, what is the recommended prerequisite before starting an exercise plan?
• For Mrs. O'Brien, who is nearly blind, how should the dietary aide assist during meals?
• A client asks a nurse who is a certified Reiki therapist to perform Reiki during hospital care. What is the nurse's responsibility?
• In the postpartum assessment, the lochia is moderate and rubra, the uterus is firm, and palpable 2 cm above the umbilicus near the left side. What is the most likely cause for this finding?
• How should the practical nurse respond to Mrs. Martin about her husband's relapse after promising he stopped drinking?
• Which event best explains the closure of the foramen ovale at birth?
• In Roberta Wilmot's case of osteoarthritis, which manifestation is most likely?
• Which foods are commonly restricted on a renal diet?
• A mother brings her 2-month-old infant to the health clinic with long crying episodes. What is the most appropriate initial nursing intervention?
• What is the primary purpose of incentive spirometry after thoracic surgery?
• During the orientation session, which abbreviations should a practical nurse use in the client's health record?
• What is the primary reason practical nurses should be involved in social justice issues?
• Which indicator is used in assessing gestational age?
• Which age-related spine change is most directly responsible for decreased height?
• Which laboratory tests confirm the diagnosis of myocardial infarction?
• To protect the elderly resident from communicable disease, what is the most important advice for visiting family?
• What is the safest action by the practical nurse regarding administration of medications to a patient with acute renal failure?
• A patient with cancer says, “I’m just so depressed. It doesn’t matter what treatment I have; I’ll die anyway.” What is the most appropriate response?
• On a surgical unit, a 27-year-old man is 3 days post-op after an appendectomy and will be discharged tomorrow. Which healthcare worker is most appropriate and cost-effective to provide health teaching for this patient?
• For PICC line insertion, what precautions are necessary?
• In a hospital setting, what is the priority practice by a practical nurse to ensure administration of the correct medication to the correct client?
• When a patient starts to void after starting furosemide, what is the priority assessment?
• A laboring patient at 6 cm dilation has a baseline fetal heart rate of 110 bpm with a variability of 16-18 bpm. These findings are most indicative of what?
• Brendan, 17, reports frequent fatigue and asks the nurse what to address first. What is the first question the practical nurse would ask Brendan?
• Which statement best describes the purpose of the Background section in an SBAR report?
• Mist therapy is generally combined with oxygen to alleviate which of the following?
• Post cataract extraction, which discharge instruction is appropriate?
• When initiating a discussion about sexuality with a patient after prostate surgery, which approach is most appropriate?
• Ms. Manche is asked to join a patient discussion group and says she has nothing to say. How should the practical nurse respond?
• An older adult has a grey-white arc around the cornea. What is your response?
• During the influenza season, how should the practical nurse in a community walk-in health clinic best prevent transmission of the influenza virus to clients?
• Which symptom is most likely with Clostridium difficile infection?
• Which instruction should be taught to a client taking isoniazid (INH) to minimize hepatic damage?
• Which form of substance abuse is most common in Canada?
• During the transition at birth when the newborn begins breathing, what causes the foramen ovale to close?
• Before administering a high-risk antipsychotic to a patient, which step should the nurse take first?
• Based on Sean's signs, which viral respiratory illness is most likely?
• For a serious acute episode of shortness of breath, what is the first action the patient should take at home?
• Which description best defines a DNR order in clinical practice?
• Which supplement is recommended during reproductive years to reduce neural tube defect risk?
• Which client should have priority in scheduling for a screening colonoscopy?
• A patient prescribed an opioid analgesic has severe chronic obstructive pulmonary disease (COPD). This medication would be contraindicated in which of the following conditions?
• In a client with viral hepatitis, the practical nurse should closely monitor for indications of which abnormal laboratory value?
• When aspirating before an intramuscular injection, what is the key purpose?
• What is a potential problem to discuss with parents of a newborn with Down syndrome before taking the infant home?
• In a scenario where a patient’s saturation is low despite oxygen, which of the following is the most appropriate initial nursing action according to standard practice in acute care settings?
• Which statement best describes the relationship between socio-economic status and health?
• In planning food donations for clients at a shelter, which food type is most appropriate?
• Which statement best describes relapse in recovery for a long-term habit?
• Which statement best describes a PICC line?
• A patient with a wheelchair transfer to a commode requires two people for the lift. What is the most appropriate nursing action?
• Which professional is most likely to perform hypospadias repair?
• Which technique is demonstrated by giving a patient a familiar task, such as dusting, to help manage agitation?
• Which scenario represents the greatest risk for female infertility?
• To reduce edema in late pregnancy, which nursing action is most appropriate?
• Which activity would be most beneficial for bone density in osteoporosis management?
• The oncologist plans a biopsy via laparoscopy. What should the practical nurse explain to the patient about this test?
• What should the practical nurse suggest for care of breasts when the nipples are sore?
• Which lunch item would be considered appropriate for a patient with chronic renal failure on a conservative diet?
• In a community mental health setting, while a counseling session is in progress, another client asks to speak with the nurse. How should the nurse respond?
• What are the cardinal symptoms of the three polys in the onset of type 1 diabetes in children?
• What is the best practice regarding verbal orders for medications?
• Which statement best describes how insulin regimens are determined for children with diabetes?
• A patient has a chest drain attached to a Pleura-evac system. Which action reflects proper care?
• Which statement best describes the feasibility of breastfeeding twins with proper planning?
• A client is prescribed venlafaxine (Effexor) for depression, but the client refuses due to headaches. What should the practical nurse do?
• Which statement best reflects patient-centered communication when discussing prescribed medications with a parent?
• In the operating room, which is the most important assessment by the neonatal team after delivery?
• In non-emergency situations, how should verbal medication orders be treated?
• What is meant by the term 'narrow-spectrum antibiotic agent'?
• A client receiving vancomycin IV develops redness and pain at the IV site. What is the most appropriate corrective action?
• What is the appropriate initial safety screening question when a patient reports intimate-partner violence?
• After the initial dressing change for a postoperative incision, the client reports prickling and itchiness around the incision. How should the practical nurse respond?
• Which statement is true regarding the use of restraints in a psychiatric setting?
• A patient on high-dose haloperidol develops a yellowish tinge of skin or eyes. What action should the practical nurse take?
• Post cataract surgery stool softener rationale
• A patient with 20/40 vision would most likely need which assistive device?
• Which foods should be avoided early after ileostomy to prevent obstruction?
• What is the recommended management for mild pre-eclampsia?
• What assistive device should the practical nurse provide for Mrs. Cheng while she awaits surgery for a fractured hip?
• A practical nurse in a community clinic treats many older clients. Which fact should the nurse be aware of when treating older clients?
• Mr. Buxton admits to abusing Mrs. Buxton and says it is all because she “naggs” him. What would be a therapeutic response by the mental health nurse?
• Which statement best describes postoperative care for a patient scheduled for resection of the right lung?
• To prevent peanut exposure at a daycare with a known allergy, which measure is most appropriate?
• What is the priority intervention if a patient cannot be discharged after a hip replacement due to sudden gastric bleeding?
• Which statement about age-related vision changes is accurate?
• Which test is most reliable to confirm a diagnosis of tuberculosis (TB)?
• A patient’s temperature is 36.6 degrees Celsius. How should you explain this in Fahrenheit to the patient who asked, given it is roughly normal?
• Which technique is used to elicit the Moro reflex?
• Which finding provides the best information that a newborn is receiving adequate nourishment after birth?
• Which personal protective equipment (PPE) combination is appropriate for contact precautions when caring for a patient with MRSA?
• Following hip replacement surgery, a 92-year-old patient with pneumonia shows which finding would be most concerning to the practical nurse?
• What is a frequent complaint of older adults who are beginning to experience age-related hearing loss?
• In a 2-day-old preterm infant not yet tolerating oral feeds, what is an appropriate thing for the practical nurse to say to the mother?
• Who made the decision to admit Ms. French to the hospital as a precaution during labor?
• A woman at 36 weeks with ruptured membranes is given a certain class of medication to prevent infection while awaiting labor. Which class is most likely given to the mother?
• In the harm-reduction framework, which option is NOT typically considered a harm-reduction strategy?
• A patient with low hemoglobin is anemic. Which food would be best to include to increase iron intake?
• Which of the following demonstrates a boundary violation in a nurse–client mental health setting?
• Mr. Hawkins has radical neck surgery for cancer of the larynx. Which of the following is the most important assessment postsurgery?
• Which statement best describes evidence-informed practice?
• Which approach is appropriate when discussing restraints with a family of a confused patient?
• Loss of peripheral vision is most likely caused by which eye condition?
• Which nursing consideration should be addressed prior to the administration of morphine to a patient with terminal cancer?
• Electronic fetal monitoring shows early decelerations. What is the most likely cause?
• A farmer who spends significant time in the sun is at risk for skin cancer. Which type is he most at risk for developing?
• What concern is most relevant when a child has had eight antibiotic courses in a year?
• Harm-reduction strategies are aimed at reducing health and social costs of substance abuse. Which of the following is an example of harm-reduction?
• Why should heparin therapy be continued until warfarin reaches therapeutic levels?
• Which option is not an effective cervical cancer prevention strategy?
• What is the priority assessment for the nurse caring for a patient with borderline personality disorder who expresses hostility toward staff?
• Which statement about newborn weight change requires closer monitoring?
• When assessing Arnold Hampton, what does abduction mean?
• Which abnormal finding most strongly indicates an infection in a patient with a suspected infection?
• Which sign is a common indicator of infection in a patient with an indwelling urinary catheter?
• Is it appropriate for a practical nurse to accompany a client to a local restaurant for coffee?
• Which pulse rate would be considered normal resting for a two-month-old infant?
• What test will the nurse practitioner most likely order to determine whether the patient has a fractured bone in the leg?
• Which question would best evaluate Mr. Robin's ability to make sound judgments?
• Which option is least effective for reducing pain during a pediatric injection?
• Which statement best supports the rationale for removal of artificial nails in healthcare?
• During a tuberculosis outbreak at a shelter, which action best ensures treatment adherence?
• Andre, age 6, is about to have an injected immunization. He is tearful and apprehensive about pain. Which of the following would be the most effective method to reduce the pain of an injection?
• Bronchiolitis is most common in infants during which seasons?
• To replace nasogastric losses, an IV of normal saline with potassium chloride is ordered. If 640 mL must infuse over 8 hours with a drop factor of 15 gtt/mL, what is the IV flow rate in gtt/min?
• Under involuntary admission, which statement is true?
• Which safety precaution would the practical nurse advise for Leah?
• In discharge planning after an uncomplicated surgical procedure, which criterion supports discharge to home?
• In a patient with intermittent claudication, which symptom pattern is most typical?
• In pediatric diabetes management, which factor primarily determines the insulin regimen for a given child?
• In hospital practice, when a patient requests to continue using a herbal remedy, what is the appropriate nursing action?
• Who may legally provide consent for Matthew's care?
• Prior to discharge, which measure is important to discuss with Mrs. Cheng to prevent future fractures?
• Which action would best prevent peanut exposure in a daycare with a peanut-allergic child?
• A client is ordered 325 mg of acetylsalicylic acid (ASA) prn for headache while also receiving warfarin. What is the most appropriate action for the practical nurse to take?
• What is the primary reason to monitor blood pressure when initiating diuretic therapy for heart failure?
• When a calcium channel blocker is prescribed for hypertension, what is a priority teaching point?
• Which medication is commonly used to treat ADHD?
• In addition to wheezing and tachypnea, which sign indicates respiratory distress in a child with asthma?
• Which of the following demonstrates the defence mechanism displacement?
• Which statement best describes physiological jaundice in newborns?
• Which of the following is an example of secondary prevention?
• If an electronic BP reading seems inaccurate, what is the best initial action?
• For a client with leukopenia, which preventive measure is recommended?
• Which statement best reflects an empathetic nursing approach to a patient on dialysis who reports distress?
• What is the most appropriate action when a patient with dementia asks about the nurse’s personal life during an interview?
• During an evening shift in a long-term care facility, an unregulated care provider threatens a resident with not being fed unless the resident stays quiet. What is the priority action for the practical nurse?
• The family asks the practical nurse how they will know Mrs. Haliburton's death is imminent. What should the nurse respond?
• What is a general consequence of overusing antibiotics in the population?
• After head injury, which indicator would be most concerning for an 8-year-old?
• During blood pressure auscultation, which technique is correct?
• The practitioner uses therapeutic touch for Ms. Wilcyska. How would you define therapeutic touch?
• The clinic practical nurse performs a physical examination on Mr. Fredericks. Which finding would support the diagnosis of an abdominal aortic aneurysm (AAA)?
• The nurse notes Ross's weight loss. What would be an appropriate initial comment to Ross about his weight loss?
• A mother who is expressing breast milk asks how to warm the bottle for a babysitter. What is the recommended method?
• Which technique best reduces infection risk during a central line dressing change?
• For bilateral mineral oil ear drops with a side-lying plan, what is the correct instillation method?
• What is a valid way to potentially secure an earlier MRI appointment for a patient not in a life-threatening category?
• Which combination is permitted on a clear fluid diet after surgery?
• Which action would be most appropriate for a CVA client with communication and swallowing difficulties when consulting the interprofessional team?
• Which nurse's response is most appropriate when Mrs. Hynes expresses distress over her appearance due to Cushing's syndrome?
• Which statement would be most appropriate for the practical nurse to say to the parents to help prevent future asthma episodes?
• Which statement best defines morbidity in the context of tuberculosis as described?
• How should a practical nurse determine when to suction a tracheostomy tube?
• What is the most conclusive screening test for colorectal cancer?
• Mr. Valencia, 83 years old, is confused after hip replacement and family asks about restraints. What should the practical nurse explain?
• A client with Alzheimer's disease is found on the floor after a fall. The following day, she grimaces and cries out in pain. What is the most appropriate nursing action?
• Nonadherence to antiretroviral therapy (ART) in HIV infection commonly leads to what outcome?
• Which statement best describes the role of nursing documentation in patient care?
• Which part of the SBAR report does the information fall under? Mrs. Rose's pain in the left lower leg is increasing for the past 1 hour. She has hypertension and type 2 diabetes. She is on metformin hydrochloride 500 mg bid. She is allergic to sulpha drugs.
• Which nutrient, not found in adequate amounts in breast milk, will need to be supplemented for a breastfed infant?
• Which of the following is a manifestation of diverticulitis?
• In responding to a client who reports hearing voices, which statement demonstrates therapeutic communication?
• When deciding whether to suction a tracheostomy tube, the nurse should base the decision on which of the following?
• Which statement best reflects a culturally sensitive approach to mental health assessment?
• A student practical nurse forgets her computer password and asks a staff nurse to share her password. What should the staff nurse do?
• In a cold environment, which physiological response helps conserve body heat?
• What would be the most helpful response when Jason says the voices are yelling at him?
• What would be the staff's recommended action to control the spread of head lice in the daycare?
• Which sign is most characteristic of bronchiolitis in Sean's case?
• In the context of accountability for unregulated care providers (UCPs), which statement is accurate?
• When discharging a COPD patient on home oxygen, which action best supports safe management at home?
• What is the best statement regarding family presence during a pediatric hospitalization?
• Which approach is most evidence-informed to reduce urinary incontinence in dementia?
• Which description best reflects the typical vital signs for a healthy 1-week-old infant?
• WinRho prophylaxis should be administered in which of the following situations to prevent maternal antibody formation?
• Which action is most effective to reduce allergens immediately before discharge?
• When administering medications to older adults, which statement reflects appropriate dosing considerations?
• Which of the following tests will best evaluate the extent of Mr. Cetaine's coronary artery disease?
• In an Inuit community with many adolescent men living on the reserve, which health risk is the most important to assess?
• What is the initial action by a practical nurse to ensure safe medication administration when identification is poor?
• Which neurological result would be most concerning in Mrs. Sloane?
• Prior to a blood transfusion, what is the purpose of performing a type and cross-match test?
• Which member of the interprofessional team would be most important to include on the OA management team to design an exercise program?
• In infants with a ventricular septal defect, which co-diagnosis is commonly associated and can contribute to poor growth?
• Which TB drug is associated with ototoxicity and nephrotoxicity?
• If an IV is to infuse 1000 mL over 8 hours and 600 mL remain at 1500 hours, what should the rate be to finish by 1900 hours?
• Post ileostomy, which postoperative care is essential?
• A portable electronic BP reading shows 186/110 mm Hg twice. What should the nurse do first?
• Which finding would be considered abnormal during a health assessment?
• To promote environmentally responsible behaviors in the agency, which action is most effective?
• A patient’s vital signs on admission are within acceptable ranges for a stable post-surgical patient. What should the nurse do next?
• Which of the following is an antiretroviral drug used in the treatment of HIV?
• Postoperatively, which finding would be most concerning for the nurse to note?
• Which statement about primary hypertension is true?
• Liam Douglas is receiving IV fluids and asks how long a 2-L bag can hang when only larger bags are available. What is the most appropriate action?
• Painless vaginal bleeding in the third trimester is most commonly associated with which placental condition?
• Health Canada recommends that all women of child-bearing years take a folic acid supplement. What is the reason?
• Which question would you most appropriately ask first when assessing Brendan's sleep health?
• Pediatric health problems related to exposure to contaminants in the indoor and outdoor environment commonly include which condition?
• A practical nurse discovers a colleague smoking in a restricted area; what should the nurse do?
• During Tiffany\'s office visit, which physical assessment is most important to monitor?
• What is a ventricular septal defect (VSD)?
• Which finding would indicate HIV disease progression or increased risk in Ross?
• What is the fluid balance for Ms. MacLeod given the intake and outputs?
• Which strategy has the greatest chance of sustaining improved health for homeless clients?
• Which statement best describes predicting eye color for the twins in this scenario?
• Best Practice Guidelines are defined as what?
• What is the most effective way to evaluate a student's self-blood pressure teaching?
• Cardiac output is defined as which of the following?
• When Leah reaches to have vital signs taken, what should the practical nurse do?
• Celecoxib belongs to which drug class?
• Antonia Chaley, age 6, experiences frequent epistaxis, particularly in cold, dry weather. What is the first aid action?
• For measuring core temperature in an elderly patient with fever, which site can be used?
• In the context of MAID, which action best describes the nurse's role regarding eligibility and consent?
• Which item should be available at the bedside for a patient with jaw immobilization to address potential airway obstruction?
• A patient is being discharged home three days after an uncomplicated appendectomy. What is the best explanation the nurse should give?
• When you enter the room and find the newborn Perlstein asleep, what assessment should you perform first?
• Among patients receiving total parenteral nutrition, what is the most common complication?
• Which of the following is an additional manifestation of Cushing's syndrome?
• What are the most common forms of childhood malignancy in Canada?
• An elderly patient is hospitalized with marked lethargy. Laboratory findings show a hematocrit of 54% and a sodium level of 120 mmol/L. Which intervention should the practical nurse anticipate implementing first?
• Reiki is best described as which type of therapy in relation to conventional medical treatment?
• What is the most therapeutic nurse response when a patient on dialysis says, 'I just can't do this anymore'?
• Adolescent health teaching should focus on empowering students by which approach?
• Which statement best describes the effect of systemic opioids on the newborn when used during labor?
• During the initial health screening of an immigrant patient, what is the most important question to ask?
• Prior to performing post‑mortem care on a patient who has died unexpectedly, which step should the nurse take?
• At 36 weeks, Ms. Hudson delivers twins by Caesarean section. Each twin has a separate healthcare team in the delivery room. What is the first assessment each nurse would perform with the infants?
• A hospital green team notes that energy use and waste contribute to environmental impact. Which outcome best describes this contribution?
• A temporary nurse is asked to refer a client for abortion in a physician's office; what is the best action?
• When planning a nutrition teaching session for children, which factor must be assessed first?
• In a patient receiving regular and NPH insulin together, which statement accurately describes their peak actions?
• Reiki is considered to be a complementary therapy. Which statement best defines complementary therapy?
• Which statement reflects the nurse's role in advocating for health equity?
• What is the recommended daycare policy for a child diagnosed with impetigo after starting treatment?
• The parents of children at Humber Valley Public School are concerned that sexuality is to be included in the Grade 5 health curriculum. The practical nurse explains which of the following concerning children and sexuality?
• Which sequence is correct when examining the abdomen?
• Which of the following is most characteristic of perpetrators of abuse?
• During the health assessment interview with Mrs. Sloane, what is the most appropriate approach?
• Which statement about access to health records for agency-based care is correct?
• Which nursing intervention is appropriate for a vaso-occlusive sickle cell crisis in Candace, age 16?
• Which statement reflects the effect of restraining a confused patient?
• Which statement is correct about blood pressure measurement regarding auscultatory gaps?
• What is the target blood glucose range for a child with type 1 diabetes?
• Hydrochlorothiazide is categorized as which type of medication?
• A dressing for a debrided wound is changed daily and kept moist by saline-impregnated gauze. What is the benefit of moist, interactive wound healing?
• Mr. Singh requires a blood transfusion. Which statement about blood administration is correct?
• Which of the following is a significant risk for women with a fraternal twin pregnancy?
• If a password is forgotten, which document should guide retrieval and access procedures?
• What is the most effective diet to achieve sustained weight loss?
• In a fitness centre, what is the most effective action to reduce the potential transmission of communicable diseases among clients?
• A pregnant client is screened for intimate partner violence as part of clinic protocol. Which introduction best aligns with universal screening for IPV?
• The practical nurse is aware that she needs to observe many safety measures related to Mr. Ford's PICC line and the TPN infusion. Which of the following is a nursing action related to client safety?
• Ms. Brette is voluntarily admitted, on a short-term basis, to a psychiatric unit for management of her anxiety disorder. She experiences a severe anxiety attack while she is in the client lounge. What should the practical nurse do?
• What action by the nurse would best assist the patient in managing home oxygen therapy after discharge?
• Upon Mr. Cetaine's arrival in the emergency department, which of the following is a 'first-line' medication he will likely receive?
• Which lunch option best represents a heart-healthy choice?
• Which question related to preeclampsia should the practical nurse ask Mrs. Marshall?
• CABG aims to provide what main effect?
• What is the most effective action for a nurse when a young client in distress reveals gender identity concerns?
• For a 4-month-old infant with heart failure, which feeding approach should the practical nurse advise?
• Postoperatively after intermaxillary fixation surgery, how should Brian be positioned to help prevent aspiration?
• What is the most common cause of minor rectal bleeding?
• The nurse educator cautions the nurses to only record care they personally provide. When is it acceptable to document care provided by another nurse?
• What additional advice might the practical nurse provide to her clients regarding gym hygiene?
• In documenting a postmastectomy patient, which sentence demonstrates objective documentation of behavior?
• In Ms. Procinski's case, which urinary finding is noted that supports suspicion of nephrotic syndrome?
• Prior to infusing antibiotics for cellulitis, a patient reports a penicillin allergy. Which action should the practical nurse take first?
• What is the recommended action for Ms. Cooke who is having regular contractions 7 minutes apart with membranes intact?
• Which communication approach best supports a patient who has been told they cannot drive due to epilepsy?
• Which statement best explains why Minh Tam Tran should use both Ventolin and Beclovent?
• In a child with acute asthma, which action represents the initial pharmacologic therapy to relieve symptoms?
• What is the recommended management for diaper dermatitis?
• What is the mandate of nursing regulatory organizations?
• Which immunization should be ensured for a daycare outbreak of chicken pox to protect immunocompromised children?
• Which pulse would be of most concern?
• Which of the following is NOT a characteristic of fraternal twins?
• The baby's head shows a poorly defined, soft mass across the top that will resolve over the next few days. What is this assessment finding called?
• When a patient collapses due to heart failure, what is the priority assessment for the practical nurse?
• Which is the most important factor to consider when tailoring a nutrition education session for children?
• A Brandon, age 42, with Lou Gehrig's disease, has consented to MAID. What is the practical nurse's role in providing MAID in accordance with the law?
• Ileostomy diet: which practice reduces obstruction?
• The biopsy results indicate stage 3, grade 2 ovarian cancer. Which interpretation is correct?
• Which symptom is most likely with a reduced hemoglobin level of 100 mmol/L?
• The practical nurse notes facial swelling and foamy urine in Ms. Procinski. Which condition is most consistent with these findings?
• Which of the following describes the first teeth to erupt in infants?
• Which term describes the pattern of viewing others as all good or all bad, leading to rapid shifts in opinions?
• Which of the following is descriptive of cluster headaches?
• Which method best demonstrates a patient’s ability to perform incision care before discharge?
• What is the rationale for erythropoietin therapy in chronic kidney disease?
• Which assessment should be prioritized immediately after PICC line placement?
• For what purpose is total parenteral nutrition via a PICC line used?
• When arranging to monitor Tiffany\'s weight, which statement reflects proper weighing practices?
• What should the nurse recommend to improve delivery of medication with a metered-dose inhaler for Mr. Lewis?
• In the postpartum rubra described as moderate, this finding most likely indicates which scenario?
• A pregnant patient newly diagnosed with HIV asks about informing her partner. What is the most appropriate focus for counseling?
• An older adults’ residence in northern Saskatchewan presents a safety concern for residents during winter. Which precaution is most important?
• Which childhood cancer is most common?
• Which lifestyle modification should be advised for a patient taking isoniazid (INH) to limit hepatic damage?
• Which statement best describes physiological jaundice in newborns?
• Which of the following best describes effective interpersonal communication with clients and team members?
• Which of the following is NOT recommended for managing mild preeclampsia at home?
• Ms. Blatchberg has leukopenia. Which of the following should the nurse include in client teaching?
• During oropharyngeal suctioning, which would be a nursing consideration?
• In the case of Fred Kingsley, who underwent vocal cord polyp removal, what is the practical nurse's priority assessment in the immediate postoperative period?
• What is the most appropriate immediate management step for the patient with acute alcohol withdrawal according to the case?
• A patient who has been taking ibuprofen experiences stomach upset. Which medication could be considered as an alternative?
• Which of the following is an example of passive-aggressive behavior by a practical nurse?
• The most important reason for client documentation is to facilitate communication concerning the client.
• What are the responsibilities of a practical nurse caring for a client in wrist restraints?
• In the scenario with a patient taking regular and NPH insulin given at 0730, when is the next injection likely required?
• Why do patients who have received cortisone preparations for an extended period have an increased risk of infections?
• What is the most appropriate approach when a patient expresses suicidal thoughts?
• If pain from end-of-life symptoms is not adequately controlled and the family asks for more morphine, what is the most appropriate information the practical nurse should communicate?
• Which of the following people has the highest risk of cardiovascular disease and type 2 diabetes based on body shape and BMI?
• In Guillain-Barré syndrome, what is the most critical nursing action in the acute phase?
• In neonatal assessment, which step should be performed first when the newborn is asleep?
• Osteoarthritis primarily affects which joints?
• A patient with a prosthetic mitral valve discontinues daily aspirin prior to surgery. Which statement describes the rationale for this action?
• What is the optimum insulin regimen for most children with diabetes?
• Manifestations of sickle cell disease may include which of the following?
• Which test is least likely to be used to evaluate an acute leg fracture?
• A patient with seasonal allergies asks for advice because his OTC medication isn’t effective. What should the practical nurse initially suggest?
• Ms. Wilcyska discusses regrets about her children being placed in care. Which nursing response is most appropriate to support her in addressing this issue?
• Which head swelling crosses suture lines: caput succedaneum or cephalohematoma?
• A night-shift nurse struggles with sleep. Which practice may help improve sleep?
• Which drug may depress a client's immune system?
• Mr. and Mrs. McNamara seek advice about caring for their 24-year-old son with a newly diagnosed seizure disorder. What should the practical nurse teach them about seizure safety?
• What is an important consideration when conducting a culturally sensitive mental health assessment?
• When discussing access to health records in the clinic, which statement is correct?
• In severe cirrhosis of the liver, how is the action of a drug that is metabolized by the liver typically affected?
• During inhalation, Simon begins to shake. What should the practical nurse do?
• Mr. Gianopoulos, after a URI, developed Guillain-Barré syndrome. Which nursing action is the priority?
• Which practice is most important for preventing hospital-acquired infections on an orthopedic unit?
• Ms. Sloane is to receive olive oil in both ears at night for cerumen impaction. What intervention should the practical nurse perform?
• Which sleeping position should healthy infants be placed in to reduce the risk of sudden infant death syndrome?
• In managing total parenteral nutrition (TPN), what is an important nursing consideration?
• In developing end-of-life care, what is the most important factor for the practical nurse to consider?
• Six hours after urinary catheter removal following a cesarean section, a patient has not voided. What is the nurse's first action?
• In a suspected cervical spinal injury, what is the priority first aid measure until paramedics arrive?
• A patient asks how the PICC line is located in his body. What is the most appropriate response by the nurse?
• For a morbidly obese patient with limited mobility, what is the safest method to transfer from bed to chair?
• Which description best defines the nurse practitioner’s level of education as described in the material?
• When assessing a patient on Advair, which system should be prioritized?
• What is the main purpose of the Braden Scale?
• Which client would be most at risk for a sacral pressure ulcer?
• Which is the most appropriate documentation for the following observation: a patient with an amputation is found lying in a fetal position crying in the afternoon after surgery?
• Which statement is true about the teaching and learning process in nursing education?
• Which statement about complementary therapies is not true?
• When care is provided through an agency, who owns and has access to the health record?
• When Ross has his appointment at the clinic, which initial action, specific to his HIV status, should the practical nurse implement?
• Pregnancy-induced hypertension occurs after which gestational milestone?
• If a patient is considering COX-2 inhibitors during pregnancy, which action is most appropriate?
• Which manifestation is most likely to appear initially in a person with multiple sclerosis?
• In approaching health assessments and teaching with adolescents, which approach is recommended?
• For constipation in a patient nearing the end of life, what is the initial intervention after physician consultation?
• During a neonatal examination, which approach best helps soothe the baby?
• During the latter half of the second trimester, which would be a danger sign during a pregnancy that requires immediate physician notification?
• Which site is used to measure core temperature in a febrile elderly patient?
• After femoral access during cardiac catheterization, which assessment is most important to monitor?
• Which statement about transdermal nitroglycerin patches is correct?
• During recovery from hepatic coma, a high-fiber diet is recommended primarily to decrease which parameter?
• Which statement describes the memory recall portion of a mental health assessment?
• On a visit to a street clinic, you find used syringes in a washroom. What initial action should you take?
• A postpartum patient has a full bladder of about 1000 mL. Which action is most appropriate to relieve retention?
• Which laboratory values are routinely assessed to evaluate tolerance of parenteral nutrition?
• A patient reports prickling and itchiness around a surgical incision soon after dressing change. What is the correct first step?
• What defense mechanism is demonstrated by a person who states they have no memory of an abusive act?
• In caring for a child with autism, which of the following is a priority service in early childhood?
• Which communication technique would be most effective for a caregiver dealing with a spouse who has dementia?
• Which of the following would be a normal skin finding in an older adult?
• Miss Shannon wants an earlier MRI due to knee pain. Which response is appropriate to help her access sooner?
• Which of the following is considered the most effective preventive measure against cervical cancer?
• A patient with vomiting bile-colored fluid has an NG tube inserted for decompression. Which statement about NG tube insertion is correct?
• Why does increasing fluid intake help prevent renal calculi formation?
• What is the correct advice for a patient who wants to stop taking clonidine after blood pressure has been normal for a period?
• Which activity is most effective in improving bone density for someone with osteoporosis?
• Which nutrient should be avoided in excessive amounts during pregnancy because of teratogenic risk?
• Where would the healthcare provider place hands to assess goitre?
• A nursing instructor is teaching the difference between medical and surgical asepsis. Which would be an example of medical asepsis?
• Left-sided heart failure: which finding is most indicative?
• It is decided that Mr. Cetaine requires CABG surgery. What is the purpose of CABG surgery?
• Carmen, age 6, has been determined to be obese for her age and height. Which factor is most likely the major contributor to her obesity?
• A Mantoux test yields an induration of 10 mm. What is the most accurate interpretation?
• A patient asks why irrigation of a colostomy is performed. Which statement is correct?
• Six hours after a transurethral resection of the prostate, a patient reports abdominal pain and bladder distension. What action should the practical nurse take?
• A postpartum patient has not urinated since birth. The bladder scanner indicates 1 000 mL in her bladder. What should the practical nurse do?
• Which vocalization milestone is appropriate for a 9-month-old infant?
• When patients choose herbal remedies, which statement best reflects nursing responsibility?
• The practical nurse notes that the amniotic fluid is greenish in color after membranes rupture. What is the cause of this discoloration?
• A patient’s nasogastric tube has not drained for several hours and the abdomen is distended. What should the practical nurse do first?
• What term describes the newborn skull condition where the scalp shows diffuse edema due to birth pressure and crosses suture lines?
• A practical nurse explains hypospadias to Jamal, a 17-year-old. Which statement is appropriate to tell him?
• Following a neighbor's report of chest pain and sweating, what action should the practical nurse take?
• What was the initial blood pressure that led to the diagnosis of hypertension in Ms. Mathias?
• Which of the following is the most widespread sexually transmitted infection (STI) in Canada?
• After instilling mineral oil drops in the right ear, what is the correct next step for the bilateral left-ear administration?
• Post-cardiac catheterization, which assessment is a priority?
• Which practice supports maintaining professional boundaries in care?
• For Leah's cold with a low-grade fever, which is appropriate?
• Which insulin component in Novolin 30/70 typically has the longest duration?
• What is the most common skin problem in adolescence?
• Which factor puts Mr. Carolis most at risk for developing an infection after surgery and catheterization?
• For a patient taking furosemide, when is the most appropriate time to administer the dose?
• How many kilocalories are provided by 12 grams of fat?
• Mr. Pelletier has chest tubes after surgery. Which statement should the practical nurse convey about chest tubes?
• During the second trimester, what should be the first action the practical nurse recommends for constipation?
• A patient tells you he found an Internet site offering kidney transplant surgery overseas for a significant amount of money. What is the practical nurse's professional responsibility in response?
• Which statement concerns rights of an involuntary client?
• Compared with axillary measurement, which method is generally more accurate for assessing fever in children?
• Which symptom was observed in the patient arriving at the ED with acute alcohol withdrawal?
• The second step of the nursing process is validation of data collected. Which term best describes this phase?
• Which statement about pain management in children is correct?
• Which statement best describes bonding after birth?
• A 17-year-old with anorexia who is pregnant: what action should the nurse take?
• Which statement best describes features commonly seen in borderline personality disorder?
• Which comment would be most typical of someone with antisocial personality disorder?
• What is the most important assessment at Meredith Marshall's prenatal visit?
• Weighing a newborn again before discharge serves to:
• When talking with Ms. Price about Kyle's asthma medications and OTC antihistamine, which statement best begins the medication discussion?
• Which statement best defines the role of Best Practice Guidelines in nursing care?
• When an older patient has a widened pulse pressure, which statement is most accurate?
• A patient is admitted for abdominal pain and is taking clozapine (Clozaril). What action should the nurse take prior to administration?
• A practical nurse works in a multilingual environment. What is the practical nurse's best long-term action to address communication barriers?
• What is the therapeutic action of a combination inhaler containing a long-acting beta2-agonist and a steroid?
• In the context of renal impairment, what is the safest action regarding medications prescribed?
• What is the likely initial treatment for Ms. Procinski?
• Which is a common transmission route for Hepatitis A?
• A patient who experiences GI upset from NSAIDs could safely use which analgesic option?
• What is the most appropriate initial question to ask about a teen who reports daytime fatigue and sleepiness in class?
• During morning care, a patient from a culturally diverse background remains silent. What is the most likely explanation?
• Which statement best reflects the long-term management of schizophrenia?
• When a practical nurse suspects a colleague has falsified credentials, what should she do?
• Discharge planning for Sudden Unexpected Infant Death (SUID) prevention recommends which sleep arrangement?
• How should the practical nurse best evaluate Mr. Ford's tolerance of the TPN?
• Which of the following are most appropriate for motor development for Leah?
• Which instruction regarding cast care within the first 24 hours is correct?
• What must be done by the practical nurse prior to the first infusion of the TPN solution?