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