Question: What is the most important factor to consider when delegating to UAP?
Answer Choices:
A. UAP experience
B. Is task within scope?
C. Can UAP identify problems?
D. Does UAP follow directions?
Answer: Is the procedure within the scope of practice for a UAP?
Question: Which action should the PN take first when a client falls?
Answer Choices:
A. Assist the client back to bed
B. Reassure the client
C. Stay with the client and call for assistance
D. Take the client’s vital signs
Answer: Stay with the client and call for assistance
Question: Which intervention is most effective in reducing breast engorgement?
Answer Choices:
A. Wearing a tight-fitting bra
B. Applying hot packs to the breasts
C. Exposing the breasts to air
D. Expressing milk from the breast by hand
Answer: Expressing milk from the breast by hand
Question: Which action should the PN perform first when inserting a nasogastric tube?
Answer Choices:
A. Affix tubing to suction
B. Measure nose-earlobe-xiphoid
C. Lubricate with petroleum
D. Auscultate for bowel sounds
Answer: Measure nose-earlobe-xiphoid
Question: How many mL should the PN administer from Ampicillin 250mg/5mL if dose is 125 mg?
Answer Choices:
Numeric value only
Answer: 2.5
Question: Which action should the PN implement first for an agitated psychiatric client?
Answer Choices:
A. Notify the client’s healthcare provider
B. Instruct a UAP to stay with the client
C. Escort the client to a calm and quiet place
D. Administer a PRN medication for agitation
Answer: Escort the client to a calm and quiet place
Question: Which task can the PN assign to UAP for droplet precautions?
Answer Choices:
A. Update plan of care
B. Explain precautions to family
C. Obtain isolation supplies
D. Notify dietary department
Answer: Obtain the necessary isolation supplies
Question: Which IM site is best for an 8-month-old child?
Answer Choices:
A. Vastus lateralis
B. Deltoid
C. Ventral gluteal
D. Gluteus maximus
Answer: Vastus lateralis
Question: Which situation warrants RhoGAM administration?
Answer Choices:
A. Mother Rh- and baby Rh-
B. Mother Rh+ and father Rh-
C. Mother Rh- and baby Rh+
D. Mother Rh+ and baby Rh-
Answer: The mother is Rh negative and the baby is Rh positive
Question: Which description of gravity and parity is correct for this client?
Answer Choices:
A. Gravida 1, Para 1
B. Gravida 2, Para 1
C. Gravida 1, Para 0
D. Gravida 2, Para 0
Answer: Gravida 2, Para 1
Question: What is the best response to a wife asking about her husband’s schizophrenia?
Answer Choices:
A. It’s a chemical imbalance
B. He’ll be fine if he takes meds
C. Sounds like you’re worried, let’s talk
D. Talk to the psychologist
Answer: It sounds like you’re worried about your husband. Let’s sit down and talk.
Question: What should the PN say to family about unresponsive client in hepatic coma?
Answer Choices:
A. Very critical, no response
B. Has your family made funeral plans?
C. Talk to charge nurse in conference
D. Nurses can’t arouse client; HCP knows the outcome
Answer: The nurses have not been able to arouse the client and the healthcare provider knows the outcome.
Question: How many mL should the PN administer for heparin 4,000 units from 5,000 units/0.5 mL?
Answer Choices:
Numeric only
Answer: 0.4
Question: What is the most important question to ask before newborn transfer to nursery?
Answer Choices:
A. Has your family seen the baby?
B. Have you unwrapped and looked at your baby?
C. Have you changed diapers?
D. Have you noticed sleeping?
Answer: Have you unwrapped and looked at your baby?
Question: What is the most factual response to family about a confused, unresponsive older male with weight loss?
Answer Choices:
A. Alzheimer’s is often reversible
B. It’s probably permanent
C. Delirium is often mental illness
D. His delirium may be due to depression and is possibly reversible
Answer: His delirium may be due to depression and is possibly reversible
Question: Which explanation describes the most likely reason for cramping after breastfeeding?
Answer Choices:
A. The release of oxytocin hormone
B. A possible ileus
C. Problems with the process of involution
D. A retained placenta
Answer: The release of oxytocin hormone
Question: Which action should the PN implement regarding the condom catheter?
Answer Choices:
A. Demonstrate correct application of the catheter to the UAP
B. Observe the client’s penis for any swelling or discoloration
C. Advise the UAP that this activity should be performed by a PN
D. Move the condom further up the penis to remove the gap
Answer: Demonstrate correct application of the catheter to the UAP