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Peter, |a |nurse |manager, |is |responsible |for |a |team |of | 2 |registered |nurses |(RNs), | 4 |registered |practical |nurses |(RPN), |and | 3 |nurse |practitioner |(NPs). |Peter |notices |a |lack |of |team |morale, |lack |of |clarity |of |roles |and |increasing |negative |communication |between |the |team |members. |How |should |Peter |describe |the |level |of |education |for |the |NP? |- |correct |answer |-✔A |nurse |educated |with |a |master's |degree
A |practical |nurse |has |been |reviewing |research |focusing |on |the |benefits |of |hand |washing |in |preventing |the |spread |of |microorganisms. |The |last |few |days |he |has |notices |a |number |of |health |care |workers |are |not |washing |their |hands |between |client |contact. |He |wants |to |initiate |a |change |in |practice. |Which |of |the |following |actions |should |he |perform? |- |correct |answer |-✔Develop |a |poster |and |pamphlet |to |be |used |at |the |sinks |on |each |unit |to |promote |hand |washing
A |practical |nurse |calls |the |health |care |provider |(HCP) |regarding |a |new |medication |prescription. |The |dosage |prescribed |is |higher |than |the |recommended |dosage, |however, |the |nurse |is |unable |to |locate |the |HCP |for |an |explanation. |Which |action |should |the |nurse |take |if |the |medication |is |due |to |be |administered |at |this |moment? |- |correct |answer |-✔Contact |the |nursing |supervisor
A |practical |nurse |restrains |a |male |client |in |a |locked |room |for | 3 |hours |until |the |client |acknowledges |he |started |a |fight |in |the |group |room |last |evening. |The
|nurse's |behaviour |constitutes |- |correct |answer |-✔False |imprisonment
A |45-year-old |client |admitted |to |a |mental |health |unit |has |exhibited |physical |behaviours |that |put |him |and |others |at |risk. |The |practical |nurse |applies |four-
point |restraints |on |the |client |without |consent |nor |obtaining |orders |from |the |physician. |The |nurse |is |at |risk |of |being |accused |of |which |of |the |following |- |correct |answer |-✔Battery
Richard, |a |nurse |educator |has |revised |a |hospital's |orientation |program |and |includes |sample |client |health |records |to |highlight |areas |of |professional |practice. |A |new |practical |nurse |asks |the |educator |what |abbreviations |can |be |used |within |the |client's |health |records. |Which |of |the |following |abbreviations
|can |the |practical |nurse |use? |- |correct |answer |-✔Abbreviations |that |have |been |approved |by |the |hospita
A |practical |nurse |is |reviewing |medication |information |with |a |female |client |who |has |been |prescribed |sertraline |daily. |Which |of |the |following |statements |by |the |client |indicates |a |need |for |further |guidance? |- |correct |answer |-✔"I |will |stop |taking |these |pills |if |they |don't |work |in |less |than | 10 |days |"
A |practical |nurse |is |working |in |the |oncology |unit |at |the |paediatric |hospital. |The |team |leader |provides |a |new |assignment |for |the |nurses |in |the |unit. |Which |of |the |following |assignments |should |be |questioned |by |the |practical |nurse? |- |correct |answer |-✔Provide |information |on |chemotherapy |to |a |client
A |practical |nurse |works |in |an |orthopaedic |surgery |unit |of |a |hospital |in |Toronto. |Many |of |the |clients |are |older |adults |(older |than | 60 |years |old) |with |increased |risk |for |hospital-acquired |infections. |Which |of |the |following |is |the |most |important |step |for |the |practical |nurse |to |protect |her |clients |from |hospital- acquired |infections? |- |correct |answer |-✔Identify |clients |who |are |at |risk
Which |of |the |following |actions |by |a |practical |nurse |would |be |considered |negligence? |- |correct |answer |-✔Lowering |the |bed |side |rails |after |administering |meperidine |and |hydroxyzine |to |a |client |preoperatively
What |is |the |normal |pH |balance |of |the |skin? |- |correct |answer |-✔4.5 |- |5.
Why |is |our |skin |slightly |acidic? |- |correct |answer |-✔To |help |maintain |the |skin's |natural |barrier, |which |helps |to |protect |against |bacteria, |viruses, |and |other |pathogens.
Several |staff |nurse |express |concerns |performing |to |the |nurse |in |charge |of |the |hospital's |performance |improvement |program. |The |best |way |to |evaluate |and
|improve |performance |is |to |implement: |- |correct |answer |-✔Mock |codes
A |71-year-old |male |is |diagnosed |with |Parkinson's |disease |by |the |head |physician |at |the |neurological |clinic. |How |can |the |practical |nurse |help |the |client |after |he |has |just |been |diagnosed? |- |correct |answer |-✔Ask |about |the |physician's |explanation |to |the |client |about |the |diagnosis
Rita, |a |nurse |manager, |is |preparing |an |education |session |for |a |group |of |nurses. |Which |of |the |following |is |true |in |relation |to |the |teaching |and |learning |process? |- |correct |answer |-✔Learning |occurs |best |when |the |individual |has |identified |the |need |to |learn
A |practical |nurse |is |giving |a |report |to |an |unregulated |care |provider |(UCP) |who |will |be |caring |for |a |client |who |has |hand |restraints. |The |nurse |instructs |the |UCP |to |check |the |skin |integrity |of |the |restrained |hands |every: |- |correct |answer |-✔ 30 |minutes
How |often |should |safety |(restraint) |devices |be |removed? |And |why? |- |correct |answer |-✔At |least |every | 2 |hours |to |permit |muscle |exercise |and |to |promote |circulation.
An |experienced |practical |nurse |is |preparing |an |educational |session |for |her |nursing |team |on |the |topic |of |pain. |She |decides |to |assess |her |peers' |prior |knowledge |of |pain. |Which |of |the |following |would |most |likely |influence |their |client's |perception |of |pain? |- |correct |answer |-✔Cultural |background
A |physician |orders |a |medication |for |a |client. |The |practical |nurse |reviews |the |order |and |realizes |the |client |is |allergic |to |this |medication. |The |nurse |places |a |call |to |the |physician |regarding |the |matter |but |the |call |was |not |received |nor |returned. |The |first |dose |of |this |medication |is |to |occur |within | 30 |minutes |from |now. |Which |of |the |following |is |the |next |appropriate |step |the |nurse |should |take |in |this |scenario? |- |correct |answer |-✔Notify |the |nursing |supervisor |of |the |situation
A |practical |nurse |is |observing |activities |on |a |medical/surgical |unit. |The |practical
|nurse |should |intervene |if |- |correct |answer |-✔A |client's |mother |disposes |of |the |client's |used |tissue |in |the |bedside |container |before |opening |the |roommate's |milk |carton
A |nurse |manager |is |responsible |for |assigning |clients |to |a |group |of |RNs |and |RPNs |in |a |clinic. |Which |of |the |following |client |assignments |should |a |practical |nurse |question? |- |correct |answer |-✔A |client |with |colon |cancer |refusing |medication |to |treat |it
A |24-year-old |female |has |received | 800 |mL |of |IV |fluid |and |has |had | 120 |mL |of |tea. |She |has |voided | 520 |mL |of |urine |and |vomited | 100 |mL. |What |is |this |client's |fluid |balance? |- |correct |answer |-✔ 300 |mL
A |client |has |been |taking |aluminum |hydroxide |daily |for | 2 |weeks. |What |is |a |side |effect |of |aluminum |hydroxide |that |the |practical |nurse |should |be |on |alert |for? |- |correct |answer |-✔Constipation
Aluminum |hydroxide |- |correct |answer |-✔Often |administered |orally |for |the |temporary |relief |of |heartburn |or |gastroesophageal |reflux.
A |practical |nurse |is |assisting |the |registered |nurse |in |planning |care |for |a |postoperative |client. |Which |of |the |following |should |be |done |first |by |the |practical |nurse |to |reduce |the |client's |risk |for |decreased |chest |wall |expansion |and |pooled |airway |secretions? |- |correct |answer |-✔Position |changes
While |removing |a |client's |breakfast |tray, |the |practical |nurse |notes |that |the |client |consumed | 3 |oz |of |gelatin, | 3 |oz |of |pudding, | 4 |oz |of |apple |juice |and | 6 |oz |of |tea,. |How |many |millilitres |should |the |practical |nurse |record |for |the |client's |breakfast |intake? |- |correct |answer |-✔ 390
Note: |Pudding |does |not |melt |at |room |temperature, |so |it |is |not |considered |to |be |a |liquid. |Therefore, |pudding |is |not |included |in |the |calculation.
What |is |the |calculation |for |determining |fluid |oz |to |mL? |- |correct |answer |-✔Total |amount |of |oz |x |30mL |= |Total |mL
What |does |placing |a |client |in |Deep |Left |Tredelenburg |position |do? |- |correct |answer |-✔Keeps |the |air |in |the |right |atrium |and |out |of |pulmonary |circulation, |preventing |obstruction |of |the |right |ventricle.
A |practical |nurse |is |hired |at |a |health |and |fitness |centre |in |a |small |town. |Her |responsibilities |include |health |counselling, |performing |health |assessments |and |first |aid |on |an |ad-hoc |basis. |She |was |able |to |convince |management |of |adding |alcohol |gel |dispensers |around |the |equipment |for |better |hand |hygiene |for |the |clients. |What |additional |advice |might |the |nurse |provide |to |her |management |regarding |hygiene |in |the |fitness |area? |- |correct |answer |-✔Add |posters |encouraging |clients |to |place |a |towel |on |any |surface |their |bare |skin |will |be |touching
A |nurse |teaches |a |75-year-old |male |client |with |left-sided |weakness |how |to |use |a |cane. |Which |of |the |following |behaviours |by |the |client |indicates |effective |teaching? |- |correct |answer |-✔The |client |holds |the |cane |with |his |right |hand, |moves |the |cane |forward |followed |by |the |left |leg, |and |then |moves |the |right |leg
A |recently |new |practical |nurse |graduate |is |providing |care |for |inpatients |with |severe |mood |disorders. |When |evaluating |a |client |for |suicidal |ideation, |the |practical |nurse |must |remember |to |assess |for: |- |correct |answer |-✔Ideas |and |a |plan |to |harm |oneself
A |father |visits |the |child |health |clinic |with |his |daughter. |The |father |mentions |to |the |practical |nurse |"I've |listened |to |many |medically-focused |podcasts |and |these |experts |are |saying |vaccines |are |not |effective. |Based |on |these |experts, |along |with |my |own |research |from |the |web, |I |won't |be |immunizing |my |daughter." |What |would |be |the |best |response |by |the |practical |nurse? |- |correct
|answer |-✔"I |agree |there |is |much |conflicting |information. |Can |you |tell |me |more |about |what |you've |listened |to?"
A |55-year-old |male |client |is |scheduled |for |an |electrocardiogram |(ECG) |for |treatment |of |chest |pain. |The |pain |subsides |and |is |admitted |to |the |medical- surgical |unit. |Which |of |the |following |is |the |client |permitted |to |ingest | 24 |hours |before |the |test? |- |correct |answer |-✔Solid |foods
A |practical |nurse |is |working |in |the |hospice |unit. |A |client's |husband |approaches |the |nurse |and |says, |"I |won't |be |able |to |live |my |life |without |my |wife. |We've |been |married |for |over | 40 |years." |Which |of |the |following |would |be |an |appropriate |response |by |the |nurse? |- |correct |answer |-✔"You |seem |to |be |upset, |anticipating |your |wife's |death."
Which |of |the |following |is |an |indication |to |the |practical |nurse |that |it |is |time |to |suction |a |client |with |a |tracheostomy |tube? |- |correct |answer |-✔The |practical |nurse |bases |her |decision |on |assessment |data |heard |on |lung |auscultation
A |practical |nurse |is |caring |for |a |client |with |pernicious |anemia. |The |nurse |reinforces |teaching |about |the |plan |of |care. |Which |of |the |following |statements |from |the |client |confirms |an |understanding |of |the |nurse's |teaching? |- |correct |answer |-✔"I |will |learn |how |to |perform |IM |injections."
Pernicious |anemia |- |correct |answer |-✔Macrocytic |anemia |due |to |the |inability |to |absorb |vitamin |B12 |from |the |gastrointestinal |tract
Vitamin |B12 |deficiency |- |correct |answer |-✔Is |typically |due |to |a |lack |of |intrinsic |factor, |a |protein |secreted |by |the |stomach |that |is |necessary |for |vitamin |absorption.
A |practical |nurse |is |caring |for |a |paediatric |client |in |a |leg |cast |for |treatment |for |a |fractured |left |ankle. |After |discharge, |which |of |the |following |activities |is |most |important |for |the |nurse |to |reinforce? |- |correct |answer |-✔A |client |performs |left |leg |isometrics |exercises
A |practical |nurse |is |assisting |with |the |care |of |a |55-year-old |male |client |diagnosed |with |a |4th |cervical |(C4) |complete |spinal |cord |injury. |Which
|observation |should |the |nurse |be |most |concerned |with? |- |correct |answer |-✔The |client |watches |television |with |the |head |of |the |bed |elevated |at |a |45° |angle
Because |there |is |a |shearing |force |on |the |bony |prominences. |This |increases |the |risk |of |pressure |injury |formation.
A |practical |nurse |in |a |long-term |care |facility |is |assisting |the |client's |chronic |obstructive |pulmonary |disease |and |varicose |veins. |Before |breakfast |is |served, |the |nurse |places |the |client |in |the |Fowler's |position. |Why |is |the |Fowler's
|position |the |most |appropriate |for |this |client? |- |correct |answer |-✔It |pulls |the |diaphragm |downward, |which |permits |greater |chest |expansion
A |practical |nurse |is |caring |for |clients |in |the |medical-surgical |unit |of |the |acute |care |facility. |Which |assignment |is |most |appropriate |for |the |practical |nurse? |-
|correct |answer |-✔Change |sterile |dressing |on |the |leg |of |a |client | 3 |days |after |peripheral |vascular |surgery
A |practical |nurse |is |caring |for |a |client |after |a |motor |vehicle |accident. |The |nurse |observes |that |the |client |is |anxious, |restless, |and |has |tremors |of |the |hands. |The |family |reports |that |the |client |has |consumed |an |average |of |five |beers |a |day |for |the |past | 6 |years. |What |is |the |priority |action |for |the |nurse |to |take? |- |correct
|answer |-✔Frequently |reorient |the |client |to |the |environment
A |practical |nurse |is |caring |for |a |7-year-old |child |whose |parent |reports |that |their |child |has |experienced |abdominal |cramps |and |diarrhea |after |ingesting |cheese |and |milk. |Which |of |the |following |test |results |would |rule |out |the |diagnosis |of |lactose |intolerance? |- |correct |answer |-✔Random |serum |glucose |level | 20 |mg/dL |(1.1 |mmol/L) |greater |than |fasting |serum |glucose |level
Since |lactose |intolerance |prevents |the |conversion |of |lactose |into |glucose, |If |the |test |shows |a |random |serum |glucose |level |significantly |greater |(20 |mg/dL |[1.
A |practical |nurse |is |providing |care |for |a |group |of |elderly |clients |in |a |long-term |care |facility. |The |nurse |knows |that |the |elderly |are |at |greater |risk |of |developing |sensory |deprivation |because |of: |- |correct |answer |-✔Decreased |auditory, |visual, |and |gustatory |abilities
A |64-year-old |client |is |admitted |to |the |hospital |for |exacerbation |of |chronic |obstructive |pulmonary |disease |(COPD). |Which |of |the |following |would |the |practical |nurse |expect |to |find |during |a |nursing |assessment? |- |correct |answer |-
✔Wheezing, |restlessness |and |tachycardia
A |58-year-old |female |has |been |diagnosed |with |Addison's |disease. |Which |of |the |following |manifestations |should |the |practical |nurse |anticipate |with |this |client? |- |correct |answer |-✔Bronze |pigmentation |and |hypotension
A |36-year-old |female |was |recently |diagnosed |with |type |I |diabetes. |She |is |responsible |to |do |home |blood |glucose |monitoring |and |urinary |dipsticks |for |acetone. |The |client |understands |the |reason |for |blood |glucose |monitoring |but |does |not |know |the |reason |why |she |has |to |dipstick |her |urine |as |well. |The |client |asks |the |the |practical |nurse |what |does |the |urinary |dipstick |measure. |The |practical |nurse's |correct |response: |- |correct |answer |-✔"A |positive |test |reaction |indicates |too |much |ketoacidosis"
A |practical |nurse |enters |a |client's |room |and |finds |that |the |wastebasket |is |on |fire. |The |nurse |immediately |assists |the |client |out |of |the |room. |What |should |be |the |next |action |taken |by |the |nurse? |- |correct |answer |-✔Activate |the |fire |alarm
For |the |following |paediatric |populations, |which |developmental |group |is |most |at
|risk |for |accidental |injuries? |- |correct |answer |-✔Toddlers
A |practical |nurse |is |on |an |airplane |flight |flying |from |Toronto |to |Montreal. |Within | 10 |minutes |of |taking |off, |she |notices |an |elderly |man |in-front |of |her |complaining |of |severe |chest |pain |and |is |diaphoretic. |Which |of |the |following |should |be |the |first |action |to |take? |- |correct |answer |-✔Administer |oxygen |via |passenger |mask
The |heart |muscle |is |being |deprived |of |oxygen. |The |oxygen |supply |to |the |heart |must |be |increased |immediately |to |prevent |heart |damage.
Viscera |- |correct |answer |-✔Internal |organs
Causes |of |a |fluid |volume |deficit |- |correct |answer |-✔Diarrhea, |vomiting, |increased |urinary |output, |insufficient |intravenous |fluid |replacement, |drainage |fistulas |and |conditions |causing |increased |respiration.
A |56-year-old |female |is |currently |receiving |chemotherapy. |As |of |the |result |of |the |chemotherapy, |the |client's |has |stomatitis. |Which |of |the |following |responses |by |the |client |indicates |she |understand |the |oral |hygiene |instructions |given |by |the |practical |nurse? |- |correct |answer |-✔"Rinsing |my |mouth |with |normal |saline |every | 2 |hours |has |helped |me |greatly"
Which |of |the |following |client |would |be |the |most |important |to |receive |their |scheduled |medication |on |time? |- |correct |answer |-✔A |client |diagnosed |with |myasthenia |gravis |receiving |pyridostigmine |bromide
Early |administration |can |precipitate |a |cholinergic |crisis |while |late |administration |can |precipitate |myasthenic |crisis.
Pyridostigmine |Bromide |- |correct |answer |-✔Cholinesterase |inhibitor
Increases |acetylcholine |concentration |at |the |neuromuscular |junction
A |22-year-old |female |client |has |anorexia |nervosa. |She |has |severely |restricted |fat |in |her |diet. |If |she |were |to |eat | 17 |grams |of |fat |and |a |total |of |1,000 |kcal |per |day, |what |percentage |of |her |daily |intake |would |be |from |fat? |- |correct |answer |- ✔15%
Formula |for |calculating |calories |and |daily |intake? |- |correct |answer |-✔To |calculate |the |daily |intake |of |fat:
17 |grams |x | 9 |kcal/gram |= | 153 |kcal
153 |kcal |/ | 1000 |= |15.3% |or |15%
Which |of |the |following |individuals |is |at |the |highest |risk |of |suicide? |- |correct |answer |-✔A |77-year-old |male |is |extremely |lonely |after |his |wife |passed |away |suddenly
A |33-year-old |female |is |pregnant |with |her |second |child |when |she |is |diagnosed |with |multiple |sclerosis. |What |manifestations |would |she |have |initially |experienced? |- |correct |answer |-✔Sensory |disturbances |that |include |tinnitus |and |blurred |vision
A |practical |nurse |attempts |to |determine |the |number |of |known |risk |factors |for |coronary |artery |disease |for |a |46-year-old |male. |Which |piece |of |objective |data |would |serve |as |the |most |relevant |risk |factor? |- |correct |answer |-✔Waist-hip |ratio |= |1.
A |greater |than |0.9 |waist-hip |ratio |is |an |indication |of |central |obesity |and |a |risk |factor |for |coronary |artery |disease.
A |28-year-old |male |was |diagnosed |with |hepatitis |A |after |returning |from |the |Caribbean. |The |client |is |very |surprised |and |asks |the |practical |nurse |"how |on |earth |did |I |get |this |virus?". |Which |of |the |following |is |the |best |response |to |this
|question? |- |correct |answer |-✔"You |most |likely |ingested |contaminated |water |or |food"
How |is |Hep. |A |typically |transmitted? |- |correct |answer |-✔by |the |fecal-oral |route, |most |commonly |in |contaminated |water |or |food.
An |18-year-old |male |client |was |recently |diagnosed |with |antisocial |personality |disorder. |Which |of |the |following |comments |by |the |client |would |confirmed |his
|diagnosis? |- |correct |answer |-✔"I |am |going |to |buy |myself |a |brand |new |motorcycle"
A |practical |nurse |on |a |postpartum |unit |is |preparing |four |clients |for |discharge. |Which |of |the |following |clients |would |the |nurse |deem |most |important |for |home
|care? |- |correct |answer |-✔A |23-year-old |who |delivered |by |cesarean |section |and |is |reporting |burning |on |urination
Chlordiazepoxide |- |correct |answer |-✔Used |for |treating |anxiety, |agitation, |insomnia, |muscle |spasms, |seizures, |and |alcohol |withdrawal.
