A child diagnosed with strep throat 3 days ago enters the clinic crying hysterically. The parent tells the practical nurse (PN) that the child screams in pain even with a light touch. The child is short of breath and anxious. Which manifestations warrant immediate intervention by the
PN?

Slightly raised rash with ragged edges.

Red, hot, and swollen joints.

Heart rate 110 beats/minute.

Pulse oximetry of 88% O2 saturation.

Answer and Explanation

Correct Answer : B,D

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Correct Answer is B

Explanation

A. Asking about the bowel sterilization prescription doesn't address the client's concern regarding the visibility of the surgical opening.
B. Reviewing the client's expectations after surgery could address the client's query about the visibility of the surgical opening and offer information regarding elimination.
C. Verifying the NPO status is important for surgery preparation but doesn’t directly address the client's specific concern.
D. Determining if this is the first indwelling catheter doesn’t directly address the client's immediate concern regarding the surgical opening.

A. A Eat green leafy vegetables high in vitamin K. B. B Use electric razor when shaving. C. C If a dose is missed, double the next dose. D. D Take the medication before meals.

Correct Answer is B

Explanation

A. Eating green leafy vegetables high in vitamin K can interfere with the action of certain anticoagulants; however, it's not the primary instruction given post-cardioversion.
B. Using an electric razor helps prevent cuts and bleeding, which can be more significant due to anticoagulant therapy.
C. Doubling the dose after a missed dose is incorrect and potentially dangerous.

D. Taking the medication before meals might not be the primary concern regarding anticoagulant use.

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A child diagnosed with strep throat 3 days ago enters the clinic crying hysterically. The parent tells the practical nurse (PN) that the child screams in pain even with a light touch. The child is short of breath and anxious. Which manifestations warrant immediate intervention by the PN?

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Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

Correct Answer is B

Explanation

After a successful cardioversion, a male client with a new onset of atrial fibrillation receives a prescription for an anticoagulant. What instruction should the practical nurse (PN) reinforce with the client?

Correct Answer is B

Explanation

The practical nurse (PN) palpates a client's radial pulse and notes that the pulse disappears when light pressure is applied. How should the PN document this finding?

The practical nurse (PN) is reinforcing teaching to a group of evacuees in a mass casualty center after a natural flooding disaster. Which information should the PN include in the review? (Select all that apply.)

Prior to an invasive examination of a hospitalized client, a consent form should be obtained. Which action best describes the responsibility of the practical nurse (PN)?

An older female client who resides in a long-term care facility has a male friend who often visits her in the evenings. The practical nurse (PN) enters the room to administer medications and finds the couple in bed together. What action should the PN take?

A client is scheduled for a thoracentesis that will be done at the bedside. What should the practical nurse (PN) prepare before the healthcare provider arrives on the unit to perform the procedure?

An older client is fitted with a hearing aid and instructions are provided for its use. Which instruction is accurate and should be reinforced by the practical nurse (PN)?

A female client who is scheduled to be discharged within several hours shows the practical nurse (PN) a knife on her tray and states that she could use it to cut herself. What intervention is most important for the PN to implement?

When assessing a client at 38-weeks gestation, the practical nurse (PN) determines that she has one set of female twins, who are now 6 years old, a son who is 4 years old, and last year she had a fetal loss at 24-weeks gestation. Which is the correct gravidity and parity for this client?

A child diagnosed with strep throat 3 days ago enters the clinic crying hysterically. The parent tells the practical nurse (PN) that the child screams in pain even with a light touch. The child is short of breath and anxious. Which manifestations warrant immediate intervention by the
PN?