A school-age child is exhibiting symptoms of rheumatic fever including fatigue, shortness of breath, ankle edema, joint pain, and aimless movement of the upper extremities or chorea. Which question should the practical nurse (PN) ask the parent concerning the child's recent health history that would be relevant to the diagnosis?

A client has a prescription for NPH insulin 25 units before breakfast and insulin aspart before meals and hour of sleep per sliding scale. The sliding scale parameters are:

• O units for finger stick glucose less than 170 mg/dL;
• 5 units for finger stick glucose 171 to 219 mg/dL;
• 10 units for finger stick glucose 220 to 269 mg/dL;
• 15 units for finger stick glucose 270 to 300 mg/dL.
• Call healthcare provider for finger stick glucose greater than 300 mg/dL.

The client's 0730 finger stick glucose is 271 mg/dL.

What is the total amount of insulin this client should receive? (Enter numeric value only.)

The parent of an school-aged child tells the practical nurse (PN) that the child fell out of a tree and hurt the child's arm and shoulder. Which assessment finding should the PN note as the most significant indicator of possible child abuse?

A client who is receiving sodium polystyrene sulfonate reports having two watery stools since starting the medication the previous day. Which action should the practical nurse (PN) take?

The practical nurse (PN) is assisting with screening examinations at a community clinic where a toddler is brought by a parent for scheduled vaccines. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the PN?

An older adult client tells the home health practical nurse (PN) of not having any money, and a belief of not deserving to eat, so the client has not asked anyone to help provide food. Which information is most important for PN to obtain?

The practical nurse (PN) is assisting the nurse (RN) during the admission of a client with a possible cerebrovascular accident (CVA). Which action(s) should the PN complete in the assessment phase of the admitting process? Select all that apply.

The practical nurse (PN) administers an anticonvulsant that causes photosensitivity. Which action should the PN take after administering the medication?

A toddler is diagnosed with acute otitis media following an upper respiratory tract infection. The practical nurse (PN) explains to the parent that the predisposition for otitis media in young children is related to which difference as compared to adults?

The practical nurse (PN) is assigned to care for a client that is unconscious and at risk for aspiration. The PN prepares to provide oral care to the client. Which action should the PN take next?

An adult male who has end-stage renal disease asks the practical nurse (PN) to remove his arteriovenous (AV) fistula because he wants to discontinue dialysis. Which action should the PN take first?