Based on annual physical assessments, an older adult female's blood pressure readings have changed from 120/82 to 155/86 mm Hg over the past two years.

The practical nurse (PN) should recognize which factors in the client's history are likely to be associated with this finding? (Select all that apply.)

Leads an aerobics class.

Increase in age.

Body mass index of 22

History of diabetes mellitus.

Hyperlipidemia

Answer and Explanation

Correct Answer : B,D,E

A.   Leading an aerobics class typically contributes to better cardiovascular health and may not directly correlate with an increase in blood pressure.
B.   An increase in age is a common factor associated with an elevation in blood pressure.
C.   Having a body mass index (BMI) of 22, which falls within the healthy range, might not significantly contribute to a substantial increase in blood pressure.
D.   History of diabetes mellitus can contribute to changes in blood pressure over time.
E.   Hyperlipidemia, especially if poorly managed, can lead to an elevation in blood pressure.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A. Urinary frequency. - Urinary frequency is not a typical symptom indicative of hypoglycemia.
B. Tachycardia. - Tachycardia, an increased heart rate, can be a sign of hypoglycemia as the body responds to low blood sugar by increasing the heart rate to compensate.
C. Elevated temperature. - Elevated temperature is not typically associated with hypoglycemia; it might suggest an infection or other issues.
D. Hypertension. - Hypertension, or high blood pressure, is not a typical sign of hypoglycemia; it might indicate other health conditions or issues.

A. Document the appearance of the wound as inflamed. B. Report the appearance of the dressing to the charge nurse. C. C Compress the drainage device before closing the tab. D. Clamp the drainage tubing for the next four hours.

Correct Answer is ["B","C"]

Explanation

A. The wound is not inflamed, but rather discharging excessively. The PN should document the amount and color of the drainage, the size and location of the wound, and any signs of infection or complications.
B. The dressing needs to be changed as soon as possible to prevent infection and further blood loss. The charge nurse can also assess the need for additional interventions, such as suturing, hemostasis, or transfusion.
C. Compressing the device creates a vacuum that helps drain the fluid from the wound. The PN should squeeze the device until it is about half full, then close the tab securely.
D. Clamping the tubing can cause a backup of fluid in the wound, which can increase the risk of infection and impair healing. The PN should never clamp the tubing unless instructed by the provider.
E. Removing the device can cause more bleeding and disrupt the healing process. The PN should only remove the device when ordered by the provider or when it is no longer needed.

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Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is caring for a client newly diagnosed with diabetes mellitus. Which finding indicates that the PN should obtain a capillary glucose measurement to assess for hypoglycemia?

Correct Answer is B

Explanation

The practical nurse (PN) observes a client's initial postoperative dressing and drain as seen in the picture. Which follow-up actions should the PN implement? (Select all that apply.)

Correct Answer is ["B","C"]

Explanation

The practical nurse (PN) is administering a saline enema to a client who was admitted because of a fever of unknown origin and is now constipated. Which techniques should the PN use? (Select all that apply.)

A highly successful businessman presents to the community mental health center complaining of sleeplessness and anxiety over his financial status. Which action should the practical nurse (PN) take to assist this client in diminishing his anxiety?

The practical nurse (PN) is observing a newly hired PN who is preparing to administer a liquid medication via a client's feeding tube system using the wrong procedure. What action should the PN take?

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?

The practical nurse (PN) observes an infant searching for a fallen toy. According to Piaget, which additional finding should the PN correlate with this developmental stage?

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.)