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.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. Keep the hearing aid out of direct sunlight. - This instruction is accurate as exposure to direct sunlight can potentially damage the hearing aid components, such as the battery or delicate electronic parts.
B. Wear the hearing aid while sleeping. - It's generally advised to remove hearing aids before sleeping to allow the ears to rest and prevent potential damage to the device.
C. Clean the hearing aid with baby oil. - Baby oil can damage the hearing aid and should not be used for cleaning. Specific cleaning solutions recommended by the manufacturer should be used.
D. Leave the hearing aid in place while showering. - Water exposure can damage the hearing aid, so it's advisable to remove it before showering or bathing.

A. Determine the means by which residents will be evacuated. B. Close all fire doors and the doors to all the residents' rooms. C. Assist any wandering residents back to their rooms. D. Offer comfort and reassurance to distraught residents.

Correct Answer is A

Explanation

A. Determining the means of evacuation requires understanding the facility's evacuation protocols, coordinating with authorities, and ensuring the safety of residents, which typically falls under the responsibility of the nursing staff, including the practical nurse (PN).
B. Closing fire doors and residents' room doors can be part of fire safety protocols and may involve the immediate safety response handled by both nursing staff and facility personnel.
C. Assisting wandering residents and offering comfort and reassurance to distraught residents can be tasks shared among nursing and support staff to ensure resident safety and well-being during an emergency situation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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)?

Correct Answer is A

Explanation

When a small fire breaks out in the kitchen of a long-term care facility, which task should be performed by the practical nurse (PN) rather than the unlicensed assistive personnel (UAP)?

Correct Answer is A

Explanation

Which assignment is best for the practical nurse to assign to the unlicensed assistive personnel (UAP)?

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.)

At bedtime, a female client with dementia becomes increasingly confused and agitated because she believes that someone is standing behind the privacy curtain. Which action should the practical nurse (PN) take?

During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?

The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. Which client care interventions should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply.)

The practical nurse (PN) administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication's effectiveness, which laboratory values should the PN monitor? (Select all that apply.)

The practical nurse (PN) is reviewing instructions for the use of pilocarpine eye drops with a client who has glaucoma. The client states, "I should use these drops to anesthetize my eye if I experience eye pain." Which action should the PN implement?

The practical nurse (PN) notices that one of the unlicensed assistive personnel (UAP) working in the long term care facility consistently records subnormal temperatures when using a tympanic thermometer. Which action should the PN take first?