PN Practice Test 2

1. A LPN/LVN is working on a nursing home floor when he smells smoke coming from a patient’s room. He immediately runs in to inspect the NON-smoking room and discovers a small fire in the client’s trash can. This client has emphysema and has an oxygen tank by his bedside with Oxygen being delivered presently via a nasal cannula. What should be the nurse’s FIRST action?

a. Smother the fire in the trash can.
b. Pull the fire alarm
c. Grab the fire extinguisher from the hall
d. Turn the client’s oxygen off

2. A LPN/LVN is caring for a patient with tuberculosis. The patient is currently receiving treatment which was initiated 3 days prior. The patient has filled his sputum tray with soiled tissues. He asks the nurse to help him dispose of the tissues. The nurse understands all of the following EXCEPT:

a.Waste should be disposed of in designated areas only, using proper containers for disposing of the waste.
b. All infectious waste should be labeled
c. Once the patient with tuberculosis has been receiving medication for 24 hours to treat the disease process; he/she is not considered contagious
d. Proper hand washing removes tubercle bacilli from the hands

3. Wrist restraints have been ordered for an 81 year old patient while he receives antibiotics intravenously. The patient is diagnosed with Alzheimer’s disease. The nurse knows all of the following to be true about restraints EXCEPT:

a. The use of restraints should be documented on the patient’s chart
b. Restraints should not interfere with treatments or affect the client’s health problem
c. The patient’s neurovascular and circulatory status should be checked every 5 minutes
d. Ensure there is enough slack in the straps to allow some movement

4. When charting regarding the use of the restraints, the nurse understands all of the following should be included in the charting entry EXCEPT:

a. Duration of the use and the client’s response
b. Method of restraint
c. Date and time of application
d. Assessment as to the effectiveness of the restraint

5. Nosocomial infections are known as hospital-acquired infections. These infections occur as a result of the patient’s hospital stay. The nurse knows that all of the following are common drug-resistant nosocomial infections EXCEPT:

a. Methicillin-resistant Staphylococcus aureus
b. Vancomycin-resistant enterococci
c. Multidrug-resistant Pneumocystis pneumonia
d. Multidrug-resistant tuberculosis

6. The nurse who has floated to the Medical-Surgical floor has been assigned 7 patients. The nurse understands the following about these patients:

a. All blood and body fluids from all of the patients should be handled as if contaminated.
b. Gowns should be worn when working with patients who might cause soiling of the nurse’s clothing.
c. Gloves should be worn when blood, body fluids, secretions, or excretions, nonintact skin or mucous membranes will be touched.
d. Blood or body fluid spills should be cleaned with 1:10 solution of hydrogen peroxide and water.

7. A pediatric nurse has been assigned to work with a pediatric patient with airborne precautions. All of the following illnesses would require airborne precautions EXCEPT:

a. chickenpox
b. measles
c. human immunodeficiency virus
d. tuberculosis

8. A nurse is caring for a pediatric patient with droplet precautions. What would be the MOST appropriate action of protection for the nurse to practice?

a. Use a mask
b. Wear gloves
c. Wear a gown, gloves, and mask
d. Wash hands between patients

9. A nurse is caring for an orthopedic patient with contact precautions. What would be the MOST appropriate action of protection for the nurse to practice?

a. Use a mask
b. Wear gloves
c. Wear a gown, gloves, and mask
d. Wash hands between patients

10. A nurse is reading a physician order regarding administration of a liquid medication to a nursing home patient. The nurse understands that the apothecary measures used to measure volume are:

a. teaspoon, drop
b. fluid dram, fluid ounce
c. grain, dram
d. teaspoon, fluid dram


Answers and Explanations

1. D: Explanation: Turn the client’s oxygen off Due to the highly flammable nature of oxygen and concern for immediate patient safety, the oxygen should be turned off. If the fire is small enough to be smothered easily, then that should be accomplished. If it is not, a call for help should be made with fire alarms pulled at the same time removing the client to safety and containing the fire or extinguishing it with a fire extinguisher.

2. C: Explanation: Once the patient with tuberculosis has been receiving medication for 24 hours to treat the disease process; he/she is not considered contagious The individual with tuberculosis should have been receiving medication for the disease for 2-3 weeks before the risk of transmission is reduced. All of the other statements are true and correct.

3. C: Explanation: The patient’s neurovascular and circulatory status should be checked every 5 minutes. The patient’s neurovascular and circulatory status should be checked every 30 minutes. The nurse should also release the restraint/s every 2 hours to allow the client to exercise his/her limbs and to allow better circulation. All of the other statements are correct.

4. D: Explanation: Assessment as to the effectiveness of the restraint. The LPN/LVN does not need to document as to their assessment of the effectiveness of the restraint. All other points mentioned should be included in documentation. Other points to document include: reason for the restraint, when the client was released from the restraint and what was done to promote circulation, exercise, neurovascular and skin assessment, and evaluation of the client’s response.

5. C: Explanation: Multidrug-resistant pneumocystis pneumonia This disease pneumocystis pneumonia is an opportunistic infection more frequently found in a HIV-positive individual. It is not a typical nosocomial infection.

6. D: Explanation: Blood or body fluid spills should be cleaned with a 1:10 solution of hydrogen peroxide and water. Blood or body fluid spills should be cleaned with a solution of 1:10 dilution of bleach and water. This solution of bleach and water should kill any infectious microorganisms and limit and prevent exposure to others. All of the other statements are correct.

7. C: Explanation: human immunodeficiency virus Human immunodeficiency virus (HIV) does not require airborne precautions. Chicken pox, measles, and tuberculosis all do require airborne precautions as the diseases are spread through the air.

8. A: Explanation: Use a mask The use of a mask is necessary when a client has droplet precautions. The other items are not necessary. Some typical diseases which require droplet precautions include: rubella, scarlet fever, sepsis, streptococcal pharyngitis, mumps, meningitis, influenza, epiglotitis, pertussis, mycoplasma pneumonia or meningococcal pneumonia.

9. B: Explanation: Wear gloves The nurse should also wear a gown but it is not necessary to wear a mask. It would be advantageous or necessary for the client to have a private room unless a client with the same disease was sharing the room. Some situations which may require contact precautions include: infection with a multidrug resistant organism, enteric infection, RSV, wound and skin infections, an eye infection such as conjunctivitis.

10. B: Explanation: fluid dram, fluid ounce These are apothecary measures used to measure volume. The apothecary measures commonly used to order medications include: grain, dram, and ounce. Apothecary and household measures are the oldest used to measure medications.

Last Updated: 05/19/2014

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