The practical nurse (PN) is caring for a 3-month-old infant with a head injury who had a seizure episode. The infant has a high-pitched cry and is irritable. The caregiver reports that the infant rolled over and fell onto the carpeted ﬂoor. Which action should the PN take?

Obtain a heel stick glucose.

Report injury details to the charge nurse.

Initiate strict intake and output measurements.

Swaddle the infant in a blanket.

Answer and Explanation

The Correct Answer is B

The PN should report the injury details to the charge nurse. This is important because the charge nurse needs to be aware of any changes in the patient's condition and can help determine the appropriate course of action. The other options are not the most appropriate actions for the PN to take in this situation.

Obtaining a heel stick glucose (A) may be necessary if hypoglycemia is suspected, but it is not the most immediate concern.

Initiating strict intake and output measurements (C) may be necessary for monitoring ﬂuid balance, but it is not the most immediate concern.

Swaddling the infant in a blanket (D) may provide comfort, but it does not address the underlying issue of the head injury and seizure episode.

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Correct Answer is A

Explanation

Vitamin tablets are unlikely to cause significant harm to the esophagus if the child vomits after ingesting them. However, toilet bowl cleaner and kerosene are corrosive substances that can cause serious damage to the esophagus and other tissues if ingested.

An unknown substance cannot be evaluated for potential harm to the esophagus.

In any case, the mother should be advised to seek immediate medical attention for her child if they have ingested any potentially harmful substance.

The PN should also follow their facility's policies and procedures for managing cases of poisoning or suspected poisoning.

A. Have you experienced recent stresses? B. Have you experienced sleep changes? C. What foods have you been eating lately? D. Do you often feel sad?

Correct Answer is D

Explanation

Feeling sad or having a depressed mood is a common symptom of depression. Asking the client if they often feel sad can help the practical nurse (PN) assess for depression.

While recent stresses (A), sleep changes (B), and dietary habits (C) may also be relevant to the client's situation, asking if the client often feels sad is the most important question for the PN to ask in order to further assess for depression.

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The practical nurse (PN) is caring for a 3-month-old infant with a head injury who had a seizure episode. The infant has a high-pitched cry and is irritable. The caregiver reports that the infant rolled over and fell onto the carpeted ﬂoor. Which action should the PN take?

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Naxlex Comprehensive Predictor Exams

A mother calls the clinic to report that her child has just swallowed "poison" and is vomiting. In preparing to instruct the mother about the necessary action to take, which substance should the practical nurse (PN) consider to be the least traumatic to the esophagus when the child vomits?

Correct Answer is A

Explanation

A client at the mental health center reports difficulty concentrating at work, feeling very tired during the day, and sleeping 4 to 5 hours at night. To further assess for depression, which question is most important for the practical nurse (PN) to ask?

Correct Answer is D

Explanation

Which information is most important for the practical nurse (PN) to relay to the registered nurse (RN) concerning a 24-hour-old infant?

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