The practical nurse (PN) is caring for a client who delivered 6 hours ago. Assessment findings reveal a boggy uterus that is displaced above and to the right of the umbilicus. Which action should the PN take?

Encourage voiding.

Monitor vital signs.

Notify healthcare provider.

Inspect the perineal pad.

Answer and Explanation

The Correct Answer is A

If the practical nurse (PN) is caring for a client who delivered 6 hours ago and assessment findings reveal a boggy uterus that is displaced above and to the right of the umbilicus, the PN should encourage the client to void. A full bladder can displace the uterus and prevent it from contracting properly, leading to a boggy uterus. Encouraging the client to void can help empty the bladder and allow the uterus to contract and return to its normal position. The other actions listed may also be appropriate in some situations, but encouraging voiding is the most appropriate action in this situation.

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Correct Answer is A

Explanation

Baclofen is a muscle relaxant that can help relieve muscle spasms and manage conditions such as cerebral palsy¹. An assessment finding that indicates the drug is eﬀective for a child with cerebral palsy would be decreased muscular spasticity. This means that the child's muscles are less stiﬀ and rigid, which can improve their mobility and overall quality of life.

The other choices are incorrect because they are not directly related to the therapeutic eﬀects of baclofen. Baclofen is a muscle relaxant that is used to relieve muscle spasms and stiﬀness. While it may have other eﬀects on the body, its primary therapeutic eﬀect is to decrease muscular spasticity.

Increased appetite is not a known eﬀect of baclofen.
Sufficient urinary output is important for overall health, but it is not directly related to the eﬀectiveness of baclofen.
Fewer temper outbursts may be an indirect result of decreased muscular spasticity and improved mobility, but it is not a direct eﬀect of baclofen.

A. The mother has changed 3 wet diapers. B. The infant has not emptied a 3 oz formula bottle. C. The infant has not passed meconium stool. D. The mother has used the bulb syringe.

Correct Answer is C

Explanation

Passage of meconium stool is a normal and expected event in the first 24-48 hours of life. The absence of meconium stool can be indicative of bowel obstruction or other underlying medical conditions, and requires further investigation and evaluation by the healthcare team. The other options are important pieces of information, but they do not carry the same level of urgency as the absence of meconium stool.

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The practical nurse (PN) is caring for a client who delivered 6 hours ago. Assessment findings reveal a boggy uterus that is displaced above and to the right of the umbilicus. Which action should the PN take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child with cerebral palsy (CP) is taking baclofen, a relaxant. Which assessment finding indicates to the practical nurse (PN) that the drug is eﬀective?

Correct Answer is A

Explanation

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

Correct Answer is C

Explanation

An older female client is admited to the orthopedic unit following surgical repair of a fractured hip. On the second postoperative day, the client becomes confused and repeatedly asks the practical nurse (PN) where she is. Which information should the PN obtain before reporting to the charge nurse?

During morning rounds, a client who is admitted with obsessive-compulsive disorder is in the dayroom repeatedly washing the top of the same table. Which intervention should the practical nurse (PN) implement when approaching the client?

Following a hysterectomy, an older adult's complete metabolic panel findings indicate that her magnesium level is low. To help increase the client's magnesium level, the PN should suggest that the client increase her intake of which food?

The practical nurse (PN) is planning care for a child with heart failure. Which intervention should the PN give the greatest priority?

The practical nurse (PN) is caring for a client in the preoperative holding area who is waiting for abdominal surgery. The client tells the PN about feeling afraid and anxious because of the surgery. Which technique is best for the PN to assist the client to use while waiting for surgery?

The practical nurse (PN) is discussing attention deficit hyperactivity disorder (ADHD) with the mother of a 7- year-old student newly diagnosed with the disorder. Which intervention should the PN suggest as most eﬀective in managing the symptoms of ADHD?

The practical nurse (PN) is caring for an adolescent with type 1 diabetes mellitus who presents with an HbA1c of 11% (97 mmol/mol), thirst, and blurred vision. Which action should the PN take first?