The practical nurse (PN) is preparing to assist an elderly client to the bathroom. The PN knows that an elderly adult's center of gravity changes from the hips to another area of the body. While planning to safely assist this client, the PN knows that the center of gravity for the elderly client is in which area of the body?

Upper torso.

Feet.

Upper extremities.

Head.

Answer and Explanation

The Correct Answer is A

A. The upper torso is where the center of gravity shifts in elderly adults. As people age, their center of gravity moves higher due to changes in body composition and muscle strength, which can affect balance.
B. The feet are the base of support, not the center of gravity. The center of gravity is located higher up in the body.
C. The upper extremities do not represent the center of gravity. The shift in the center of gravity affects overall balance and stability.
D. The head does not represent the center of gravity; it is primarily located in the upper torso. The head's position influences balance but is not the center of gravity.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A. Breast tenderness is a common side effect of oral contraceptives and is generally not a cause for immediate concern unless accompanied by other symptoms.
B. Left calf pain is a significant finding that could indicate deep vein thrombosis (DVT), a serious condition requiring prompt evaluation and potential treatment to prevent complications such as pulmonary embolism.
C. A change in menstrual flow can occur with oral contraceptives but is usually less critical than other symptoms. It should be monitored but does not indicate an immediate problem.
D. A weight gain of 5 pounds is a relatively minor side effect and not as urgent as symptoms suggestive of a serious condition like DVT.

A. The catheterization is part of the prescribed bladder retraining program. B. The catheterized volume determines the need to re-insert the indwelling catheter. C. The catheterization will stimulate the bladder to empty more completely. D. The catheterization procedure is an exercise in stimulus-response conditioning.

Correct Answer is B

Explanation

A. The post-voided residual volume assessment is not part of a bladder retraining program but is a diagnostic tool used to assess bladder function after catheter removal. This explanation misrepresents the purpose of the procedure.
B. The post-voided residual volume assessment measures how much urine remains in the bladder after the client has voided. This measurement helps determine if the bladder is emptying properly and whether there is a need for catheter re-insertion.
C. Post-voided residual volume assessment does not stimulate the bladder to empty more completely; instead, it measures the amount of urine left in the bladder. The procedure is diagnostic rather than therapeutic.
D. The post-voided residual volume assessment is a diagnostic procedure, not an exercise in conditioning. This explanation does not accurately describe the clinical purpose of the assessment.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client who has been taking oral contraceptives for the past year comes into the clinic for an annual exam. Which finding is most important for the practical nurse (PN) to report to the healthcare provider?

Correct Answer is B

Explanation

A client is voiding frequent small amounts 24-hours following the removal of an indwelling catheter, and a post-voided residual volume assessment is prescribed. Which explanation should the practical nurse (PN) provide to the client about why the procedure is necessary?

Correct Answer is B

Explanation

The practical nurse (PN) positions a temporal artery scanner as seen in the picture. Before obtaining a temperature measurement, which assessment of the skin should the PN complete?

In assessing a 2-year-old boy with croup, the practical nurse (PN) finds that he has become increasingly irritable and has developed tachypnea and resting stridor. Which intervention is best for the PN to implement?

During a nonstress test of a 38-week client, the practical nurse (PN) observes the fetal heart rate increases 15 beats above baseline lasting 10 seconds twice during a 20-minute tracing. Which finding should the PN document in the electronic medical record?

Exhibits The PN recognizes that dropdown dropdown and dropdown are findings consistent with elder mistreatment

Exhibits Which 3 other interventions can the practical nurse (PN) initiate to limit the spread of methicillin-resistant Staphylococcus aureus (MRSA)?

The practical nurse (PN) is assigning tasks to an unlicensed assistive personnel (UAP) who is giving basic care to a group of residents in a long-term care facility. Which client's task should be completed by a PN, rather than the UAP?

Which client information is most important for the practical nurse (PN) to consider when providing instructions to the unlicensed assistive personnel (UAP) about providing morning care to a postoperative client?

The practical nurse (PN) is preparing a client for discharge after a gastric bypass. Prior to discharge, which information should the PN reinforce with the client to prevent dumping syndrome?