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Practice Question

Prior to giving digoxin, the practical nurse (PN) assesses that a 2-month-old infant's heart rate is 120 beats/minute. Based on this finding, what action should the PN take?

Answer Choices:

Correct Answer:

Administer the medication and document the heart rate.

Rationale:

🟢 A heart rate of 120 bpm is normal for a 2-month-old infant, falling within the safe range for digoxin administration.

🟢 Digoxin should be withheld only if the apical heart rate is below the threshold—typically <90-100 bpm for infants.

🟢 Since the rate is appropriate, the PN should administer the medication as prescribed without delay.

🟢 Documenting the pre-administration heart rate is a key nursing responsibility to monitor therapeutic response and safety.

🟢 Accurate charting helps track trends and supports clinical decision-making if bradycardia develops later.

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This question is from PN Comprehensive Predictor~2023 Exam 2 which contains 176 questions.

More Questions from This Exam
The practical nurse (PN) observes an unlicensed assistive personnel (UAP) performing oral hygiene on an unconscious client who is lying in a flat side-lying position with an emesis basin on the bedside table near the chin. Which action should the PN take?

Answer Choices:

A. Enroll the UAP in a hospital education class on conducting safe client care.
B. Stop the procedure and tell the UAP to place the client in a Fowler's position.
C. Praise the UAP for doing oral hygiene but encourage family participation.
D. Tell the UAP to continue because the unconscious client is positioned safely.
A woman who delivered a normal newborn 24 hours ago reports, "I seem to be urinating every hour or so. Is that OK?" Which action should the practical nurse (PN) implement?

Answer Choices:

A. Catheterize the client for residual urine volume.
B. Measure the next voiding, then palpate the client's bladder.
C. Evaluate for normal involution, then massage the fundus.
D. Obtain a specimen for urine culture and sensitivity.
Before administering an antibiotic that can cause nephrotoxicity, which laboratory value is most important for the practical nurse (PN) to review?

Answer Choices:

A. Serum calcium.
B. Serum creatinine.
C. Hemoglobin and Hematocrit.
D. White blood cell count (WBC).
While receiving report for a client with carcinoma in situ of the left breast, the practical nurse (PN) reviews a pending lab report and notices increased levels of Anti-Glycan Neu5Gc Antibodies (AGNA). Which changes should the PN anticipate to be included in the client's plan of care?

Answer Choices:

A. Initiation of changes in infection control measures.
B. Increasing the client's dietary servings of fruits and vegetables.
C. Limiting the client's fluid intake to avoid hemodilution.
D. Avoiding the client's exposure to cold temperatures.
At the first dressing change, the practical nurse (PN) tells the client that her mastectomy incision is healing well, but the client refuses to look at the incision and refuses to talk about it. Which response by the PN to the client's silence is best?

Answer Choices:

A. "It's OK if you don't want to look or talk about the mastectomy. I will be available when you're ready."
B. "Would you like me to call another nurse to be here while I show you the wound?"
C. "Part of recovery is accepting your new body image, and you will need to look at your incision."
D. "You will feel beter when you see that the incision is not as bad as you may think."
From Exam
PN Comprehensive Predictor~2023 Exam 2

176 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exit Exam(s)
  • Domain: Exit Exam(s)~2023
  • Answer Choices: 4
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