Question: A practical nurse is caring for a patient who has a history of

heart disease and is experiencing chest pain. The nurse should prioritize

which action?

 Answer: B. Administering sublingual nitroglycerin.

 Rationale: Chest pain in a patient with a history of heart disease

indicates a potential cardiac event, and administering sublingual

nitroglycerin is the priority intervention as it helps dilate the coronary

arteries, improving blood flow to the heart.

Question: When providing care to a diverse patient population, the

practical nurse should be aware that certain cultural groups may have

dietary restrictions based on religious beliefs. Which action demonstrates

cultural competence?

 Answer: D. Inquiring about the patient's dietary preferences and

restrictions.

 Rationale: Inquiring about the patient's dietary preferences and

restrictions demonstrates cultural competence by respecting the patient's

cultural and religious beliefs regarding food.

Question: A patient with diabetes is admitted to the hospital. The practical

nurse understands that which type of insulin has the quickest onset of

action?

 Answer: A. Lispro insulin.

 Rationale: Lispro insulin has a rapid onset of action, making it suitable

for controlling postprandial hyperglycemia in patients with diabetes.

Question: In the context of ethical responsibilities, the practical nurse is

caring for a terminally ill patient who expresses a wish to discontinue lifesustaining treatment. What is the nurse's primary ethical obligation?

 Answer: B. Respect the patient's autonomy and advocate for their right

to make informed decisions.

 Rationale: Respecting the patient's autonomy and advocating for their

right to make informed decisions aligns with the ethical principle of

patient autonomy and self-determination.

Question: A patient is prescribed a medication with a narrow therapeutic

index. What action should the practical nurse take to ensure safe

medication administration?