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The LPN/LVN knows that an assignment to which of the following clients would be appropriate?
A. A 56 yo woman with emphysema scheduled to be discharged later today
B. A 34 yo woman with low back pain scheduled for a myelogram in the afternoon
C. A newly diagnosed 43 yo woman with type 1 diabetes mellitus
D. A 41 yo woman in traction with a fractured femur
D. This client is in stable condition and can be cared for by LVN/LPN
(this multiple choice question has been scrambled)
A woman with type 1 diabetes is returned to the recovery room one hour after an uneventful delivery of a 9lb, 8oz baby boy. The nurse would expect the woman's blodd sugar to do which of the following?
A. Change from 220 to 180 mg/dl
B. Change from 110 to 80 mg/dl
C. Change from 90 to 120 mg/dl
D. Change from 100 to 140 mg/dl
B. You must consider pathophysiology of diabetes along with the principles of labor and delivery.
(this multiple choice question has been scrambled)
The LPN/LVN in the outpatient clinic notes that the blood pressure for an 88 yo client is 190/100. The LPN/LVN should take which of the following actions?
A. Report the blood pressure reading to the RN B. Wait 20 mins and retake the blood pressure C. Use a different cuff and retake blood pressure
D. Position the client supine with feet elevated
A. LVN/LPN is responsible for data collection and should report findings that are abnormal to supervising RN. Immediate action should be taken so B is incorrect. Its unnecessary to recheck bp using other equipment or C position patient in supine with feet elevated.
After receiving a report from the RN, which of the following clients should the LPN/LVN see FIRST?A. A 31 yo woman refusing sucralfate (Carafate) before breakfastB. A 40 yo man with left sided weakness asking for assistance to the commodeC. A 50 yo woman complaining of chills who is scheduled for a cholecystectomyD. A 65 yo man with a nasogastric tube who had a bowel resection yesterday
C. This is the least stable client
The physicians orders amoxicillin 150mg PO in oral suspension every 8 hours for a 3 yo boy. The LPN/LVN enters the client's room to administer the medication and discovers that the boy does not have an identification bracelet. Which of the following should the LPN/LVN do?
A. This action will allow the nurse to correctly identify the chid and enable the nurse to give the medication on time.
The LPN/LVN in the outpatient clinic notes that the blood pressure for an 88yo client is 190/100. TheLPN/LVN should take which of the following actions?A) Report the blood pressure reading to the RNB) Wait 20 mins. And retake the blood pressureC) Use a different cuff and retake the blood pressureD) Position the client supine with feet elevated
A. The LPN/LVN is responsible for data collection and should report findings that are abnormal to the supervising RN. Immediate action should be taken, so B. is incorrect.It is unnecessary to recheck the blood pressure using other equipment or to position the client supine with feet elevated.
A 50yo male client comes to the nurses' station and asks the LPN/LVN if he can go to the cafeteria to get something to eat. When told that his privileges do not include visiting the cafeteria, the client becomes verbally abusive. Which of the following approaches by the LPN/LVN would be MOST effective?A) Tell the client to lower his voice, because he is disturbing other clientsB) Ask the client what he wants from the cafeteria and have it delivered to his roomC) Calmly but firmly escort the client back to his roomD) Assign nursing assistive personnel (NAP) to accompany the client to the cafeteria
C. The nurse should not reinforce abusive behavior. Clients need consistent and clearly defined expectations and limits.
A cast is applied to 9mos old girl for the treatment of talipes equinovarus. Which of the following instructions is MOST essential for the LPN/LVN to give to the child's mother regarding her care?A) Offer appropriate toys for her ageB) Make frequent clinic visits for cast adjustmentC) Provide an analgesic as neededD) Do circulatory checks of the casted extremity
D. A possible complication that can occur after cast application is impaired circulation. All of these answer choices might be included in family teaching, but checking the child's circulation I the highest priority.
The LPN/LVN notes the client is allergic to an order medication. Which of the following is the correct action by the LPN/LVN?A) Administer the medication as the physician order itB) Administer the medication and closely observe the clientC) Call the pharmacist to verify potential allergic responsesD) Call the physician and report the medication allergy
D. The LPN/LVN must notify the physician regarding the client's allergy to revise the medication order.
A 7yo girl with type 1 insulin-dependent diabetes mellitus (IDDM) has been home sick for several days and is brought to the ER by her parents. If the child is experiencing ketoacidosis, the LPN/LVN would expect to see which of the following lab results?A) Serum glucose 140mg/dlB) Serum creatine 5.2 mg/dlC) Blood pH 7.28D) Hematocrit 38%
C. Normal blood pH is 7.35-7.45. The lab result indicates diabetic ketoacidosis.
The LPN/LVN delivers external cardiac compressions to a client while performing CPR. Which of the following actions by the LPN/LVN is BEST?A) Maintain a position close to the client's side with the nurse's knees apart.B) Maintain a vertical pressure on the client's chest through the heel of the nurse's handC) Recheck the nurse's hand position after every 10 chest compressionsD) Check for a return of the client's pulse after every 8 breaths by the nurse
B. The nurse's elbows should be locked, arms straight, with shoulders directly over hands. Incorrect pressure or improperly placed hands could cause injury to the client.
The LPN/LVN obtains a health history from a client admitted with acute glomerulonephritis what is associated with beta-hemolytic Streptococcus. The LPN/LVN expects which of the following to be significant in the health history?A) The client had a sore throat 3 weeks earlierB) There is a family history of glomerulonephritisC) The client had a renal calculus 2 years earlierD) The client had an accident involving renal trauma several years ago
A. Glomerulonephritis is an immunologic disorder that is caused by beta-hemolytic Streptococcus. It occurs 21 days after a respiratory or skin infection.
A client is admitted to the medical/surgical unit complaining of nausea, vomiting, and severe right upper quadrant pain. His temperature is 101.3 F (38.5 C) and an abdominal x-ray reveals an enlarged gallbladder. He is scheduled for surgery. Which of the following actions should the LPN/LVN take FIRST?A) Assess the client's need for dietary teachingB) Evaluate the client's fluid and electrolyte statusC) Examine the client's health history for allergies to antibioticsD) Determine whether the client has signed consent for surgery
B. Hypokalemia and hypomagnesia commonly occur after repeated vomiting
A client is being treated in the burn unit for second and third degree burns over 45% of his body. The physician's orders include the application of silver sulfadiazine (Silvadene cream). The best way for the LPN/LVN to apply this medication is to use which of the following?A) Sterile 4x4 dressings soaked in salineB) Sterile tongue depressorC) Sterile gloved handD) Sterile cotton-tipped applicator
C. A sterile, gloved hand will cause the least amount of trauma to tissues and will decrease the chances of breaking blisters.
When caring for a client with anorexia nervosa, which of the following observations indicates to the LPN/LVN that the client's condition is improving?A) The client eats all the food on her meal trayB) The client asks friends to bring her special foodsC) The client weighs herself dailyD) The client's weight has increased
D. The client's weight is the most objective outcome measure in the evaluation of this client's problem.
A man had a permanent pacemaker implanted one year ago. He returns to the outpatient clinic because he thinks the pacemaker battery is malfunctioning. It is MOST important for the LPN/LVN to assess for which of the following?A) Abdominal pain, nausea, vomitingB) Wheezing on exertion, cyanosis and orthopneaC) Peripheral edema, shortness of breath, and dizzinessD) Chest pain radiating to the right arm, headache, and diaphoresis
C. These are symptoms of decrease cardiac output. These symptoms occur with pacemaker battery failure. Other symptoms include changes in pulse rate, irregular pulse and palpitations.
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