NCLEX review LPN #1

The nurse is reviewing the discharge plan with a female teenager with anorexia nervosa and reinforces the importance that the teenager attends a meeting of the local chapter of Anorexia Nervosa and Associated Disorders. Which response by the teenager indicates that she will likely be compliant with this plan?

"I'm going to do whatever it takes to get better.

The nurse is reviewing the discharge plan with a female teenager with anorexia nervosa and reinforces the importance that the teenager attends a meeting of the local chapter of Anorexia Nervosa and Associated Disorders. Which response by the teenager indicates that she will likely be compliant with this plan?

"I'm going to do whatever it takes to get better."

The nurse is teaching first aid measures to a group of teens about appropriate treatment for burns. The nurse should anticipate the need for more teaching when one of the teens makes what statement?

"It is appropriate to place butter on the burn.

A hospitalized client with coronary artery disease complains of substernal chest pain. After checking the client's heart rate and blood pressure, the nurse administers nitroglycerin, 0.4 mg sublingually. After 5 minutes, the client states, "My chest still hurts." If the vital signs have remained stable, which action should the nurse perform?

Administer another nitroglycerin table

A hospitalized client with coronary artery disease complains of substernal chest pain. After checking the client's heart rate and blood pressure, the nurse administers nitroglycerin, 0.4 mg sublingually. After 5 minutes, the client states, "My chest still hurts." If the vital signs have remained stable, which action should the nurse perform?

Administer another nitroglycerin tablet

The nurse discovers that one of her assigned clients is bleeding excessively from an abdominal incision. The nurse gives specific prescriptions to an unlicensed assistive personnel (UAP) to attend to the other clients and tells another nurse to call the health care provider immediately. In this situation, the nurse is implementing which leadership style?

Autocratic

The nurse is monitoring a child with a cast on the forearm for signs of compartment syndrome. The nurse understands that which data collection technique is unlikely to provide information about this complication?

Checking the child's ability to perform range of motion to the shoulder area, of the affected extremity. Compartment syndrome describes increased pressure within a muscle compartment

A client with a history of spinal cord injury is receiving baclofen (Lioresal) for muscle spasms. The nurse determines that the client is experiencing a side effect of this medication if the client experiences which sign/symptom?

Drowsiness

The nurse sees an automobile accident and gives care at the scene of the accident to a child with an open wound. The family is very happy and wants the nurse accept money for the care given to the child. Because of the family's insistence, the nurse accepts the money to avoid offending the family. The child gets an infection and sepsis and is hospitalized. The family sues the nurse who cared for the child at the accident. The nurse understands that what is accurate regarding immunity from this suit?

Good Samaritan laws will not provide immunity from suit if the nurse accepted compensation for the care provided.

A 4-year-old child is reluctant to take deep breaths following abdominal surgery. Which measure would be effective to encourage deep breathing?

Have the child pretend to be a big bad wolf blowing the little pig's house down.

During a prenatal visit of a client diagnosed with placenta previa, the health care provider defers doing a vaginal examination. The nurse understands that this examination is avoided in this situation because of what potential risk?

Initiating severe hemorrhage

The nurse is preparing to perform an abdominal examination. The initial step should be which?

Inspection

The nurse is caring for a child following surgical removal of a brain tumor. The nurse is monitoring the child and notes that the pulse rate has increased and the blood pressure has dropped significantly. Bloody drainage also is noted on the posterior dressing. Which is the best nursing action?

Notify the registered nurse (RN

The nurse is evaluating the effects of care for the client with deep vein thrombosis. Which limb observations should the nurse note as indicating the least success in meeting the outcome criteria for this problem?

Pedal edema that is 3+

The nurse is monitoring a client with a diagnosis of depression. Which behavior observed by the nurse indicates that suicide precautions should be instituted for this client?

The client asks to meet with a lawyer to take care of unfinished business.

A client with MRSA needs to be placed on contact precautions, the LPN in charge asks a new LPN to initiate contact precautions. What action by the new LPN would indicate the need to review the procedure for contact precautions?

she wears a gown when caring for the client and removes it immediately after leaving the client's room

The clinic nurse reads the results of a tuberculin skin test performed on a 5-year-old child. The results indicate an area of induration measuring 8 mm. Which correct interpretation should the nurse make about these results?

Negative

A client who is receiving infliximab -Remicade through an (IV) injection is complaining of difficulty swallowing. What is the first action of the nurse?

Notify the registered nurse (RN).