LPN- RN Exam ONE practice questions

Which term reflects a nurse's actions related to planning, implementation and evaluation of patient care using an interprofessional plan of action? A. Delegation B. Supervision C. Collaboration D. Self-management

C. Collaboration

Which body part would the nurse monitor for development of decreased gas exchange secondary to damage to the cervical spinal cord? A. Lungs B. Alveoli C. Diaphragm D. Carotid artery

C. Diaphragm

Which level of evidence would the nurse associate with a narrative literature review? A. Level I B. Level III C. Level V D. Level VI

C. Level V Rationale: A narrative literature review is representative of level V evidence. Levels I and II require stronger evidence. Level VI evidence is weaker than that found in narrative literature review.

At which location would the nurse anticipate identifying clinical manifestations of decrease peripheral perfusion? A. Brain B. Major organs C. Lower extremities D. Upper extremities

C. Lower extremities

Place the information in order using the AAPIE process. Lower extremity edema weight loss of 4 lb increased risk for heart failure fluid volume excess sodium restriction

1. Lower extremity edema 2. Fluid volume excess 3. increased risk for heart failure 4. sodium restriction 5. Weight loss of 4 lb

Which easily observable physical manifestation may indicate malnutrition? Select all that apply A. Very dry skin B. weak muscles C. Brittle hair and nails D. Body fat percentage E. Redness of the eyes

A, C

For a patient at risk for clotting, which intervention would the nurse teach the patient to decrease the risk for developing cloths? Select all that apply A. Avoid smoking B. Limit fluid intake C. avoid crossing the legs D. Avoid prolonged sitting E. Observe symptoms in lower extremities

A, C, D, E

For a patient with an excessive immune response, which clinical manifestation would the patient experience more than a patient with a decreased immune response? Select all that apply. A. Allergies B. Infections C. Drug therapy D. Chemotherapy E. Autoimmune diseases

A. Allergies, E. Autoimmune diseases

Evidence indicating that patients discharged from a hospital were readmitted within 30 days prompted implementation of which practice? A. Coordinating with case managers B. Keeping patients at the hospital longer C. Not allowing patients to be discharged alone D. Allowing patients to determine when they were discharged

A. Coordinating with case managers

For which type of cognitive impairment would the nurse implement an intervention to assist the patient with reorientation? A. Delirum B. Dementia C. Impaired Memory D. Personality Changes

A. Delirium

Which physiologic consequence would the nurse associate with a patient experiencing fluid volume deficit? Select all that apply A. Fever B. Edema C. Tachycardia D. Hypotension E. Hypokalemia F. Hyponatremia

A. Fever C. Tachycardia D. Hypotension

Which adult population would the nurse associate with an increased risk for impaired immunity? Select all that apply A. Nonimmunized adults B. Adults with hyperlipidemia C. Low socioeconomic groups D. Adults with diabetes mellitus E. Adults experiencing substance abuse disorder

A. Nonimmunized adults C. Low socioeconomic groups E. Adults experiencing substance abuse disorder

Which clinical manifestation would the nurse anticipate identifying in a patient with end-stage chronic kidney disease? A. Oliguria B. Polyuria C. Glycosuria D. Hematuria

A. Oliguria

While lifestyle intervention would the nurse teach a patient to decrease the high risk for decreased perfusion? Select all that apply A. Quit smoking B. Maintain bedrest C. Eat a high -fiber diet D. Participate in regular cardiovascular exercise E. Participate in deep-breathing and coughing exercises

A. Quit smoking C. Eat a high fiber diet D. participate in regular cardiovascular exercise.

Which competency did the Quality and Safety Education for Nurses (QSEN) Institute add to the Institute of Medicine's (IOM) competencies? A. Safety B. Informatics C. Patient-Centered Care D. Evidence-Based Practice

A. Safety

For the patient healing from extensive wounds, which nutrients would the dietitian and nurse emphasize in the patients diet? A. Fat and vitamin D B. Protein and vitamin C C. Carbohydrates and calcium D. Fiber and Omega 3 fatty acids

B. Protein and vitamin C

Which ethical principle would the nurse violate if the patient states, "I'm capable of taking care of myself at home; I don't need a nurse for my care, " and the nurse visits the home anyway? A. Fidelity B. Veracity C. Autonomy D. Beneficence

C. Autonomy

Which two components combine to produce carbonic acid responsible for an acid-base imbalance in a patient with pneumonia and a decreased blood pH? A. Lactic acid and water B. Oxygen and lactic acid C. Carbon dioxide and water D. Oxygen and carbon dioxide

C. Carbon dioxide and water

Which potentially life-threatening condition would the nurse suspect in a patient with prolonged diarrhea, chest palpitations, shortness of breath and fatigue? A. Methicillin-resistant Staphylococcus aureus (MRSA) infection B. Bladder rupture C. Cardiac dysrhythmia D. Intestinal obstruction

C. Cardiac dysrhythmia

Which health care organization is obligated to follow the evidence-based interprofessional core measures? Select all that apply. A. Organizations offering long-term care B. Organizations with surgical centers C. Organizations receiving Medicare funding D. Organizations receiving Medicaid funding E. Organizations with nursing research departments

C. Organizations receiving Medicare funding D. Organizations receiving Medicaid funding

The nurse enters the patient's room and notices the patient is in pain, short of breath, and pale. In which step of the Clinical Judgment Model (CJM) would these findings be placed? A. Take action B. Analyze cues C. Recognize cues D. Prioritize hypotheses

C. Recognize cues

Which laboratory test is useful in detecting autoimmune disease? Select All that Apply A. Western Blot B. C-reactive protein C. Rheumatoid Factor D. Antinuclear antibody D. Enzyme linked immunosorbent assay (ELISA)

C. Rheumatoid Factor D. Antinuclear antibody

When providing care for a patient with damage to cranial nerve 11 the nurse would monitor for potential development of which sense change? A. Taste B. Smell C. Vision D. Hearing

C. Vision

According to the (CJM) which situation would be considered evaluating the outcomes when caring for a patient with an infected wound? A. Wound cleansed with saline B. Serous wound drainage noted C. Wound decreased in size by 1 cm D. Dressing changes done once daily

C. Wound decreased in size by 1 cm

Utilizing the SBAR model to improve communication among health care team members, which term represents the "B" within the model? A. Basis B. Benefit C. Bedside D. Background

D. Background

Which process would the nurse associate with the evidence-based practice improvement (EBPI) Process? A. Evidence testing process B. Quality recognition process C. The Plan-Do-Study Act model D. Continuous Quality Improvement (CQI)

D. Continuous Quality Improvement (CQI)

Which evidence-based method would the nurse implement to decrease medication discrepancies resulting in negative patient outcomes? A. Medication recall B. Medication screening C. Medication discharge D. Medication reconciliation

D. Medication reconciliation

Which serum laboratory tests would the nurse associate with the most common test to assess for generalized malnutrition? A. Glucose and Insulin B. Iron and Hemoglobin C. Vitamin D and Calcium D. Prealbumin and Albumin

D Prealbumin and albumin

Which method of communication between two or more members of a healthcare team is formal means of communication? A. Code blue B. Electronic health record (EHR) C. Quality and Safety Education for Nurses (QSEN) D. Situation, background, assessment, recommendation (SBAR)

D. Situation, background, assessment, recommendation (SBAR)

Which type of medication would the nurse recommend to a patient experiencing constipation? Select All that Apply Diuretics Mild Laxatives Stool Softeners Bulk forming agents proton pump inhibitors

mild laxatives stool softeners bulk forming agents