test lpn

The nurse is providing discharge instructions to a client with diabetes mellitus. The client's HgbA1C level is 10%./How should the nurse inform the client?

. "Increase the amount of vegetables and water intake in your diet regimen."

The nurse is caring for a hospitalized client with angina pectoris who begins to experience chest pain. The nurse administers a sublingual nitroglycerin tablet as prescribed, but the pain is unrelieved. The nurse checks the client's blood pressure and notes that it is stable

.Administer another nitroglycerin tablet

The nurse is called to the room to assist a client with a chest tube. The client states it felt like the tube pulled out. The nurse assesses the client and finds that the tube has dislodged and is lying on the floor.What action should the nurse take next?

.Cover the insertion site with an occlusive dressing.

The nurse is caring for a hospitalized client with a diagnosis of heart failure who suddenly reports shortness of breath and dyspnea.The nurse should take which immediate action?/

.Elevate the head of the client's bed

A nurse is teaching a client with coronary artery disease about dietary measures that should be followed./During the session the client expresses frustration in learning the dietary regimen. The nurse should take which initial action?

.Identify the cause of the frustration

The nurse is reviewing the nursing care plan of a hospitalized client with sickle cell crisis/Which client problem is the least priority.

.Inability to cope with the disease

The nurse is caring for a client with aphasia./Which nursing action will be ineffective when communicating with the client?

.Increasing environmental stimuli

A client who has type 1 diabetes mellitus describes shakiness and hunger 2 hours after receiving a dose of regular insulinThe nurse determines that the client is having a hypoglycemic reaction and prepares to give the client which best item from the dietary kitchen to treat the reaction?

.Milk

A client treated for an episode of hyperthermia is being discharged to home from the emergency department, and the nurse provides discharge instructions./

.Resume full activity level immediately

A client drank 6 oz of juice and 8 oz of tea for breakfast, 4 oz of water to swallow medications at 0900 and 1300, and 8 oz of milk and 8 oz of coffee for lunch. The nurse determines that the client consumed how many mL of fluid?

1,140___ mL

he nurse is providing discharge instructions to a client with diabetes mellitus. The client's HgbA1C level is 10%.How should the nurse inform the client?

1. "Increase the amount of vegetables and water intake in your diet regimen."

The nurse enters a hospitalized client's room and discovers that the client is having a tonic-clonic seizure.Which actions should the nurse implement? Select all that apply.

1. why?2. ABC's3. Does client need medication? PO? Seizing4. Safety- Maslow5. Restrain?- All Restraints require Doctor's order6. If you didn't document it then it didn't _

The nurse has collected data from four clients examined in the health care clinic,Which client is least likely to develop coronary artery disease?

1.A client with hypertension whose blood pressure has been maintained at 118/78 mm Hg

The nurse is changing the tapes on a tracheostomy tube. The client coughs, and the tube is dislodged./What is the initial nursing action

1.Grasp the retention sutures to spread the opening.

Which client problem is the least priority?

1.Inability to cope with the disease

The nurse is caring for a client receiving intravenous (IV) therapy who is exhibiting manifestations of circulatory overload. What interventions should the nurse take? Select all that apply.

1.Monitor vital signs. 2.Prepare to administer oxygen. 3.Prepare to administer a diuretic. 4.Place the client in an upright position. Notify the primary health careprovider

Which nursing interventions apply in the care of an infant after a cleft lip repair (cheiloplasty)?

1.Observe for bleeding at the operative site.3.Cleanse the suture line gently after feeding the infant.4.1.Institute measures that will prevent vigorous and sustained crying.5.1.Assist the mother with breastfeeding if this is the feeding method ofchoice

Clarithromycin oral suspension 250 mg twice daily has been prescribed for a client with pharyngitis. How many milliliters (mL) should the nurse prepare to administer 1 dose?

10

The nurse is preparing to administer digoxin 0.25 mg orally. The label on the medication bottle reads "digoxin 0.125 mg per tablet."/How many tablet(s) will the nurse plan to administer to the client?

2

The nurse is preparing to administer digoxin 0.25 mg orally. The label on the medication bottle reads "digoxin 0.125 mg per tablet."/How many tablet(s) will the nurse plan to administer to the client?

2 tablets

The nurse is caring for a terminally ill client. The client's wife, who has served as the caregiver, is at the bedside. She states, "I really hope my husband can just get better so we can go home."/What statement should the nurse make to the client's wife?

2."It sounds like this is difficult for you. What do you know about

The primary health care provider prescribes an intravenous (IV) antibiotic to be administered in 50 mL 0.9% normal saline and to infuse in 30 minutes. The drop factor for the IV tubing is 15 gtt/mL.The nurse should set the flow rate of the infusion at how many drops per minute? Fill-in-the blank.

25

The licensed nurse employed in a hospital is assigning client care activities to an unlicensed assistive personnel (UAP). The UAP is a senior nursing student and works at the hospital as a UAP part- time on weekends. The hospital position description for a nursing student who is employed as a UAP indicates that he or she may perform basic procedures learned in nursing school if supervised by a licensed nurse./

A blood pH of 7.50

The nurse is planning the client assignments for the day and is reviewing client data and the needs of the clients on the nursing team./To maintain continuity of care, the nurse should ensure that which client is cared for by the nurse who cared for the client on the previous day?

A client recently diagnosed with inoperable cancer

The nurse is planning the client assignments for the day and has a registered nurse, a licensed practical nurse, and unlicensed assistive personnel on the nursing team./Which clients can be safely assigned to the licensed practical nurse?

A client scheduled for an ultrasound of the heart/A client with an open abdominal wound who requires wound irrigations every 3 hours/A client with a spinal cord injury who requires intermittent urinary catheterization every 4 hours

The nurse is planning client assignments for the day and has a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP) on the nursing team./The nurse most appropriately assigns which client to the LPN?

A client with a tracheostomy who requires frequent suctioning

The nurse has collected data from four clients examined in the health care clinic/Which client is least likely to develop coronary artery disease?

A client with hypertension whose blood pressure has beenmaintained at 118/78 mm Hg

The nurse is admitting a client with a diagnosis of posttraumatic stress disorder to the mental health unit. The client is confused and disoriented./During the assessment, what is the nurse's primary goal for this client?

Accept the client and make the client feel safe

The nurse enters a client's room and finds the client slumped over in bed. The nurse quickly assesses the client and discovers that the client is not breathing and there is no pulse.

Begin cardiopulmonary resuscitation (CPR)

Prednisone is prescribed for a hospitalized client with severe rheumatoid arthritis. Which daily laboratory result should the nurse monitor most closely

Blood glucose level

The nurse is caring for a client who just returned from the recovery room after a tonsillectomy and adenoidectomy. The client is restless, and the pulse rate is increased. The nurse continues to assess the client, but the client begins to vomit large amounts of bright red blood.

Call the surgeon

The licensed nurse employed in a hospital is assigning client care activities to an unlicensed assistive personnel (UAP). The UAP is a senior nursing student and works at the hospital as a UAP part- time on weekends. The hospital position description for a nursing student who is employed as a UAP indicates that he or she may perform basic procedures learned in nursing school if supervised by a licensed nurse./based on the hospital's position description, the licensed nurse assigns which most appropriate activity to this UAP?

Change a sterile abdominal dressing

A nurse is caring for a postoperative client who suddenly becomes restless./The nurse should take which most appropriate action?

Check the client's vital signs

The nurse is reviewing the plan of care for a client with a diagnosis of sickle cell anemia./Which client problem, if stated on the plan of care, should the nurse select as receiving the highest priority?

Dehydration

The nurse is caring for a client after a cardiac catheterization. The client suddenly reports a feeling of wetness in the groin at the catheter insertion site./The nurse checks the site, notes that the client is actively bleeding, and should take which best action?

Don a sterile glove and place pressure on the insertion site using sterile gauze

The nurse is caring for a hospitalized client with a diagnosis of heart failure who suddenly reports shortness of breath and dyspnea./The nurse should take which immediate action?

Elevate the head of the client's bed.

When preparing the plan of care for the client, the nurse should include which priority action?

Encourage the client to cough and deep breathe

The nurse is preparing to change an abdominal dressing using sterile technique.What is the order of priority that the nurse should take to perform this procedure? Arrange the actions in the order of priority that they should be performed. All options must be used.

Explain the procedure to the client.Wash hands.Set up a sterile field.Don clean gloves and remove the old dressing.Don sterile gloves, clean the site as prescribed, and apply a new dressing.Document the characteristics of the wound.

List in order of priority teaching a client how to use a metered-dose inhaler

First, use teaching and learning principles, first determine what the client knows about this medication administration system. Second, visualize the procedure and form a mental image as to how this medication system should be used; this will direct you to the correct order for its use./2,1,3,6,5,4

The nurse is collecting data from a client who has been taking omeprazole as prescribed.The nurse determines that the medication is ineffective if the client continues to experience which symptom?

Heartburn

The nurse is changing the tapes on a tracheostomy tube. The client coughs, and the tube is dislodged/What is the initial nursing action?

If the tube is accidentally dislodged, the initial nursing action is to grasp the retention sutures and spread the opening.

The nurse is caring for a terminally ill client. The client's wife, who has served as the caregiver, is at the bedside. She states, "I really hope my husband can just get better so we can go home."What statement should the nurse make to the client's wife?

It sounds like this is difficult for you. What do you know aboutyour husband's condition?"

The nurse is caring for a client with pneumonia and is performing a respiratory assesment on this client . The nurse listens to the clients lungs and note this sound. What sound has the nurse heard on auscultation of the lungs?

Low-Pitched crackles

The nurse has developed a plan of care for a client diagnosed with anorexia nervosa./Which client problem should the nurse select as the priority in the plan of care?

Malnutrition

The nurse is performing cardiopulmonary resuscitation on a 6- month-old infant./Which anatomical area would the nurse palpate to assess circulation?

Number 3 that is the brachial area.

Which nursing interventions apply in the care of an infant after a cleft lip repair (cheiloplasty)?

Observe for bleeding at the operative site./Cleanse the suture line gently after feeding the infant./5.Institute measures that will prevent vigorous and sustained crying./Assist the mother with breastfeeding if this is the feedingmethod of choice

The nurse is caring for a client who suddenly develops pulmonary edema.Arrange the nursing interventions in the priority order that they should be performed. All options must be used.

Place the client in high-fowler's position, place oxygenon the client , Place the client on a cardiac monitor and pulse oximetry, check lung sounds, prepare to insert a urinary catherer and to administrer furosemide . Prepare the client for endotracheal intubation mechanical ventilation

An infant with tetralogy of Fallot experiences a hypercyanotic spell during a blood draw./The nurse should take which action first?

Place the infant in a knee-chest position

The nurse is caring for a client who is taking digoxin and is monitoring routine laboratory values.Which laboratory value requires the need for follow-up by the nurse?

Potassium 3.4 mEq/L (3.4 mmol/L)

The nurse is reviewing the laboratory results of a client who is receiving magnesium sulfate by IV infusion and notes that the magnesium level is 3.5 mg/dL (1.44 mmol/L).Based on this laboratory result, the nurse would most likely expect to note which finding in the client?

Respiratory depression

A client recovering from an exacerbation of left-sided heart failure had a problem with tolerating activity./he nurse determines that the client best tolerates mild exercise if the client exhibits which change in vital signs during activity?

Respiratory rate increased from 16 to 19 breaths/min

A client with metastatic cancer is receiving a continuous intravenous (IV) infusion of morphine sulfate to alleviate pain.The nurse should monitor the client for which adverse or toxic effect of the medication?

Skeletal muscle flaccidity

A client with suspected actThe nurse anticipates that which diagnostic test will most likely be prescribed to confirm the diagnosis?ive lung tuberculosis is being scheduled for diagnostic tests./

Sputum culture

A client with suspected active lung tuberculosis is being scheduled for diagnostic tests.

Sputum culture

The nurse is assessing the client's condition after cardioversion/Which observation would be of highest priority?

Status of airway

The nurse is caring for a preoperative client who verbalizes a great deal of anxiety about the surgical procedure scheduled in 2 hours./Which action by the nurse would best alleviate the client's anxiety?

Stay with the client until he is brought to the operating room

The nurse is providing preoperative teaching to a client scheduled for a cholecystectomy./Which intervention would be of highest priority in the preoperative teaching plan

Teaching coughing and deep-breathing exercises

The nurse is preparing to teach a client how to use crutches. Before initiating the lesson, the nurse performs an assessment on the client.

The client's muscle strength and previous activity level

Malnutrition has been diagnosed for an unconscious client./Which outcome indicates to the nurse that the goals for this clienthave not yet been met?

Total protein 4.5 g/dL (45 g/L)

The nurse is performing cardiopulmonary resuscitation on a 6- month-old infant./Which anatomical area would the nurse palpate to assess circulation?

brachial pulse

The nurse is caring for a client who suddenly develops pulmonary edema./Arrange the nursing interventions in the priority order that they should be performed. All options must be used.

high-Fowler's position/administering oxygen and and pulse oximetry./Next check the lung sounds. prepara tp insert urinary catherer to administer furosemide. the client may need intubation and mechanical ventilation

The nurse is checking the arterial pulses on an adult client.Select the area where the nurse would palpate the carotid pulse.Refer to figure.

middle of the front neck