( NCSBN) LPN Questions And Answers Well Elaborated Answers Graded A+

Face the client while asking questions as the interpreter translates the information - correct answers A nurse must use an interpreter to collect data from a client. Which action should the nurse take to help communicate with the client? Measure blood pressure, pulse and respirations - correct answers The client is admitted with a diagnosis of hyperglycemia and poor glycemic control. Which task can the nurse assign to an unlicensed assistive person (UAP)? An older adult client diagnosed with cystitis who has an indwelling urethral catheter - correct answers The licensed practical nurse (LPN) is reassigned to work on an acute care unit. Which of these clients would be most appropriate for the LPN to accept? "Have the client lift and move the walker out to arm's length, then walk into the walker." - correct answers A client who recently experienced a stroke has an order to ambulate with assistance. Which statement by the nurse provides the best instructions to the unlicensed assistive person (UAP) who will assist the client to ambulate? Improve the quality of care in a proactive manner - correct answers The nurse is reviewing information about the health care organization's efforts to improve quality of care. Which of these statements best describes the goal of continuous quality improvement (CQI) in a health care setting? "Health care decisions can be made based on the client's wishes." - correct answers During a discussion about a living will, the client's son states, "I do not understand the need for a living will." What is the best response by the nurse? Verify that the client's medical record includes the client's written consent to release information. - correct answers A client diagnosed with bipolar disorder has been referred to social services for possible placement in a community halfway house after discharge. The social worker telephones the nurse and asks for information about the client's mental status and adjustment. What should the nurse do next to respond to this request? "Since I am late for lunch, would you perform my client's blood glucose test?" - correct answers When walking past a client's room, the nurse hears an unlicensed assistive person (UAP) talking to another UAP. Which of these statements requires further intervention by the nurse? The client with a history of coronary artery disease (CAD) reporting dyspnea, nausea and unusual discomfort in the upper back - correct answers The nurse has been assigned to four clients. Which client should the nurse see first? Meet with the client to formulate a mutually agreeable schedule. - correct answers The client requests not to be interrupted before 10 am because it interferes with the client's time to meditate. What action shall the nurse take first? Discuss with the client to find out about the preferred herbal preparation - correct answers A client refuses to take the medication prescribed because the client prefers to take an herbal preparation instead. What is the first action the nurse should take? All clients have a right to be informed about their prescribed medications - correct answers A client diagnosed with schizophrenia insists that the nurse explain the use and side effects of the medications prescribed for the client. What should the nurse understand before responding to the client? Close all doors in the area. - correct answers The nurse is caring for a group of clients when a fire alarm sounds in the hospital cafeteria. What should the nurse do next? Explore for further identification about the nature of the problem - correct answers A LPN complains to the charge nurse that an unlicensed assistive person (UAP) consistently leaves the work area untidy and does not restock supplies. What is the best initial response by the charge nurse? "When I emptied my urine catheter drainage bag it looked like rusty-colored water." - correct answers A home health nurse is providing care for a client. Which client statement should the nurse report immediately to the client's health care provider? Assist with transferring the client from the bed to the chair. - correct answers A client with a musculoskeletal disorder has been newly fitted with a lower limb orthotic. Which activity can the nurse delegate to the certified nursing assistant (CNA)? Keep a time log for what was done during the hours worked - correct answers A newly licensed nurse is concerned about time management. Which action should be most effective in the initial development of a time management plan? "Have you thought about what you want done as your disease progresses?" "Have you discussed your wishes regarding resuscitation with your health care provider? "What does your family know about your condition and prognosis?" - correct answers The nurse is providing care for a client who was recently diagnosed with end-stage heart failure. The client does not have advance directives in place. Which of the following statements by the nurse would be appropriate? (Select all that apply.) The client's self-report of pain is the most important consideration - correct answers During the management of a client's pain, the nurse should adhere to the code of ethics for nurses. Which of these actions should the nurse consider first when treating the client's pain? Record and report the client's intake and output. - correct answers The nurse is caring for a client with congestive heart failure. Which task can the nurse delegate to the unlicensed assistive person (UAP)? Occupational therapist - correct answers The home health nurse is visiting a client diagnosed with type 1 diabetes and osteoarthritis. The client has difficulty holding and using the prescribed insulin pen. The nurse should refer the client to which community resource person? Hold the medication and contact the health care provider. - correct answers The licensed practical nurse (LPN) is caring for a client with an order that reads, "morphine sulfate 2 mg IV push every 3 to 4 hours as needed for pain." There are no other licensed persons working that shift. Which action should the nurse take? Complete and accurate documentation of assessments and interventions - correct answers A nurse is named in a lawsuit. Which of these factors will offer the best protection for that nurse in a court of law? The client with peptic ulcer disease who has been vomiting most of the night - correct answers The nurse is assigned to care for several clients on the day shift. Which client should the nurse see first after receiving shift report? Inform the charge nurse to offer information about advance directives - correct answers Upon completing a review of a 27-year-old client's admission documents, the nurse identifies that the client does not have an advance directives. What action should the nurse take? Name and date of birth. 0700 blood glucose. Medication administration record (MAR). - correct answers The nurse is preparing to administer regular insulin subcutaneously to a client at 0800. What information from the client's electronic health record should the nurse review in order to safely administer the medication? (Select all that apply.) Encourage the UAP to directly confront the HCP about the unprofessional behavior. - correct answers The nurse hears a health care provider (HCP) loudly criticizing one of the unlicensed assistive persons (UAP) within the earshot of others. The UAP does not react or respond to the HCP's complaints. What is the best action by the nurse? Report this request immediately to the nurse manager. - correct answers The nurse asks another staff nurse to sign for wasting a partial-dose opioid injection, although the wasting was not witnessed by anyone. This type of request seems to be a pattern of behavior for this nurse. What is the most appropriate action for the second staff nurse to take? Achievement or status of progress related to prior goals - correct answers The LPN/VN assists the RN in evaluating the plan of care for clients. What action does the LPN focus on during the evaluation phase? Case management is a collaborative process designed to meet complex client needs. - correct answers Information about case management and the role of the case management nurse is presented during an orientation session for new nurses. Which statement correctly describes an important fact about case management? Empty the child's mouth of any poisonous substance still present. - correct answers The nurse is reinforcing education to a group of parents on how to treat accidental poisoning of children in the home. What information should the nurse include? Immediately wash hands vigorously with soap and warm water. - correct answers The nurse is stuck in the hand by an exposed needle that was accidentally left in the client's bed. What action should the nurse take first? To trace and screen recent contacts the client had - correct answers The client is diagnosed with active tuberculosis (TB) and the case has been reported to the local health department. The nurse understands that the most important reason for notifying the health department is: The client's status is documented every 15 minutes. The appropriate client advocate or relative has been notified. The radial and pedal pulses are palpable and strong. - correct answers A client has been placed in physical restraints due to aggressive behavior. Which of the following demonstrates that the nurse has appropriately implemented the restraints? (Select all that apply.) Wash hands thoroughly with soap and warm water after contact with the child. - correct answers The 4-year-old child is newly diagnosed with hepatitis A. Which instructions should the nurse reinforce with the child's parents? "Please tell me your full name and date of birth." "Do you have any questions about the colonoscopy?" "Describe what the health care provider told you about a colonoscopy." - correct answers The nurse is preparing a client for a colonoscopy and notes that the consent form has not been signed. Which of the following statements by the nurse are appropriate to make to the client? (Select all that apply.) Mark the entry as "mistaken entry-wrong patient." Enter the time the error was discovered. - correct answers The nurse is reviewing the documentation of a client's care in their electronic health record and realizes that one of the entries was completed on the wrong client. Which of the following actions are appropriate for the nurse to take? (Select all that apply.) 1. Press the analyze button when the AED prompts the nurse to do so 2. Wait for the AED to analyze the clients heart rhythm 3. Call out "Stand Clear" when the AED Prompts the nurse to administer a shock 4. Press the shock button on the AED 5. Allow time for the AED to administer a shock 6. Immediately resume CPR - correct answers The automated external defibrillator (AED) has been applied to a client receiving cardiopulmonary resuscitation (CPR). Indicate how the nurse will proceed by placing the following actions in the correct order. (Instructions: Drag and drop the steps into the correct order.) The client is talking on the telephone and laughing The client is crossing his legs The client is drinking a cup of black tea The air is released rapidly while auscultating for Korotkoff sounds - correct answers The nurse enters the room while a student nurse is taking a manual blood pressure on a client sitting in the chair. For which of the following observations should the nurse reinforce teaching with the student nurse? (Select all that apply.) Urine and saliva will be radioactive for 24 hours after ingestion. - correct answers An outpatient client is scheduled to receive an oral solution of radioactive iodine. In order to reduce radiation exposure to others, which information should the nurse reinforce? Prior to and after eating After cleaning a wound After contact with objects in the immediate vicinity of the client Before having direct contact with a client - correct answers The nurse understands that which situations require hand hygiene such as handwashing or hand sanitation? (Select all that apply.) Presence of an indwelling urinary catheter - correct answers The nurse is attending an in-service about health care-acquired infections (HAIs). Which factor is considered a common cause of HAIs for clients in the acute care hospital setting? Routinely assess if the client is ready for restraint discontinuation. Remove restraints every two hours to allow for movement of involved extremity. Monitor the client's emotional response to the restraints. - correct answers The nurse is caring for a client with bilateral wrist restraints. Which intervention(s) should the nurse include in the client's plan of care? (Select all that apply.) "Until the child outgrows the car seat." - correct answers The parents of a toddler ask, "How long will our child have to sit in a car seat when riding in a car?" What would be the best response by the nurse?