ACTUAL QUESTIONS AND CORRECT DETAILED
ANSWERS (NGN STYLE) | ALREADY GRADED A+
The LPN/LVN is preparing to care for a client who will be arriving
from the recovery room after an above-the-knee amputation. The
nurse ensures that which priority item is available for emergency use?
Surgical tourniquet
A client is diagnosed with thrombophlebitis. The nurse should tell the
client that which prescription is indicated?
Bed rest, with elevation of the affected extremity
A client returns to the nursing unit after an above knee amputation of
the right leg. In which position should the nurse place the client?
With the foot of the bed elevated
The LPN/LVN is collecting data from a client about medications
being taken, and the client tells the nurse that he is taking herbal
supplements for the treatment of varicose veins. The nurse
understands that the client is most likely taking which?
Bilberry
The LPN/LVN is planning to reinforce instructions to a client with
peripheral arterial disease about measures to limit disease progression.
The nurse should include which items on a list of suggestions to be
given to the client? Select all that apply.
2. Be careful not to injure the legs or feet.
4. Walk each day to increase circulation to the legs.
pg. 1
,5. Cut down on the amount of fats consumed in the diet.
A client is at risk for developing disseminated intravascular
coagulopathy (DIC). The LPN/LVN should become concerned with
which fibrinogen level?
90 mg/dL
A hospitalized client with a history of angina pectoris is ambulating in
the corridor. The client suddenly complains of severe substernal chest
pain. The LPN/LVN should take which action first?
Assist the client to sit or lie down.
The LPN/LVN notes bilateral 2+ edema in the lower extremities of a
client with known coronary artery disease who was admitted to the
hospital 2 days ago. Based on this finding, the nurse should
implement which action?
Reviews the intake and output records for the last 2 days
A client brings the following medications to the clinic for a yearly
physical. The LPN/LVN realizes which medication has been
prescribed to treat heart failure?
Digoxin (Lanoxin)
A student nurse is assigned to assist in caring for a client with acute
pulmonary edema who is receiving digoxin (Lanoxin) and heparin
therapy. The nursing instructor reviews the plan of care formulated by
the student and tells the student that which intervention is unsafe?
Restricting the client's potassium intake
pg. 2
,A client has an inoperable abdominal aortic aneurysm (AAA). Which
measure should the nurse anticipate reinforcing when teaching the
client?
Antihypertensives
The LPN/LVN finds a client tensing while lying in bed staring at the
cardiac monitor. Which is the nurse's best response when the client
states, "There sure are a lot of wires around there. I sure hope we don't
get hit by lightning!"?
"Yes, this equipment is a little scary. Can we talk about how the
cardiac monitor works?"
The LPN/LVN is asked to assist another health care member in
providing care to a client who is placed in a modified Trendelenburg's
position. The nurse interprets that the client is likely being treated for
which condition?
Shock
A client is seen in the health care provider's office for a physical
examination after experiencing unusual fatigue over the last several
weeks. Height is 5 feet, 8 inches, with a weight of 220 pounds. Vital
signs are temperature 98.6° F oral, pulse 86 beats per minute,
respirations 18 breaths per minute, and blood pressure 184/96 mm
Hg. Random blood glucose is 110 mg/dL. In order to best collect
relevant data, which question should the LPN/LVN ask the client
first?
"When was the last time you had your blood pressure checked?
pg. 3
, The client scheduled for a right femoropopliteal bypass graft is at risk
for compromised tissue perfusion to the extremity. The LPN/LVN
takes which action before surgery to address this risk?
Marking the location of the pedal pulses on the right leg
The LPN/LVN is preparing to ambulate a postoperative client after
cardiac surgery. The nurse plans to do which to enable the client to
best tolerate the ambulation?
Premedicate the client with an analgesic before ambulating.
A client is wearing a continuous cardiac monitor, which begins to
alarm at the nurse's station. The nurse sees no electrocardiographic
complexes on the screen. The nurse should do which first?
Check the client status and lead placement.
The LPN/LVN in a medical unit is caring for a client with heart
failure. The client suddenly develops extreme dyspnea, tachycardia,
and lung crackles, and the nurse suspects pulmonary edema. The
nurse immediately notifies the registered nurse and expects which
interventions to be prescribed? Select all that apply.
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
The nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse?
Status of airway
The nurse is assisting in caring for the client immediately after
insertion of a permanent demand pacemaker via the right subclavian
vein. The nurse prevents dislodgement of the pacing catheter by
implementing which intervention?
Limiting movement and abduction of the right arm
pg. 4