HURST READINESS EXAM 2 PRACTICE TEST
BANK EXAMPREP FULL SOLUTION SET
HIGHLY ACCURATE REVIEW
●● Which tasks would be appropriate for the LPN/LVN to assign to an
unlicensed assistive personnel (UAP)? (SATA)
1. Ask the client diagnosed with dementia memory-testing questions.
2. Collect the urinary output hourly on the client with renal disease.
3. Demonstrate pursed lipped breathing to the client who has
emphysema.
4. Give a tepid sponge bath to the client who has a fever.
5. Assess oxygen saturation on a client experiencing angina..
Answer: 2., & 4. Correct: The UAP can obtain hourly urine output on
clients and can give a tepid sponge bath to a client. The LPN/VN must
know what tasks can be assigned to the UAP.
1. Incorrect: The nurse cannot delegate assessment, evaluation, or
teaching. This would be an assessment function for the RN to perform.
3. Incorrect: The UAP cannot teach. Demonstration is a method of
teaching. This is an RN task.
,5. Incorrect: The UAP cannot assess the client experiencing angina. This
is an RN task.
●● What nursing interventions should the nurse implement for a client
with Addison's disease? (SATA)
1. Administer potassium supplements as prescribed.
2. Assist the client to select foods high in sodium.
3. Administer Fludrocortisone as prescribed.
4. Monitor intake and output.
5. Record daily weight..
Answer: 2., 3., 4. & 5. Correct: The client with Addison's disease needs
sodium due to low levels of aldosterone. Fludrocortisone is a
mineralocorticoid that the client will need to take for life. I&O and daily
weights are needed to monitor fluid status.
1. Incorrect: Clients with Addison's disease lose sodium and retain
potassium, so this client does not need potassium.
●● A licensed practical nurse (LPN) is utilizing the nursing process to
care for assigned clients. Which nursing actions should the LPN relate to
the implementation step of the nursing process? (SATA)
1. Collecting client data for a nursing history.
,2. Reporting client response to a new medication.
3. Procuring equipment for a planned medical procedure.
4. Assigning client care activities to unlicensed assistive personnel.
5. Delivering skilled nursing care according to an established health
care plan..
Answer: 3., 4., & 5. Correct: The nurse should relate procuring medical
equipment, assigning client care activities, and delivering skilled nursing
care to the implementation step of the nursing process. Implementation
is the third step of the nursing process and consists of delivering nursing
care according to an established health care plan and as assigned by the
RN or other person(s) authorized by law.
1. Incorrect: This is not the implementation step of the nursing process.
LPNs participate in the assessment step of the nursing process by
collecting client data for a nursing, psychological, spiritual, and social
histories, comparing the data collected to normal values and findings.
2. Incorrect: This is not the implementation step of the nursing process.
LPNs participate in the nursing process by reporting client responses to
the RN or supervising healthcare provider.
●● The primary healthcare provider prescribes nafcillin 0.6 gram every
12 hours IM. Available is a vial labeled 200 mg per 1 mL. How many
mL should the nurse give? Round your answer to the nearest whole
number..
Answer: Changing 0.6 g to mg equals 600 mg.
, Then 200 mg : 1 mL = 600 mg : x mL
200x = 600
x=3
●● The nurse should reinforce which instructions given to the
unlicensed assistive personnel (UAP) about care needed to reduce the
risk of infection when a client has an indwelling catheter? (SATA)
1. Check catheter for kinks in the tubing when the client is in the bed or
chair.
2. Disconnect the catheter from the bag when measuring output.
3. Wash hands before providing personal care to the client.
4. Ensure that catheter remains secured to the thigh.
5. Make sure that the drainage bag is always below the level of the
bladder..
Answer: 1., 3., 4. & 5. Correct: Tubing that becomes obstructed cannot
allow adequate urine flow. The urine flow occurs by gravity. Adequate
handwashing before providing care is one defense against infection.
Tension on the tubing may cause irritation and subsequent infection. The
bag should be below the level of the bladder so that urine flows
appropriately.
2. Incorrect: A closed drainage system should be maintained to prevent
entry of microorganisms. Disconnecting the catheter from the bag would
be incorrect and potentially cause harm to the client.
BANK EXAMPREP FULL SOLUTION SET
HIGHLY ACCURATE REVIEW
●● Which tasks would be appropriate for the LPN/LVN to assign to an
unlicensed assistive personnel (UAP)? (SATA)
1. Ask the client diagnosed with dementia memory-testing questions.
2. Collect the urinary output hourly on the client with renal disease.
3. Demonstrate pursed lipped breathing to the client who has
emphysema.
4. Give a tepid sponge bath to the client who has a fever.
5. Assess oxygen saturation on a client experiencing angina..
Answer: 2., & 4. Correct: The UAP can obtain hourly urine output on
clients and can give a tepid sponge bath to a client. The LPN/VN must
know what tasks can be assigned to the UAP.
1. Incorrect: The nurse cannot delegate assessment, evaluation, or
teaching. This would be an assessment function for the RN to perform.
3. Incorrect: The UAP cannot teach. Demonstration is a method of
teaching. This is an RN task.
,5. Incorrect: The UAP cannot assess the client experiencing angina. This
is an RN task.
●● What nursing interventions should the nurse implement for a client
with Addison's disease? (SATA)
1. Administer potassium supplements as prescribed.
2. Assist the client to select foods high in sodium.
3. Administer Fludrocortisone as prescribed.
4. Monitor intake and output.
5. Record daily weight..
Answer: 2., 3., 4. & 5. Correct: The client with Addison's disease needs
sodium due to low levels of aldosterone. Fludrocortisone is a
mineralocorticoid that the client will need to take for life. I&O and daily
weights are needed to monitor fluid status.
1. Incorrect: Clients with Addison's disease lose sodium and retain
potassium, so this client does not need potassium.
●● A licensed practical nurse (LPN) is utilizing the nursing process to
care for assigned clients. Which nursing actions should the LPN relate to
the implementation step of the nursing process? (SATA)
1. Collecting client data for a nursing history.
,2. Reporting client response to a new medication.
3. Procuring equipment for a planned medical procedure.
4. Assigning client care activities to unlicensed assistive personnel.
5. Delivering skilled nursing care according to an established health
care plan..
Answer: 3., 4., & 5. Correct: The nurse should relate procuring medical
equipment, assigning client care activities, and delivering skilled nursing
care to the implementation step of the nursing process. Implementation
is the third step of the nursing process and consists of delivering nursing
care according to an established health care plan and as assigned by the
RN or other person(s) authorized by law.
1. Incorrect: This is not the implementation step of the nursing process.
LPNs participate in the assessment step of the nursing process by
collecting client data for a nursing, psychological, spiritual, and social
histories, comparing the data collected to normal values and findings.
2. Incorrect: This is not the implementation step of the nursing process.
LPNs participate in the nursing process by reporting client responses to
the RN or supervising healthcare provider.
●● The primary healthcare provider prescribes nafcillin 0.6 gram every
12 hours IM. Available is a vial labeled 200 mg per 1 mL. How many
mL should the nurse give? Round your answer to the nearest whole
number..
Answer: Changing 0.6 g to mg equals 600 mg.
, Then 200 mg : 1 mL = 600 mg : x mL
200x = 600
x=3
●● The nurse should reinforce which instructions given to the
unlicensed assistive personnel (UAP) about care needed to reduce the
risk of infection when a client has an indwelling catheter? (SATA)
1. Check catheter for kinks in the tubing when the client is in the bed or
chair.
2. Disconnect the catheter from the bag when measuring output.
3. Wash hands before providing personal care to the client.
4. Ensure that catheter remains secured to the thigh.
5. Make sure that the drainage bag is always below the level of the
bladder..
Answer: 1., 3., 4. & 5. Correct: Tubing that becomes obstructed cannot
allow adequate urine flow. The urine flow occurs by gravity. Adequate
handwashing before providing care is one defense against infection.
Tension on the tubing may cause irritation and subsequent infection. The
bag should be below the level of the bladder so that urine flows
appropriately.
2. Incorrect: A closed drainage system should be maintained to prevent
entry of microorganisms. Disconnecting the catheter from the bag would
be incorrect and potentially cause harm to the client.
