RASMUSSEN LPN PN1 EXAM 3
1. The question got cut off but the answer is below:
-He took a culture of your wound to see if there are bacteria present
-The doctor is making sure you do not have an infection present in your system
2. The nurse is changing the dressing on a clients wound. The nurse understands which of
the following symptoms indicate a wound infection?
Redness over 1 cm wide on periwound skin and tenderness
3. The nurse is developing a teaching plan for a client who is going home with a
tracheostomy tube. Which of the following is the MOST important part of the teaching
plan?
The family of a client should know what to do in a case of emergency, i.e.: clogged tracheostomy
tube and how to suction the client.
4. A 64-year-old male client comes to the provider’s office and complains of both legs
hurting him when he walks a few blocks in his neighborhood. He states “When I sit down
for a while, the pain eases off, but if I start walking a few blocks more, the pain comes back.
The nurse recognizes this symptom may be related to peripheral vascular disease and is
called what?
Intermittent claudication
5. A narrowing and hardening of the arteries is called:
Arteriosclerosis
6. A client has clusters of small vesicles over the thoracic region and describes severe pain
and itching of the affected areas. Herpes zoster is diagnosed, and the client will be treated
with which of these medications?
Acyclovir (Zorivax)
7. When administrating oxygen to clients with conditions such as emphysema, it is
important for the nurse to remember which one of the following facts as most important
The drive to breathe may be dependent on low levels of oxygen in the blood
8. The nurse is preparing to instruct the client with pneumonia on managing the disease
after discharge from the hospital. Which of the following is consistent with appropriate
discharge planning for this client?
Take all medications until they are finished, as ordered by MD
9. Immediately after sustaining severe burn wounds, the nurse would anticipate the client’s
initial nutritional needs would usually be met by which of these methods?
, Total parenteral nutrition (TPN)
10. Which of the following measures should the nurse take when care for a client with TB
in an acute care facility?
Double-bag and dispose of client secretions as infectious waste
11. When the nurse is collecting subjective data, while caring for a client with asthma, one
of the most important history items to know is which of the following?
What stimulus triggers the asthma response?
12. The nurse is about to teach a client ideas to prevent coronary artery disease from
resulting in angina. She knows it is best to recommend the client participate in which of the
following health promotion ideals?
Walk 30 minutes per day three to four days per week
13. An 88 year old gentleman comes into the doctor’s office and tells the nurse “he thinks
he is in heart failure. He has had left-sided heart failure before a couple years ago”. Choose
the most common signs and symptoms of left-sided heart failure the nurse may anticipate
to see in this client from the list below. (Select all that apply)
-Breath sounds have moist crackles
-Tachycardia and low blood pressure
-Pink, frothy sputum and shortness of breath
14. Client teaching in Raynaud’s disease should include which of the following?
Avoid temperature extremes, especially cold
15. The nurse is aware that course crackles, sonorous and sibilant wheezes, pleural friction
rub, and stridor are examples of what type of breath sounds?
Adventitious
16. A 72 year old female client is about to be discharged home after being in the hospital for
3 days with bronchitis. She is weak and lives alone. She voices concern “over not having
much support and would like to know what she can do to get better really soon and prevent
this from happening again”? As the nurse, choose the nest intervention below to give her.
Avoid respiratory irritants, large crowds, and people who are coughing
17. A nurse is planning preventative care for a client who has pressure ulcers and is
confined to bed. Which of the following is an appropriate nursing action?
Reposition the client every 1-2 hours
18. The nurse should consider which of the following as being normal occurrences in
children with asthma? (select all that apply)
1. The question got cut off but the answer is below:
-He took a culture of your wound to see if there are bacteria present
-The doctor is making sure you do not have an infection present in your system
2. The nurse is changing the dressing on a clients wound. The nurse understands which of
the following symptoms indicate a wound infection?
Redness over 1 cm wide on periwound skin and tenderness
3. The nurse is developing a teaching plan for a client who is going home with a
tracheostomy tube. Which of the following is the MOST important part of the teaching
plan?
The family of a client should know what to do in a case of emergency, i.e.: clogged tracheostomy
tube and how to suction the client.
4. A 64-year-old male client comes to the provider’s office and complains of both legs
hurting him when he walks a few blocks in his neighborhood. He states “When I sit down
for a while, the pain eases off, but if I start walking a few blocks more, the pain comes back.
The nurse recognizes this symptom may be related to peripheral vascular disease and is
called what?
Intermittent claudication
5. A narrowing and hardening of the arteries is called:
Arteriosclerosis
6. A client has clusters of small vesicles over the thoracic region and describes severe pain
and itching of the affected areas. Herpes zoster is diagnosed, and the client will be treated
with which of these medications?
Acyclovir (Zorivax)
7. When administrating oxygen to clients with conditions such as emphysema, it is
important for the nurse to remember which one of the following facts as most important
The drive to breathe may be dependent on low levels of oxygen in the blood
8. The nurse is preparing to instruct the client with pneumonia on managing the disease
after discharge from the hospital. Which of the following is consistent with appropriate
discharge planning for this client?
Take all medications until they are finished, as ordered by MD
9. Immediately after sustaining severe burn wounds, the nurse would anticipate the client’s
initial nutritional needs would usually be met by which of these methods?
, Total parenteral nutrition (TPN)
10. Which of the following measures should the nurse take when care for a client with TB
in an acute care facility?
Double-bag and dispose of client secretions as infectious waste
11. When the nurse is collecting subjective data, while caring for a client with asthma, one
of the most important history items to know is which of the following?
What stimulus triggers the asthma response?
12. The nurse is about to teach a client ideas to prevent coronary artery disease from
resulting in angina. She knows it is best to recommend the client participate in which of the
following health promotion ideals?
Walk 30 minutes per day three to four days per week
13. An 88 year old gentleman comes into the doctor’s office and tells the nurse “he thinks
he is in heart failure. He has had left-sided heart failure before a couple years ago”. Choose
the most common signs and symptoms of left-sided heart failure the nurse may anticipate
to see in this client from the list below. (Select all that apply)
-Breath sounds have moist crackles
-Tachycardia and low blood pressure
-Pink, frothy sputum and shortness of breath
14. Client teaching in Raynaud’s disease should include which of the following?
Avoid temperature extremes, especially cold
15. The nurse is aware that course crackles, sonorous and sibilant wheezes, pleural friction
rub, and stridor are examples of what type of breath sounds?
Adventitious
16. A 72 year old female client is about to be discharged home after being in the hospital for
3 days with bronchitis. She is weak and lives alone. She voices concern “over not having
much support and would like to know what she can do to get better really soon and prevent
this from happening again”? As the nurse, choose the nest intervention below to give her.
Avoid respiratory irritants, large crowds, and people who are coughing
17. A nurse is planning preventative care for a client who has pressure ulcers and is
confined to bed. Which of the following is an appropriate nursing action?
Reposition the client every 1-2 hours
18. The nurse should consider which of the following as being normal occurrences in
children with asthma? (select all that apply)
