, Multiple ,Choice
Identify ,the ,choice ,that ,best ,completes ,the ,statement ,or ,answers ,the ,question.
, , 1. , While ,providing ,care ,on ,a ,medical ,unit, ,which ,of ,the ,following ,patients ,should ,the
,LPN/LVN ,see ,first?
a. A ,patient ,who ,has ,a ,temperature ,of ,106°F ,(41.1°C)
b. A ,patient ,who ,needs ,assistance ,to ,ambulate
c. A ,patient ,who ,needs ,discharge ,teaching
d. A ,patient ,who ,states, ,―No ,one ,cares ,about ,me‖
, , 2. ,During ,a ,class ,discussion, ,one ,nursing ,student ,states ,belief ,in ,the ,practice ,of
,restraining ,patients. ,Another ,stu- ,dent ,has ,presented ,information ,regarding ,the ,unrestrained
,environment. ,Both ,students ,understand ,each ,other’s ,points ,of ,view. ,This ,is ,an ,example ,of
,what ,component ,of ,critical ,thinking?
a. Intellectual ,empathy
b. Intellectual ,integrity
c. Intellectual ,courage
d. Intellectual ,sense ,of ,justice
, 3. ,Which ,of ,these ,human ,needs ,is ,being ,met ,when ,staff ,members ,have ,a ,potluck ,dinner
,with ,a ,congratulatory ,cake ,for ,a ,newly ,licensed ,practical ,nurse?
a. Physiological
b. Safety ,and ,security
c. Self-esteem
d. Self-actualization
, , 4. ,The ,nurse ,is ,caring ,for ,a ,patient ,with ,a ,newly ,fractured ,femur ,who ,reports ,a ,pain ,level
,of ,8/10. ,The ,nurse ,checks ,the ,medication ,record ,and ,finds ,that ,the ,analgesic ,medication ,is
,not ,due ,for ,another ,50 ,minutes. ,Which ,of ,these ,actions ,would ,be ,appropriate ,for ,the ,nurse
,to ,take ,next?
a. Tell ,the ,patient ,it ,is ,too ,early ,for ,pain ,medication.
b. Notify ,the ,registered ,nurse ,or ,physician.
c. Give ,the ,medication ,in ,30 ,minutes.
d. Reposition ,the ,patient.
, , 5. , Which ,of ,these ,is ,an ,appropriate ,description ,of ,critical ,thinking?
a. Directed ,thinking
b. Indirect ,thinking
c. Crisis ,thinking
d. Criticizing ,thinking
, 6. ,Which ,of ,these ,individuals ,would ,be ,most ,appropriate ,to ,include ,when ,planning ,care ,for ,a
,newly ,admitted ,pa- ,tient ,and ,setting ,goals ,for ,the ,desired ,outcome?
a. Patient’s ,family ,members
b. Patient’s ,physician
c. Nurse ,manager
d. Patient
, 7. ,While ,caring ,for ,a ,patient ,4 ,hours ,after ,a ,surgical ,procedure, ,the ,LPN/LVN ,notes
,,serosanguineous ,drainage ,on ,the ,dressing. ,Which ,of ,the ,following ,statements ,best
,documents ,this ,finding?
a. ―Normal ,drainage ,noted.‖
b. ―Scant ,sersanguineous ,drainage ,seen ,on ,dressing.‖
c. ―Moderate ,drainage ,recently ,noted.‖
, d. ―Pale ,pink ,drainage ,2 ,cm ,by ,1 ,cm ,noted ,on ,dressing.‖
, 8. ,The ,nurse ,is ,caring ,for ,a ,patient ,who ,is ,scheduled ,for ,surgery. ,Which ,data ,should ,the
,nurse ,collect ,to ,identify ,safety ,and ,security ,needs?
a. Sexual ,activity ,patterns
b. Anxiety ,about ,surgery
c. Sleep ,patterns
d. Meal ,patterns
, , 9. , Which ,of ,these ,data ,is ,objective ,patient ,information?
a. Patient ,is ,pleasant.
b. ―It ,has ,been ,a ,good ,day.‖
c. Patient’s ,appetite ,is ,poor.
d. Urine ,output ,is ,300 ,mL.
, 10. ,Which ,of ,these ,nursing ,diagnoses ,would ,be ,the ,highest ,priority ,for ,the ,nurse ,to ,address ,in
,a ,postoperative ,pa- ,tient?
a. Deficient ,knowledge
b. Impaired ,mobility
c. Impaired ,skin ,integrity
d. Acute ,pain
, 11. ,A ,patient ,who ,has ,hypertension ,that ,is ,not ,well ,controlled ,with ,medication ,has ,been
,prescribed ,a ,new ,medica- ,tion. ,The ,patient ,reports ,fatigue ,and ,lightheadedness ,after ,taking
,the ,first ,dose. ,The ,physician ,says ,not ,to ,worry ,about ,it ,and ,to ,continue ,giving ,the
,medication. ,The ,nurse ,is ,still ,concerned, ,however, ,and ,does ,some ,in- ,dependent ,research ,on
,the ,drug ,on ,the ,Internet. ,This ,is ,an ,example ,of ,what ,type ,of ,critical ,thinking ,skill?
a. Intellectual ,courage
b. Intellectual ,perseverance
c. Intellectual ,empathy
d. Sense ,of ,justice
, 12. , Which ,is ,the ,best ,example ,of ,a ,measurable ,outcome ,for ,a ,patient ,with ,deficient ,fluid ,volume?
a. Fluids ,will ,be ,at ,the ,bedside ,for ,the ,patient.
b. Fluids ,the ,patient ,likes ,will ,be ,at ,the ,bedside.
c. Patient’s ,intake ,will ,be ,3,000 ,mL ,daily.
d. Patient’s ,intake ,will ,be ,measured ,daily.
, 13. ,The ,nurse ,is ,caring ,for ,a ,patient ,with ,a ,nursing ,diagnosis ,of ,fluid ,volume ,excess.
,Which ,of ,the ,following ,would ,the ,LPN/LVN ,use ,to ,best ,determine ,that ,care ,was
,effective?
a. Discuss ,the ,patient’s ,care ,plan ,with ,the ,RN.
b. Teach ,the ,patient ,to ,monitor ,fluid ,balance.
c. Check ,the ,patient’s ,weight ,each ,day.
d. Restrict ,the ,patient’s ,fluid ,intake.
, 14. ,The ,LPN ,and ,LVN ,assist ,the ,RN ,in ,many ,phases ,of ,the ,nursing ,process. ,Which ,phase
,can ,the ,LPN ,or ,LVN ,carry ,out ,independently, ,once ,it ,has ,been ,delegated ,by ,the ,RN?
a. Assessment
b. Nursing ,diagnosis
c. Planning ,care
d. Implementation
Identify ,the ,choice ,that ,best ,completes ,the ,statement ,or ,answers ,the ,question.
, , 1. , While ,providing ,care ,on ,a ,medical ,unit, ,which ,of ,the ,following ,patients ,should ,the
,LPN/LVN ,see ,first?
a. A ,patient ,who ,has ,a ,temperature ,of ,106°F ,(41.1°C)
b. A ,patient ,who ,needs ,assistance ,to ,ambulate
c. A ,patient ,who ,needs ,discharge ,teaching
d. A ,patient ,who ,states, ,―No ,one ,cares ,about ,me‖
, , 2. ,During ,a ,class ,discussion, ,one ,nursing ,student ,states ,belief ,in ,the ,practice ,of
,restraining ,patients. ,Another ,stu- ,dent ,has ,presented ,information ,regarding ,the ,unrestrained
,environment. ,Both ,students ,understand ,each ,other’s ,points ,of ,view. ,This ,is ,an ,example ,of
,what ,component ,of ,critical ,thinking?
a. Intellectual ,empathy
b. Intellectual ,integrity
c. Intellectual ,courage
d. Intellectual ,sense ,of ,justice
, 3. ,Which ,of ,these ,human ,needs ,is ,being ,met ,when ,staff ,members ,have ,a ,potluck ,dinner
,with ,a ,congratulatory ,cake ,for ,a ,newly ,licensed ,practical ,nurse?
a. Physiological
b. Safety ,and ,security
c. Self-esteem
d. Self-actualization
, , 4. ,The ,nurse ,is ,caring ,for ,a ,patient ,with ,a ,newly ,fractured ,femur ,who ,reports ,a ,pain ,level
,of ,8/10. ,The ,nurse ,checks ,the ,medication ,record ,and ,finds ,that ,the ,analgesic ,medication ,is
,not ,due ,for ,another ,50 ,minutes. ,Which ,of ,these ,actions ,would ,be ,appropriate ,for ,the ,nurse
,to ,take ,next?
a. Tell ,the ,patient ,it ,is ,too ,early ,for ,pain ,medication.
b. Notify ,the ,registered ,nurse ,or ,physician.
c. Give ,the ,medication ,in ,30 ,minutes.
d. Reposition ,the ,patient.
, , 5. , Which ,of ,these ,is ,an ,appropriate ,description ,of ,critical ,thinking?
a. Directed ,thinking
b. Indirect ,thinking
c. Crisis ,thinking
d. Criticizing ,thinking
, 6. ,Which ,of ,these ,individuals ,would ,be ,most ,appropriate ,to ,include ,when ,planning ,care ,for ,a
,newly ,admitted ,pa- ,tient ,and ,setting ,goals ,for ,the ,desired ,outcome?
a. Patient’s ,family ,members
b. Patient’s ,physician
c. Nurse ,manager
d. Patient
, 7. ,While ,caring ,for ,a ,patient ,4 ,hours ,after ,a ,surgical ,procedure, ,the ,LPN/LVN ,notes
,,serosanguineous ,drainage ,on ,the ,dressing. ,Which ,of ,the ,following ,statements ,best
,documents ,this ,finding?
a. ―Normal ,drainage ,noted.‖
b. ―Scant ,sersanguineous ,drainage ,seen ,on ,dressing.‖
c. ―Moderate ,drainage ,recently ,noted.‖
, d. ―Pale ,pink ,drainage ,2 ,cm ,by ,1 ,cm ,noted ,on ,dressing.‖
, 8. ,The ,nurse ,is ,caring ,for ,a ,patient ,who ,is ,scheduled ,for ,surgery. ,Which ,data ,should ,the
,nurse ,collect ,to ,identify ,safety ,and ,security ,needs?
a. Sexual ,activity ,patterns
b. Anxiety ,about ,surgery
c. Sleep ,patterns
d. Meal ,patterns
, , 9. , Which ,of ,these ,data ,is ,objective ,patient ,information?
a. Patient ,is ,pleasant.
b. ―It ,has ,been ,a ,good ,day.‖
c. Patient’s ,appetite ,is ,poor.
d. Urine ,output ,is ,300 ,mL.
, 10. ,Which ,of ,these ,nursing ,diagnoses ,would ,be ,the ,highest ,priority ,for ,the ,nurse ,to ,address ,in
,a ,postoperative ,pa- ,tient?
a. Deficient ,knowledge
b. Impaired ,mobility
c. Impaired ,skin ,integrity
d. Acute ,pain
, 11. ,A ,patient ,who ,has ,hypertension ,that ,is ,not ,well ,controlled ,with ,medication ,has ,been
,prescribed ,a ,new ,medica- ,tion. ,The ,patient ,reports ,fatigue ,and ,lightheadedness ,after ,taking
,the ,first ,dose. ,The ,physician ,says ,not ,to ,worry ,about ,it ,and ,to ,continue ,giving ,the
,medication. ,The ,nurse ,is ,still ,concerned, ,however, ,and ,does ,some ,in- ,dependent ,research ,on
,the ,drug ,on ,the ,Internet. ,This ,is ,an ,example ,of ,what ,type ,of ,critical ,thinking ,skill?
a. Intellectual ,courage
b. Intellectual ,perseverance
c. Intellectual ,empathy
d. Sense ,of ,justice
, 12. , Which ,is ,the ,best ,example ,of ,a ,measurable ,outcome ,for ,a ,patient ,with ,deficient ,fluid ,volume?
a. Fluids ,will ,be ,at ,the ,bedside ,for ,the ,patient.
b. Fluids ,the ,patient ,likes ,will ,be ,at ,the ,bedside.
c. Patient’s ,intake ,will ,be ,3,000 ,mL ,daily.
d. Patient’s ,intake ,will ,be ,measured ,daily.
, 13. ,The ,nurse ,is ,caring ,for ,a ,patient ,with ,a ,nursing ,diagnosis ,of ,fluid ,volume ,excess.
,Which ,of ,the ,following ,would ,the ,LPN/LVN ,use ,to ,best ,determine ,that ,care ,was
,effective?
a. Discuss ,the ,patient’s ,care ,plan ,with ,the ,RN.
b. Teach ,the ,patient ,to ,monitor ,fluid ,balance.
c. Check ,the ,patient’s ,weight ,each ,day.
d. Restrict ,the ,patient’s ,fluid ,intake.
, 14. ,The ,LPN ,and ,LVN ,assist ,the ,RN ,in ,many ,phases ,of ,the ,nursing ,process. ,Which ,phase
,can ,the ,LPN ,or ,LVN ,carry ,out ,independently, ,once ,it ,has ,been ,delegated ,by ,the ,RN?
a. Assessment
b. Nursing ,diagnosis
c. Planning ,care
d. Implementation