A client requires a dressing change. The LPN/LVN assigned to care for the client
reports never having performed the procedure before to the nurse. The nurse takes
which action? - _ 100% correct answer Completes the dressing change while the
LPN/LVN observes.
1. The nurse helps a client to cough and deep breathe after surgery. It is desirable for
the client to assume which position for coughing and deep breathing to be most
effective? - _ 100% correct answer a. High Fowler's
1. The nurse knows which statement is an important fact about warfarin? - _ 100%
correct answer a. It has a prolonged action
1. On the first postoperative day, a client develops a fever. The nurse auscultates
crackles bilaterally in the lower lobes. The nurse understands which complication of
surgery is probably developing? - _ 100% correct answer a. Atelectasis
1. The nurse prepares 4 clients for surgery. The nurse is most concerned about the
psychological adjustment of which client? - _ 100% correct answer a. A young adult
client scheduled for the Whipple procedure due to cancer of the pancreas.
1. The nurse provides care for a client with a nasogastric tube. Which assessment by
the nurse is the most reliable indication the nasogastric tube is correctly positioned? - _
100% correct answer a. pH of aspirate is 3
1. the nurse provides for a client with a body mass index (BMI) of 38 kg/m2. Which is
the best description of the client's body weight? - _ 100% correct answer a. Obese
1. Which action is essential for the nurse to take after administration of a preoperative
sedative medication to a client? - _ 100% correct answer a. Raise the side rails of the
bed
1. The nurse observes a staff member prepare to leave the room of a client on droplet
precautions. The nurse intervenes if which action is observed? - _ 100% correct answer
a. The staff member holds onto the outer surface of the face mask while pulling mask
away from face.
1. A client returns from abdominal surgery with a prescription for morphine sulfate IV q 3
hours PRN for pain. During the first 24 hours after surgery, which action by the nurse is
best? - _ 100% correct answer a. Offer pain medication every 3 hours.
,1. A client is admitted to the hospital with a temperature of 101* F and a WBC count of
3,000/mm3. The nurse institutes which precaution? - _ 100% correct answer a.
Neutropenic precautions.
1. The nurse identifies which lab finding reflects the signs and symptoms of infection? -
_ 100% correct answer a. White blood cell count of 16,000/mm3
1. The nurse provides education to an adult client to facilitate bowel elimination. Which
action should the nurse encourage? - _ 100% correct answer a. Increasing dietary bulk
1. An adult client comes to the emergency department after puncturing a foot with a
dirty, rusty nail. The client states the last tetanus vaccination (Td) 6 years ago. Which
action does the nurse take first? - _ 100% correct answer a. Determine how many Td
immunizations the client has received.
1. The nurse identifies which diet best meets the needs of a client with multiple
wounds? - _ 100% correct answer a. High-vitamin C, high-protein, high-carbohydrate
diet
1. The nurse observes a staff member enter the client's room wearing a fit-tested
respiratory device. The nurse determines care is appropriate if the staff member is
caring for which client? - _ 100% correct answer a. A client diagnosed with varicella
1. The nurse instructs the adult client how to successfully establish a regular exercise
program. The nurse determines further teaching is needed if the client makes which
statement? - _ 100% correct answer should start by running 5 miles every day
1. The home care nurse visits an elderly client living alone on a limited income. The
client's diet consists primarily of carbohydrates. Based on an understanding of the
nutritional needs of the elderly, which interpretation of the client's diet by the nurse is
most justified? - _ 100% correct answer a. The client should increase the intake of
protein.
1. A two-day postoperative client reports pain, tenderness and redness of the right calf.
Which findings would be critical for the nurse to report to the health care provider
regarding the client's signs and symptoms? - _ 100% correct answer a. Chest pain and
shortness of breath
1. The nurse identifies which findings are characteristic of chronic pain? - _ 100%
correct answer a. Withdrawal and fatigue
1. The nurse provides care for a client that has taken aspirin in high, prolonged
dosages. Which physiological change should the nurse anticipate? - _ 100% correct
answer a. GI bleeding
, 1. The nurse performs discharge teaching for a client receiving warfarin. The nurse
determines further teaching is required if the client makes which statement? - _ 100%
correct answer a. I should increase my intake of leafy green vegetables
1. In which situation does the nurse consider withholding morphine until further
assessment is completed? - _ 100% correct answer a. Client's level of consciousness
fluctuates from alert to lethargic.
1. The nurse teaches a client how to maintain an adequate intake of protein. The nurse
determines further teaching is required if the client chooses which foods? - _ 100%
correct answer a. Orange juice and white toast
1. The nurse notes and elderly client has a reddened area on the coccyx. Which action
does the nurse take first? - _ 100% correct answer a. Repositions the client every 1-2
hours
1. A client returns from surgery with a drain sutured into the surgical wound. Which
explanation is the purpose of the drain? - _ 100% correct answer a. Decreases fluid
accumulation within the tissues.
1. A client with acute pain has a prescription for morphine 8 mg IV every 3-4 hours. The
client asks the nurse for the medication at bedtime. Prior to administering the pain
medication, the nurse takes which action. - _ 100% correct answer a. Assesses
location, character, and intensity of pain.
1. The nurse explains to the client the most vitamin C can be found in which juice? - _
100% correct answer a. Fresh orange juice
1. To promote evening rest and sleep for clients who are immobilized and in bed, it is
most important for the nurse to provide which care? - _ 100% correct answer a. Daytime
activities.
1. The nurse cares for the client diagnosed with a fractured humerus due to a fall in the
home. Which nursing observation requires an immediate intervention? - _ 100% correct
answer a. The client ambulates wearing socks.
A 15-year-old patient has come to the walk-in clinic for a sports physical. The nurse
percusses the chest, expecting to find which of the following?
• A Hyperresonance
• B Dull
• C Resonance
• D Flat - _ 100% correct answer C Resonance
Which of the following anterior neck structures is found in the depression between the
trachea and the sternomastoid muscle?
reports never having performed the procedure before to the nurse. The nurse takes
which action? - _ 100% correct answer Completes the dressing change while the
LPN/LVN observes.
1. The nurse helps a client to cough and deep breathe after surgery. It is desirable for
the client to assume which position for coughing and deep breathing to be most
effective? - _ 100% correct answer a. High Fowler's
1. The nurse knows which statement is an important fact about warfarin? - _ 100%
correct answer a. It has a prolonged action
1. On the first postoperative day, a client develops a fever. The nurse auscultates
crackles bilaterally in the lower lobes. The nurse understands which complication of
surgery is probably developing? - _ 100% correct answer a. Atelectasis
1. The nurse prepares 4 clients for surgery. The nurse is most concerned about the
psychological adjustment of which client? - _ 100% correct answer a. A young adult
client scheduled for the Whipple procedure due to cancer of the pancreas.
1. The nurse provides care for a client with a nasogastric tube. Which assessment by
the nurse is the most reliable indication the nasogastric tube is correctly positioned? - _
100% correct answer a. pH of aspirate is 3
1. the nurse provides for a client with a body mass index (BMI) of 38 kg/m2. Which is
the best description of the client's body weight? - _ 100% correct answer a. Obese
1. Which action is essential for the nurse to take after administration of a preoperative
sedative medication to a client? - _ 100% correct answer a. Raise the side rails of the
bed
1. The nurse observes a staff member prepare to leave the room of a client on droplet
precautions. The nurse intervenes if which action is observed? - _ 100% correct answer
a. The staff member holds onto the outer surface of the face mask while pulling mask
away from face.
1. A client returns from abdominal surgery with a prescription for morphine sulfate IV q 3
hours PRN for pain. During the first 24 hours after surgery, which action by the nurse is
best? - _ 100% correct answer a. Offer pain medication every 3 hours.
,1. A client is admitted to the hospital with a temperature of 101* F and a WBC count of
3,000/mm3. The nurse institutes which precaution? - _ 100% correct answer a.
Neutropenic precautions.
1. The nurse identifies which lab finding reflects the signs and symptoms of infection? -
_ 100% correct answer a. White blood cell count of 16,000/mm3
1. The nurse provides education to an adult client to facilitate bowel elimination. Which
action should the nurse encourage? - _ 100% correct answer a. Increasing dietary bulk
1. An adult client comes to the emergency department after puncturing a foot with a
dirty, rusty nail. The client states the last tetanus vaccination (Td) 6 years ago. Which
action does the nurse take first? - _ 100% correct answer a. Determine how many Td
immunizations the client has received.
1. The nurse identifies which diet best meets the needs of a client with multiple
wounds? - _ 100% correct answer a. High-vitamin C, high-protein, high-carbohydrate
diet
1. The nurse observes a staff member enter the client's room wearing a fit-tested
respiratory device. The nurse determines care is appropriate if the staff member is
caring for which client? - _ 100% correct answer a. A client diagnosed with varicella
1. The nurse instructs the adult client how to successfully establish a regular exercise
program. The nurse determines further teaching is needed if the client makes which
statement? - _ 100% correct answer should start by running 5 miles every day
1. The home care nurse visits an elderly client living alone on a limited income. The
client's diet consists primarily of carbohydrates. Based on an understanding of the
nutritional needs of the elderly, which interpretation of the client's diet by the nurse is
most justified? - _ 100% correct answer a. The client should increase the intake of
protein.
1. A two-day postoperative client reports pain, tenderness and redness of the right calf.
Which findings would be critical for the nurse to report to the health care provider
regarding the client's signs and symptoms? - _ 100% correct answer a. Chest pain and
shortness of breath
1. The nurse identifies which findings are characteristic of chronic pain? - _ 100%
correct answer a. Withdrawal and fatigue
1. The nurse provides care for a client that has taken aspirin in high, prolonged
dosages. Which physiological change should the nurse anticipate? - _ 100% correct
answer a. GI bleeding
, 1. The nurse performs discharge teaching for a client receiving warfarin. The nurse
determines further teaching is required if the client makes which statement? - _ 100%
correct answer a. I should increase my intake of leafy green vegetables
1. In which situation does the nurse consider withholding morphine until further
assessment is completed? - _ 100% correct answer a. Client's level of consciousness
fluctuates from alert to lethargic.
1. The nurse teaches a client how to maintain an adequate intake of protein. The nurse
determines further teaching is required if the client chooses which foods? - _ 100%
correct answer a. Orange juice and white toast
1. The nurse notes and elderly client has a reddened area on the coccyx. Which action
does the nurse take first? - _ 100% correct answer a. Repositions the client every 1-2
hours
1. A client returns from surgery with a drain sutured into the surgical wound. Which
explanation is the purpose of the drain? - _ 100% correct answer a. Decreases fluid
accumulation within the tissues.
1. A client with acute pain has a prescription for morphine 8 mg IV every 3-4 hours. The
client asks the nurse for the medication at bedtime. Prior to administering the pain
medication, the nurse takes which action. - _ 100% correct answer a. Assesses
location, character, and intensity of pain.
1. The nurse explains to the client the most vitamin C can be found in which juice? - _
100% correct answer a. Fresh orange juice
1. To promote evening rest and sleep for clients who are immobilized and in bed, it is
most important for the nurse to provide which care? - _ 100% correct answer a. Daytime
activities.
1. The nurse cares for the client diagnosed with a fractured humerus due to a fall in the
home. Which nursing observation requires an immediate intervention? - _ 100% correct
answer a. The client ambulates wearing socks.
A 15-year-old patient has come to the walk-in clinic for a sports physical. The nurse
percusses the chest, expecting to find which of the following?
• A Hyperresonance
• B Dull
• C Resonance
• D Flat - _ 100% correct answer C Resonance
Which of the following anterior neck structures is found in the depression between the
trachea and the sternomastoid muscle?
