EXAM WITH A STUDY GUIDE AND PRACTICE EXAM | GUARANTEED PASS | LATEST
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A nurse is caring for a client who is unconscious. With the help of an
assistive personnel, the nurse has repositioned the client from a left
lateral to a right lateral position. The client's daughter asks why the
nurse keeps her father lying on his side. Which of the following
rationales should the nurse give the family member?
a. To allow full extension of the hip an knee joints.
b. To prevent aspiration problems
c. To promote lung expansion
d. To prevent abdominal distention - CORRECT ANSWER b. To
prevent aspiration problems
A nurse is collecting data from a client who has venous insufficiency.
Which of the following findings should the nurse expect?
1. Dusky , red color or the feet when dangling
2. Shiny, thin skin on the lower extremities
3.Thicknened toenailes
4. Pitting edema - CORRECT ANSWER 4. Pitting Edema
A nurse is caring for a client who has urinary incontinence. Which of
the following actions should the nurse take to prevent the
development of skin breakdown?
1. apply a moisture barrier ointment to the skin
2. Clean the skin and perineum with hot water after each episode of
incontinence
3. Check the client's skin every 8 hr for sign of breakdown
4. Request a prescription for the insertion of an indwelling urinary
catheter. - CORRECT ANSWER 1. apply a moisture barrier ointment to
the skin
,A nurse working on a medical-surgical unit suspects that several
clients have Clostridium difficile (C. difficile) when they all develop
watery diarrhea. Which of the following actions should the nurse plan
to take while waiting for the client's lab results?
1. obtain stool culture from all client on the nursing unit
2.Place all client who have manifestation on contact precaution
3. Perform hand hygiene with an alcohol based agent
4. Request the provider to initiate antibiotic therapy for every client on
the unit. - CORRECT ANSWER 2.Place all client who have
manifestation on contact precaution
A nurse is reinforcing home safety information with an older adult
client. Which of the following statements should the nurse identify as
an indication that the client needs further instruction?
1. " I should have grab bars installed in my bathroom"
2. " I should leave a night light on when I go to bed a night"
3. " I should use my walker carefully when going upstairs"
4. " I should have my son change the batteries in my smoke detetors
each years. - CORRECT ANSWER 3. " I should use my walker
carefully when going upstairs"
A nurse is caring for a client who presents to an urgent care with a
laceration on his forearm. Which of the following activities is an
example of primary prevention?
1. Suturing the client's wound
2. Applying a sterile dressing
3. Administering a tetanus immunization
4. Teaching the client about follow-up care - CORRECT ANSWER 3.
Administering a tetanus immunization
,A nurse has accepted a position on a pediatric unit and is learning
more about psychosocial development. Identify the order of Erikson's
stages of psychosocial development from birth through 18 years.
( move the step and select order)
Trust vs. mistrust
Initiative vs. guilt
Identity vs. role confusion
Industry vs. inferiority
Autonomy vs. shame and doubt - CORRECT ANSWER Trust vs.
mistrust
Autonomy vs. shame and doubt
Initiative vs. guilt
Industry vs. inferiority
Identity vs. role confusion
A nurse is reinforcing teaching to a group of older adults about
sources of complete and incomplete protein. Which of the following
foods should the nurse include as a complete protein?
1. Yogurt
2. Fresh vegetables
3.Nuts
4. dried bean - CORRECT ANSWER 1. Yogurt
A nurse is assisting in preparing a presentation at a senior center
about age-related musculoskeletal changes. Which of the following
alterations is appropriate for the nurse to include?
1. Decreased muscle mass
2. Thickened vertebral disk
3. Decrease chest width
4. Increased force of isometric contraction - CORRECT ANSWER 1.
Decreased muscle mass
A client with pneumonia is experiencing respiratory distress. The order
states, "if respiratory distress occurs, apply a face mask with precise
, concentration of oxygen". Which of the following masks delivers
precise oxygen concentration?
1. Partial rebreather mask
2. Venturi mask
3. Non-rebreather mask
4. Aerosol mask - CORRECT ANSWER 2. Venturi mask
The RN has just received a client who is schedule for a subtotal
thyroidectomy. The RN has just delegated to the LPN to receive the
client. Which of the following interventions would the LPN defer to the
RN to perform?
1.Provide client education.
2.Organize in the room , necessary equipment
3.provide hospital attire and assist as needed
4.Apply the identification bracelet and allergy band if needed. -
CORRECT ANSWER 1. Provide client education.
A nurse is assigned care of a client who has HIV. Which of the
following infection control precautions should the nurse plan to use
while caring for this client?
1. standard precaution
2. Airborne precaution
3. contact precaution
4. Droplet precaution - CORRECT ANSWER 1. standard precaution
A nurse is reviewing a provider's prescriptions for a group of clients.
Which of the following client prescriptions should the licensed
practical nurse (LPN) clarify with the provider?
1. Administer 1 g of vancomycin intrathecally.
2. Insert an indwelling urinary catheter if bladder scan is greater than
500 ml
3. Perform sterile dressing change on leg wound
4. Reinforce teaching about foot care for type 1 diabetes mellitus -
CORRECT ANSWER 1. Administer 1 g of vancomycin intrathecally.