TI LPN Fundamentals Retake Question Bank – Latest Real Exam Questions with Verified
A
Answers and Detailed Explanations
charge nurse is observing a newly licensed nurse perform tracheostomy care for a client.
A
Which of the following actions by the newly licensed nurse requires intervention?
. Obtaining hydrogen peroxide for tracheostomy care
A
B. Obtaining cotton balls for tracheostomy care
C. Obtaining sterile gloves for tracheostomy care
D. Obtaining a sterile brush for tracheostomy care - answer....B. Obtaining cotton balls for
tracheostomy care
otton ball particles can be aspirated into the tracheostomy opening, possibly causing a
C
tracheal abscess. The charge nurse should intervene for this action.
charge nurse is providing teaching to a newly licensed nurse about removing sutures from a
A
client's laceration. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching?
. "I will use a staple remover and remove each suture individually."
A
B. "Bandage scissors are used to cut the sutures."
C. "Tweezers are necessary only for removing retention sutures."
D. "I will clip each suture close to the skin and pull it through from the other side." - answer....D.
"I will clip each suture close to the skin and pull it through from the other side."
lipping close to the skin and pulling the suture from the other side does not disrupt the
C
wound-healing process.
charge nurse is teaching adult cardiopulmonary resuscitation (CPR) to a group of newly
A
licensed nurses. Which of the following actions should the charge nurse teach as the first
response in CPR?
. Call for assistance.
A
B. Begin chest compressions.
C. Confirm unresponsiveness.
D. Give rescue breaths. - answer....C. Confirm unresponsiveness.
he nurse should apply the nursing process priority-setting framework to plan client care and
T
prioritize nursing actions. Each step of the nursing process builds on the previous step,
beginning with an assessment or data collection. Before the nurse can formulate a plan of
action, implement a nursing intervention, or notify a provider of a change in the client's status,
he or she must first collect adequate data from the client to obtain the knowledge needed to
, ake an appropriate decision. Establishing unresponsiveness is required before beginning
m
CPR. If a client is unresponsive, the nurse should activate the emergency response team.
client has 1 L of dextrose 5% in 0.45% sodium chloride infusing IV at 125 mL/hr. How many
A
hours will it take for the liter to infuse? - answer....8 hours
1 L = 1000 mL
1000 mL/125 mL = 8 mL
client is being discharged home with oxygen therapy delivered through a nasal cannula.
A
Which of the following instructions should the nurse provide to the client and family members?
. Use battery-operated equipment for personal care.
A
B. Apply mineral oil to protect the facial skin from irritation.
C. Remove the television set from the client's bedroom.
D. Wear cotton clothing to avoid static electricity. - answer....D. Wear cotton clothing to avoid
static electricity.
he use of cotton clothing will limit the buildup of static electricity. Oxygen is a highly
T
combustible gas. The use of oxygen in high concentrations has great combustion potential and
readily fuels fire. Although it will not spontaneously burn or cause an explosion, it can easily
cause a fire in a client's room if it contacts a spark.
client who has glaucoma of the right eye self-administers timolol eye drops by looking at the
A
ceiling, instilling a drop onto the center of the conjunctival sac, and applying gentle pressure to
the lower lid with facial tissue. After observing this process, which of the following actions should
the nurse take?
. Confirm that the client performed the procedure correctly.
A
B. Instruct the client to look at the floor while instilling the eye drop.
C. Remind the client to avoid using facial tissue after installation.
D. Instruct the client to apply pressure to the inside corner of the eye after installation. -
answer....Instruct the client to apply pressure to the inside corner of the eye after installation.
he client should apply gentle pressure over the nasolacrimal duct to prevent the medication
T
from flowing into the nasal passages where systemic absorption could result.
client who reports shortness of breath requests the nurse's help in changing positions. After
A
repositioning the client, which of the following actions should the nurse take next?
. Encourage the client to take deep breaths
A
B. Observe the rate, depth, and character of the client's respirations
C. Prepare to administer oxygen
, . Give the client a back rub to promote relaxation - answer....B. Observe the rate, depth, and
D
character of the client's respirations
he nurse should apply the nursing process priority-setting framework when caring for this client
T
in order to plan client care and prioritize nursing actions. Each step of the nursing process builds
on the previous step, beginning with an assessment or data collection.
efore the nurse can formulate a plan of action, implement a nursing intervention, or notify a
B
provider of a change in the client's status, the nurse must first collect adequate data from the
client. Assessing or collecting additional data will provide the nurse with the knowledge needed
to make an appropriate decision; therefore, the nurse should first assess the client's respiratory
status.
community health nurse is conducting a class about body mechanics for county office
A
workers. Which of the following instructions should the nurse include? (Select all that apply.)
. "Sit with your back supported."
A
B. "Keep your knees at hip level."
C. "Use an ergonomically designed computer keyboard."
D. "Keep your elbows away from your body."
E. "Adjust the monitor screen so that you have to tilt your head slightly to look at it." -
answer....A. "Sit with your back supported."
B. "Keep your knees at hip level."
C. "Use an ergonomically designed computer keyboard."
sing lumbar support in a straight-back chair helps maintain good posture and prevent back
U
pain. Keeping the knees at the level of the hip or higher helps reduce the risk of lordosis, which
is an exaggeration of the curve of the lumbar spine. Using a keyboard that maintains ergonomic
positioning of the wrists can help prevent carpal tunnel syndrome.
community health nurse is preparing a campaign about seasonal influenza. Which of the
A
following plans should the nurse include as a form of secondary prevention?
. Holding a community clinic to administer influenza immunizations
A
B. Screening groups of older adults in nursing care facilities for early influenza manifestations
C. Educating parents of young children about the dangers of influenza
D. Finding rehabilitation programs for older adults who have complications related to influenza -
answer....B. Screening groups of older adults in nursing care facilities for early influenza
manifestations.
econdary prevention is focused on preventing complications of an illness or providing care to
S
prevent an illness from becoming severe.
, home health nurse is planning to provide health promotion activities for a group of clients in
A
the community. Which of the following activities is an example of primary prevention?
. Teaching clients to perform self-examinations of breasts and testicles
A
B. Educating clients about the recommended immunization schedule for adults
C. Teaching clients who have type 1 diabetes mellitus about care of the feet
D. Recommending that clients over the age of 50 have a fecal occult blood test annually -
answer....B. Educating clients about the recommended immunization schedule for adults
Primary prevention includes health education about disease prevention.
home health nurse is visiting an older adult client with severe dementia. The client's son, who
A
serves as her primary caregiver, reports being "exhausted" from working part-time and caring for
his mother at home. Which of the following options should the nurse suggest to the caregiver?
. Rehabilitation
A
B. Assisted living facility
C. Respite care
D. Adult day care facility - answer....C. Respite care
espite care is a service for caregivers who need time to rest from multiple responsibilities
R
related to the care of a family member who needs assistance.
hospice nurse is reviewing religious practices of a group of clients with a newly licensed
A
nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching?
. People who practice the Islamic faith pray over the deceased for a period of 5 days before
A
burial.
B. People who practice the Hindu faith bury the deceased with their head facing north.
C. People who practice Judaism stay with the body of the deceased until burial.
D. People who are practicing the Buddhist faith have the female family members prepare the
body following death. - answer....People who practice Judaism stay with the body of the
deceased until burial.
In the Jewish faith, a family member often stays with the body until burial occurs.
hospice nurse is visiting with the family member of a client. The family member states that the
A
client has insomnia almost nightly. Which of the following practices should the nurse identify as
contributing to the client's insomnia?
. The client watches television in her bed during the day.
A
B. The client drinks warm milk before bedtime.
C. The client goes to bed at 2200 every night.
A
Answers and Detailed Explanations
charge nurse is observing a newly licensed nurse perform tracheostomy care for a client.
A
Which of the following actions by the newly licensed nurse requires intervention?
. Obtaining hydrogen peroxide for tracheostomy care
A
B. Obtaining cotton balls for tracheostomy care
C. Obtaining sterile gloves for tracheostomy care
D. Obtaining a sterile brush for tracheostomy care - answer....B. Obtaining cotton balls for
tracheostomy care
otton ball particles can be aspirated into the tracheostomy opening, possibly causing a
C
tracheal abscess. The charge nurse should intervene for this action.
charge nurse is providing teaching to a newly licensed nurse about removing sutures from a
A
client's laceration. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching?
. "I will use a staple remover and remove each suture individually."
A
B. "Bandage scissors are used to cut the sutures."
C. "Tweezers are necessary only for removing retention sutures."
D. "I will clip each suture close to the skin and pull it through from the other side." - answer....D.
"I will clip each suture close to the skin and pull it through from the other side."
lipping close to the skin and pulling the suture from the other side does not disrupt the
C
wound-healing process.
charge nurse is teaching adult cardiopulmonary resuscitation (CPR) to a group of newly
A
licensed nurses. Which of the following actions should the charge nurse teach as the first
response in CPR?
. Call for assistance.
A
B. Begin chest compressions.
C. Confirm unresponsiveness.
D. Give rescue breaths. - answer....C. Confirm unresponsiveness.
he nurse should apply the nursing process priority-setting framework to plan client care and
T
prioritize nursing actions. Each step of the nursing process builds on the previous step,
beginning with an assessment or data collection. Before the nurse can formulate a plan of
action, implement a nursing intervention, or notify a provider of a change in the client's status,
he or she must first collect adequate data from the client to obtain the knowledge needed to
, ake an appropriate decision. Establishing unresponsiveness is required before beginning
m
CPR. If a client is unresponsive, the nurse should activate the emergency response team.
client has 1 L of dextrose 5% in 0.45% sodium chloride infusing IV at 125 mL/hr. How many
A
hours will it take for the liter to infuse? - answer....8 hours
1 L = 1000 mL
1000 mL/125 mL = 8 mL
client is being discharged home with oxygen therapy delivered through a nasal cannula.
A
Which of the following instructions should the nurse provide to the client and family members?
. Use battery-operated equipment for personal care.
A
B. Apply mineral oil to protect the facial skin from irritation.
C. Remove the television set from the client's bedroom.
D. Wear cotton clothing to avoid static electricity. - answer....D. Wear cotton clothing to avoid
static electricity.
he use of cotton clothing will limit the buildup of static electricity. Oxygen is a highly
T
combustible gas. The use of oxygen in high concentrations has great combustion potential and
readily fuels fire. Although it will not spontaneously burn or cause an explosion, it can easily
cause a fire in a client's room if it contacts a spark.
client who has glaucoma of the right eye self-administers timolol eye drops by looking at the
A
ceiling, instilling a drop onto the center of the conjunctival sac, and applying gentle pressure to
the lower lid with facial tissue. After observing this process, which of the following actions should
the nurse take?
. Confirm that the client performed the procedure correctly.
A
B. Instruct the client to look at the floor while instilling the eye drop.
C. Remind the client to avoid using facial tissue after installation.
D. Instruct the client to apply pressure to the inside corner of the eye after installation. -
answer....Instruct the client to apply pressure to the inside corner of the eye after installation.
he client should apply gentle pressure over the nasolacrimal duct to prevent the medication
T
from flowing into the nasal passages where systemic absorption could result.
client who reports shortness of breath requests the nurse's help in changing positions. After
A
repositioning the client, which of the following actions should the nurse take next?
. Encourage the client to take deep breaths
A
B. Observe the rate, depth, and character of the client's respirations
C. Prepare to administer oxygen
, . Give the client a back rub to promote relaxation - answer....B. Observe the rate, depth, and
D
character of the client's respirations
he nurse should apply the nursing process priority-setting framework when caring for this client
T
in order to plan client care and prioritize nursing actions. Each step of the nursing process builds
on the previous step, beginning with an assessment or data collection.
efore the nurse can formulate a plan of action, implement a nursing intervention, or notify a
B
provider of a change in the client's status, the nurse must first collect adequate data from the
client. Assessing or collecting additional data will provide the nurse with the knowledge needed
to make an appropriate decision; therefore, the nurse should first assess the client's respiratory
status.
community health nurse is conducting a class about body mechanics for county office
A
workers. Which of the following instructions should the nurse include? (Select all that apply.)
. "Sit with your back supported."
A
B. "Keep your knees at hip level."
C. "Use an ergonomically designed computer keyboard."
D. "Keep your elbows away from your body."
E. "Adjust the monitor screen so that you have to tilt your head slightly to look at it." -
answer....A. "Sit with your back supported."
B. "Keep your knees at hip level."
C. "Use an ergonomically designed computer keyboard."
sing lumbar support in a straight-back chair helps maintain good posture and prevent back
U
pain. Keeping the knees at the level of the hip or higher helps reduce the risk of lordosis, which
is an exaggeration of the curve of the lumbar spine. Using a keyboard that maintains ergonomic
positioning of the wrists can help prevent carpal tunnel syndrome.
community health nurse is preparing a campaign about seasonal influenza. Which of the
A
following plans should the nurse include as a form of secondary prevention?
. Holding a community clinic to administer influenza immunizations
A
B. Screening groups of older adults in nursing care facilities for early influenza manifestations
C. Educating parents of young children about the dangers of influenza
D. Finding rehabilitation programs for older adults who have complications related to influenza -
answer....B. Screening groups of older adults in nursing care facilities for early influenza
manifestations.
econdary prevention is focused on preventing complications of an illness or providing care to
S
prevent an illness from becoming severe.
, home health nurse is planning to provide health promotion activities for a group of clients in
A
the community. Which of the following activities is an example of primary prevention?
. Teaching clients to perform self-examinations of breasts and testicles
A
B. Educating clients about the recommended immunization schedule for adults
C. Teaching clients who have type 1 diabetes mellitus about care of the feet
D. Recommending that clients over the age of 50 have a fecal occult blood test annually -
answer....B. Educating clients about the recommended immunization schedule for adults
Primary prevention includes health education about disease prevention.
home health nurse is visiting an older adult client with severe dementia. The client's son, who
A
serves as her primary caregiver, reports being "exhausted" from working part-time and caring for
his mother at home. Which of the following options should the nurse suggest to the caregiver?
. Rehabilitation
A
B. Assisted living facility
C. Respite care
D. Adult day care facility - answer....C. Respite care
espite care is a service for caregivers who need time to rest from multiple responsibilities
R
related to the care of a family member who needs assistance.
hospice nurse is reviewing religious practices of a group of clients with a newly licensed
A
nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching?
. People who practice the Islamic faith pray over the deceased for a period of 5 days before
A
burial.
B. People who practice the Hindu faith bury the deceased with their head facing north.
C. People who practice Judaism stay with the body of the deceased until burial.
D. People who are practicing the Buddhist faith have the female family members prepare the
body following death. - answer....People who practice Judaism stay with the body of the
deceased until burial.
In the Jewish faith, a family member often stays with the body until burial occurs.
hospice nurse is visiting with the family member of a client. The family member states that the
A
client has insomnia almost nightly. Which of the following practices should the nurse identify as
contributing to the client's insomnia?
. The client watches television in her bed during the day.
A
B. The client drinks warm milk before bedtime.
C. The client goes to bed at 2200 every night.
