WITH COMPLETE QUESTIONS AND ANSWERS
1. The LPN/LVN is planning care for the a client who has fourth degree midline laceration that occurred during
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vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest priority?
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A. Administer Prescribed stool softener ix ix ix
B. Administer prescribed PRN sleep medications. ix ix ix ix
C. Encourage breastfeeding to promote uterine involution
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D. Encourage use of prescribed analgesic perineal sprays
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..ANS>> A.Administer Pre- scribed stool softener
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2. The LPN/LVN is palpating the right upper hypochondriac region of the abdomen of a client.What
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ix organ lies underneath this area.
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A. Duodenum
B. Gastric Pylorus ix
C. Liver
D. Spleen
..ANS>> C. Liver ix Ix
3. A client comes to the antepartal clinic and tells the LPN/LVN that she is 6 weeks pregnant.Which sign
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ix is she most likely to report?
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A. Decreased sexual libido ix ix
B. Amenorrhea
C. Quickening
D. Nocturia
..ANS>> B. Amenorrhea ix Ix
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, 4. A client's daughter phones the charge nurse to report that the night LPN/
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ix LVNdidnot providegood care for her mother.Whatresponse shouldthe nurse make?
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A. Ask for a description of what happened during the night
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B. Tell the daughter to talk to the unit's nurse manager
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C. Reassure the daughter that the mother will get better care. ix ix ix ix ix ix ix ix ix
D. Explain that all the staff are doing the best they can.
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..ANS>> A.Ask for a description of what happened during the night
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5. A hosptitalized toddler who is recovering from a sickle cell crisis holds a toy and say's
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"mine".According to Erikson's theory of psychosocial develop- ment, this child's behavior is a demonstration of
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which developmental stage?
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A. Autonomy vs. Shame and doubt. ix ix ix ix
B. Industry vs. Inferiority ix ix
C. intiative vs. Guilt ix ix
D. Trust vs. Mistrust ix Ix
..ANS>> A. Autonomy vs. Shame and doubt
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6. Which action should the LPN/LVN implement in caring for a client following an electroencephalogram
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ix (EEG)?
A. Monitor the client's vital signs q4h ix ix ix ix ix
B. Assess for sensation in the client's lower extremities
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, C. Instruct the client to maintain bed rest for eight hours
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D. Wash any paste from the client's hair and scalp
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..ANS>> D.Wash any paste from the client's hair and scalp
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7. The LPN/LVN is caring for a 75- year-old male client who is beginning to form a decubitus ulcer at the
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coccyx.Which intervention will be most helpful in preventing further development of the decubitus?
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A. Encourage the client to eat foods high in protein ix ix ix ix ix ix ix ix
B. Assess the client with daily range of motion exercises
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C. Teach the family how to perform sterile wound care
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D. Ensure the IV fluids are administered as prescribed
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..ANS>> A. Encourage the client to eat foods high in protein
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8. What is the homeostatic cellular transport mechanism that moves water from a hypotonic to a
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ix hypertonic fluid space? ix ix
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport ix
..ANS>> C. Osmosis ix Ix
9. The LPN/LVN is taking blood pressure of a client admitted with a possible myocardial
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ix infarction.When taking the client's BP at the brachial artery, the nurse should place the client's arm in
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ix which position?
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A. Slightly above the level of the heart ix ix ix ix ix ix
B. At the level of the heart
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C. At the level of comfort for the client
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D. Below the level of the heart ix ix ix ix ix
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, ix..ANS>>B. At the level of the heart ix ix ix ix ix ix
10. What are the final parameters that produce blood pressure? (select all that apply)
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A. Heart rate ix
B. Stroke volume ix
C. Peripheral resistance ix
D. Neuroendocrine hormones ix
E. Muscle tone ix
..ANS>> A. Heart rate ix ix ix
B.Stroke volume
ix ix
C.Peripheral resistance
ix ix
11. A client
ix begins
ix an
ix antidepressant
ix drug
ix during
ix the
ix second
ix day
ix ix of hospital-
ix
ix ization. Which assessment is most important for the LPN/LVN to include in this client's plan of care while the
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ix client is taking the antidepressant?
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A. Appetite
B. Mood
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