QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+
An elderly female client tells the nurse that she does not do regular Breast Self Examinations
(BSE) because she is too old. The nurse's response to the client is based on what information?
A. The incidence of breast cancer increases with age
B. The client should have a health care provider do a breast exam at least once a year
C. After age 70, breast cancer is less likely to occur
D. The history of breast cancer in a family member is indicative of the need for BSE
A. The incidence of breast cancer increases with age
A client with Meningitis is in a coma and Nursing care includes seizure precautions. To help
prevent seizure activity, what interventions should the nurse implement?
A. Maintain an oral airway suction equipment and oxygen at the bedside
B. Provide respiratory isolation precautions for visitors and staff
C. Provide emergency anti convulsant medication at the bedside
D. Maintain a quiet calm darkened environment
D. Maintain a quiet calm darkened environment
The LPN/LVN is assisting a female client to obtain a voided specimen for urine culture. After
the client cleanses the meatus, which intervention is performed next?
A. Initiate the urine stream
B. Separate the labia
C. Position the collection cup
D. Observe the urine
,B. Separate the labia
A new protocol for fall prevention is being implemented on the medical unit. During safety
rounds, the nurse identifies that an unlicensed assistive personnel (UAP) has omitted a vital
component of the protocol. After implementing the missing component, what should action
should the nurse take?
A. Report the UAP's omission to the charge nurse
B. Complete an unusual occurrence report
C. Supervise the UAP after reviewing the protocol
D. Assign the UAP to more stable clients the next day
C. Supervise the UAP after reviewing the protocol
What is the best intervention for the nurse to implement when providing morning care for an
ambulatory client with an indwelling catheter (Foley)?
A. Keep the catheter intact while assisting the client with a shower
B. Remove the catheter while the client takes a shower
C. Provide the client with a sponge bath in a chair or the bed
D. Assist the client with a tub with the catheter clamped
A. Keep the catheter intact while assisting the client with a shower
The LPN/LVN is planning care for the a client who has fourth degree midline laceration that
occurred during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the
highest priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays
A. Administer Prescribed stool softener
The LPN/LVN is palpating the right upper hypochondriac region of the abdomen of a client.
What organ lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
C. Liver
,A client comes to the antepartal clinic and tells the LPN/LVN that she is 6 weeks pregnant.
Which sign is she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
B. Amenorrhea
A client's daughter phones the charge nurse to report that the night LPN/ LVN did not provide
good care for her mother. What response should the nurse make?
A. Ask for a description of what happened during the night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.
A. Ask for a description of what happened during the night
A hosptitalized toddler who is recovering from a sickle cell crisis holds a toy and say's "mine".
According to Erikson's theory of psychosocial development, this child's behavior is a
demonstration of which developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
A. Autonomy vs. Shame and doubt
Which action should the LPN/LVN implement in caring for a client following an
electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
D. Wash any paste from the client's hair and scalp
The LPN/LVN is caring for a 75- year-old male client who is beginning to form a decubitus ulcer
at the coccyx. Which intervention will be most helpful in preventing further development of
the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
, C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
A. Encourage the client to eat foods high in protein
What is the homeostatic cellular transport mechanism that moves water from a hypotonic to
a hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
C. Osmosis
The LPN/LVN is taking blood pressure of a client admitted with a possible myocardial
infarction. When taking the client's BP at the brachial artery, the nurse should place the
client's arm in which position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
B. At the level of the heart
What are the final parameters that produce blood pressure? (select all that apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone
A. Heart rate
B. Stroke volume
C. Peripheral resistance
A client begins an antidepressant drug during the second day of hospitalization. Which
assessment is most important for the LPN/LVN to include in this client's plan of care while the
client is taking the antidepressant?
A. Appetite
B. Mood
C. Withdrawal
D. Energy level