In recent years there has been a shift from licensed practical nurses/vocational nurses (LPNs/VNs)
working in acute care to practicing more in which type of setting?
~Acute-care settings
~Community-based settings
~Hospital settings
~Emergency room settings
Community-based settings
The trend in recent years in LPN/VN practice has been a shift away from acute-care settings (e.g.,
hospitals) toward community-based settings, such as nursing homes, outpatient clinics, and
rehabilitation centers.
Which assessment data would the LPN/VN classify as subjective? Select all that apply. One, some, or all
responses may be correct.
~Patient's blood pressure is 132/86 mm Hg.
~Patient reports nausea.
~Patient's body temperature is 36.6°C (97.8°F).
~Patient reports a dull ache in their back.
~Patient's forehead is warm to the touch.
Patient reports nausea.
Subjective data are what the patient reports feeling or thinking and what the LPN/VN cannot otherwise
know, such as nausea.
Patient reports a dull ache in their back.
Subjective data are what the patient reports feeling or thinking and what the LPN/VN cannot otherwise
know, such as back pain.
Which source would be the best source for the nurse to utilize to obtain a patient's drug history?
,Pharmacology
~Electronic health record
~Report from a caregiver
~Patient's pharmacy
~Patient
Patient
Typically, the patient is the best source when the nurse is collecting a drug history because the patient
will have the most current and accurate knowledge of drugs taken.
Which role would the LPN/VN play during the diagnosis step of the nursing process?
~Ask follow-up questions
~Determine medical diagnoses
~Formulate nursing diagnoses
~Take vital signs
Ask follow-up questions
The LPN/VN's role during diagnosis is most likely to be asking follow-up questions based on medical and
nursing diagnoses to further clarify patient needs.
Which information would be included in a patient's plan of care?
~Short-term and long-term goals
~Medical diagnosis
~Health insurance
~Medication reconciliation
Short-term and long-term goals
The nursing care plan includes both short-term and long-term goals.
,Pharmacology
Under which condition would the LPN/VN withhold a drug? Select all that apply. One, some, or all
responses may be correct.
~When part of the order is unclear
~When the drug would worsen the patient's condition
~When a patient reports usually feeling sleepy after taking the drug
~When a patient's condition has changed, and the drug may no longer be appropriate
~When the drug order matches the drug label
When part of the order is unclear
The LPN/VN should not give a drug when any part of the order is incorrect or unclear.
When the drug would worsen the patient's condition
The LPN/VN should not give a drug when the drug would worsen the patient's condition.
When a patient's condition has changed, and the drug may no longer be appropriate
The LPN/VN should not give a drug when the patient's condition has changed, and the drug may no
longer be appropriate.
List in correct order the steps for planning to give a drug.
Planning to give a drug involves four important steps:
1. Know the reason for giving the drug
2. Learn specific information about the drug
3. Plan for any needed equipment or procedures
4. Develop a teaching plan for the patient
, Pharmacology
Which action would the LPN/VN carry out during the implementation step of the nursing process? Select
all that apply. One, some, or all responses may be correct.
~Carry out the plan of care by safely giving the drug to the patient
~Ask follow-up questions to further clarify the patient's needs
~Interview the patient regarding drug history
~Assess the patient's response to drug therapy
~Record the actions taken in the electronic medical record
Carry out the plan of care by safely giving the drug to the patient
Carrying out the plan of care as by safely giving the drugs to the patient is an action the LPN/VN would
likely perform during the implementation step of the nursing process.
Record the actions taken in the electronic medical record
Documenting the actions taken in the electronic medical record is an action the LPN/VN would likely
perform during the implementation step of the nursing process.
Match the rights of drug administration with the LPN/VN actions associated with each.
~Use at least two identifiers
~Make sure that the drug has not been given recently
~Confirm that this drug makes sense for this patient
~Make sure that the right amount of the drug is used
~Check the drug label at least three times
Use at least two identifiers....The right patient
Make sure that the drug has not been given recently.....The right time
Confirm that this drug makes sense for this patient....The right reason
Make sure that the right amount of the drug is used....The right dose
Check the drug label at least three times....The right drug