PVC Test 1, PVC Test 2, PVC Test 3, PVC
Test 4, PVC Test 6
A 72-year-old woman with multiple chronic health conditions has been informed that she will
need to have hip replacement surgery. The woman is having difficulty navigating the complexity
of the healthcare system, but wishes to maximize her health outcomes. Who would be most
helpful in assisting the woman? - ANS-A coordinated care manager
\A 76-year-old client is being treated in hospital for pneumonia and his discharge planning is in
progress. The client had been living with his son and daughter-in-law, but they have expressed
to the care team that this will no longer be the case. The client, however, is unable to live
independently due to a number of chronic health problems. What member of the care team
would be most able to assist the client with
organizing his living situation? - ANS-Social worker
\A client plans to go on a church missionary trip to Ethiopia. The client asks the licensed
practical/vocational nurse, "Where should I look for information that instructs me about what I
need to do medically to be prepared for such a trip?" Which is the
Nurse's best response? - ANS-"The Centers for Disease Control and Prevention (CDC)
provides up-to-date immunization requirements for travel to various countries outside of the
United States."
\A client who has a history of multiple myeloma visits the nurse at his family physician's office.
The client has been treated for the past several years by an oncologist. He has found his
experiences within the health care system to be emotionally challenging, trying to understand
the health maintenance organization (HMO), and why he received a letter from the HMO stating
his oncologist is no longer in the network, and asked him to choose another oncologist, and
what can he do to continue the oral chemotherapy that insurance stated is no longer formulary
because
the price would be unbearable. What best next action should the nurse take to help the client? -
ANS-Instruct the client that the HMO contracts with physicians and services, and the client may
need to contact his oncologist's office and find out
what recommendations they may have for the situation and the need for the medication.
\A client who is in the hospital recovery from injuries he experienced in a motorcycle accident
has expressed dismay to the student nurse about the costs of his treatment. How should the
nursing student best respond to the client's financial concerns? - ANS-"That must be stressful
for you, especially while you're trying to focus on your health."
\A group of students have been examining the functions of the state board of nursing and the
state nurse practice act. Which best describes a nursing practice act? - ANS-The law that
defines the practice of nursing in a state
\A highly experienced licensed practical nurse (LPN) has provided care on an acute medical unit
for several years. A registered nurse (RN) who is new on the unit has asked the LPN to flush a
client's central venous catheter (CVC), a task that is outside of the LPN's scope of practice but
one that he has often witnessed and feels confident in doing safely. How should the LPN
, respond to the RN's request? - ANS-Inform the RN that he cannot flush the CVC because it is
outside of his scope of practice
\A licensed practical nurse (LPN) has recently graduated from nursing school, passed the
NCLEX-PN, and secured employment at a long-term care facility. At the facility, the nurse will be
providing care along with several unlicensed assistive personnel (UAP).
Which task may be delegated to UAP by the LPN? - ANS-Only tasks that the UAP is capable to
safely perform
\A licensed practical nurse has recently begun working in a new setting and has been informed
by the unit manager that she will be responsible for admitting a client who will soon be arriving
on the unit. The nurse is unsure of the specific admission process that is used on the unit and
was not responsible for admissions in her previous nursing role. How should the nurse respond
to the manager's directive? - ANS-Ask the manager for further teaching and training about the
admission process on the unit
\A licensed practical nurse provides care on a postsurgical unit of a large, urban hospital. The
nurse is aware that nursing documentation about clients is used in the administration of the
prospective payment system (PPS) that applies to many clients' care. How would the principles
of the PPS relate to client care? - ANS-PPS is used to determine clients' health care costs
before they receive
care.
\A licensed practical/vocational nurse (LP/VN) enters a client's room, finding the bed in high
position, both top-side rails down (which violate facility policy) and the call light within reach.
There is a puddle of spilt bath water on the floor by the bed. The nurse
recognizes that the unlicensed assistive personnel (UAP) stepped out of the room during the
bath to gather some linen she forgot. Which action is the priority? - ANS-Return the bed to low
position and place top-side rails up
\A licensed practical/vocational nurse (LP/VN) is caring for a resident who has orders providing
supervised smoking of cigarettes in the smoking area. The LP/VN rounds and smells smoke. He
enters the client's room and finds the resident sitting up in bed and smoking while on a nasal
cannula at 2 L/minute of oxygen. He has caught the top blanket of two blankets on fire (a small
area of the blanket, 3 × 2 inches). Which
priority action should the nurse provide? - ANS-Turn off the oxygen concentrator; grab the
cigarette, and put it in the sink next to the bed with running water.
\A licensed practical/vocational nurse (LP/VN) is caring for clients on a rehabilitation unit. The
nursing supervisor announced that a tornado has been spotted nearby and is headed toward
the nursing facility, and the clients need to be placed into safety immediately. The staff are
instructed, since they are on the first floor of a four-story building, to place anyone able to walk
into the bathrooms, which are on the inside of the building without windows. If anyone has to
stay in the room, place them as close to the center of the building as possible and cover them
with pillows and blankets and pull the wood blinds and curtains. Which actions should the
LP/VN provide to achieve protecting her clients in the timeliest fashion? - ANS-The LP/VN
quickly tells clients in rooms 1, 2, and 3 to go to the hall bathroom and stay there because a
tornado has been sited.
Ask unlicensed assistive personnel (UAP) to pull blinds and curtains in rooms of clients who
cannot be moved, rooms 4 and 6; place pillows over
Test 4, PVC Test 6
A 72-year-old woman with multiple chronic health conditions has been informed that she will
need to have hip replacement surgery. The woman is having difficulty navigating the complexity
of the healthcare system, but wishes to maximize her health outcomes. Who would be most
helpful in assisting the woman? - ANS-A coordinated care manager
\A 76-year-old client is being treated in hospital for pneumonia and his discharge planning is in
progress. The client had been living with his son and daughter-in-law, but they have expressed
to the care team that this will no longer be the case. The client, however, is unable to live
independently due to a number of chronic health problems. What member of the care team
would be most able to assist the client with
organizing his living situation? - ANS-Social worker
\A client plans to go on a church missionary trip to Ethiopia. The client asks the licensed
practical/vocational nurse, "Where should I look for information that instructs me about what I
need to do medically to be prepared for such a trip?" Which is the
Nurse's best response? - ANS-"The Centers for Disease Control and Prevention (CDC)
provides up-to-date immunization requirements for travel to various countries outside of the
United States."
\A client who has a history of multiple myeloma visits the nurse at his family physician's office.
The client has been treated for the past several years by an oncologist. He has found his
experiences within the health care system to be emotionally challenging, trying to understand
the health maintenance organization (HMO), and why he received a letter from the HMO stating
his oncologist is no longer in the network, and asked him to choose another oncologist, and
what can he do to continue the oral chemotherapy that insurance stated is no longer formulary
because
the price would be unbearable. What best next action should the nurse take to help the client? -
ANS-Instruct the client that the HMO contracts with physicians and services, and the client may
need to contact his oncologist's office and find out
what recommendations they may have for the situation and the need for the medication.
\A client who is in the hospital recovery from injuries he experienced in a motorcycle accident
has expressed dismay to the student nurse about the costs of his treatment. How should the
nursing student best respond to the client's financial concerns? - ANS-"That must be stressful
for you, especially while you're trying to focus on your health."
\A group of students have been examining the functions of the state board of nursing and the
state nurse practice act. Which best describes a nursing practice act? - ANS-The law that
defines the practice of nursing in a state
\A highly experienced licensed practical nurse (LPN) has provided care on an acute medical unit
for several years. A registered nurse (RN) who is new on the unit has asked the LPN to flush a
client's central venous catheter (CVC), a task that is outside of the LPN's scope of practice but
one that he has often witnessed and feels confident in doing safely. How should the LPN
, respond to the RN's request? - ANS-Inform the RN that he cannot flush the CVC because it is
outside of his scope of practice
\A licensed practical nurse (LPN) has recently graduated from nursing school, passed the
NCLEX-PN, and secured employment at a long-term care facility. At the facility, the nurse will be
providing care along with several unlicensed assistive personnel (UAP).
Which task may be delegated to UAP by the LPN? - ANS-Only tasks that the UAP is capable to
safely perform
\A licensed practical nurse has recently begun working in a new setting and has been informed
by the unit manager that she will be responsible for admitting a client who will soon be arriving
on the unit. The nurse is unsure of the specific admission process that is used on the unit and
was not responsible for admissions in her previous nursing role. How should the nurse respond
to the manager's directive? - ANS-Ask the manager for further teaching and training about the
admission process on the unit
\A licensed practical nurse provides care on a postsurgical unit of a large, urban hospital. The
nurse is aware that nursing documentation about clients is used in the administration of the
prospective payment system (PPS) that applies to many clients' care. How would the principles
of the PPS relate to client care? - ANS-PPS is used to determine clients' health care costs
before they receive
care.
\A licensed practical/vocational nurse (LP/VN) enters a client's room, finding the bed in high
position, both top-side rails down (which violate facility policy) and the call light within reach.
There is a puddle of spilt bath water on the floor by the bed. The nurse
recognizes that the unlicensed assistive personnel (UAP) stepped out of the room during the
bath to gather some linen she forgot. Which action is the priority? - ANS-Return the bed to low
position and place top-side rails up
\A licensed practical/vocational nurse (LP/VN) is caring for a resident who has orders providing
supervised smoking of cigarettes in the smoking area. The LP/VN rounds and smells smoke. He
enters the client's room and finds the resident sitting up in bed and smoking while on a nasal
cannula at 2 L/minute of oxygen. He has caught the top blanket of two blankets on fire (a small
area of the blanket, 3 × 2 inches). Which
priority action should the nurse provide? - ANS-Turn off the oxygen concentrator; grab the
cigarette, and put it in the sink next to the bed with running water.
\A licensed practical/vocational nurse (LP/VN) is caring for clients on a rehabilitation unit. The
nursing supervisor announced that a tornado has been spotted nearby and is headed toward
the nursing facility, and the clients need to be placed into safety immediately. The staff are
instructed, since they are on the first floor of a four-story building, to place anyone able to walk
into the bathrooms, which are on the inside of the building without windows. If anyone has to
stay in the room, place them as close to the center of the building as possible and cover them
with pillows and blankets and pull the wood blinds and curtains. Which actions should the
LP/VN provide to achieve protecting her clients in the timeliest fashion? - ANS-The LP/VN
quickly tells clients in rooms 1, 2, and 3 to go to the hall bathroom and stay there because a
tornado has been sited.
Ask unlicensed assistive personnel (UAP) to pull blinds and curtains in rooms of clients who
cannot be moved, rooms 4 and 6; place pillows over
