1|Page
NURS 136 EXAM 1 LATEST 2025 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
which step of the nursing process is it when an LPN/LVN is
assisting the RN in the development of goals and intervention for
a patient's plan of care - ANSWER-Planning
The student nurse ask "How does knowing the nurse diagnosis
assist the LPN/LVN" The best response is based on
understanding that - ANSWER-Nursing diagnosis identifies the
patient's problems
During the assessment the phase of the nursing process, the
LPN/LVN is expected to - ANSWER-Collect data about the patient
When the LPN/LVN participates in the evaluation phase of the
nursing process, she or he compares the patient's responses with
the - ANSWER-Outcome criteria
,2|Page
When a nurse uses Maslow's Hierarchy of Needs to priorities
patients problems, which problem would be considered the
highest priority - ANSWER-The patient is acutely short of breath
The patient's problem has been identified as insufficient intake of
oral fluids. Which outcome statement is best? - ANSWER-The
patient will ingest 1500 mL of oral fluids during each 24-hour
period
A student nurse ask, "What the primary purpose of the evaluation
phase of the nursing process?" The best response is - ANSWER-
To compare actual patient outcomes with desired outcomes
Which phases of the nursing process does the LPN/LVN
participate in with the greatest degree of independence -
ANSWER-Data collection and implementation
The RN head nurse is having a busy day. When the LPN/LVN
reports data she has collected, the RN states "incorporate that
into the nursing care plan and write down the intervention you
would use. I will cosign the entry" The LPN/LVN should -
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ANSWER-Tell the RN that this action is not within the LPN/LVN
scope of practice
The LPN/LVN learns at the report that a patient's priority problems
are pain and inability to ambulate associated with arthritis. During
the patient's bath, he becomes short of breath. The LPN/LVN
should implement interventions based on - ANSWER-The
patient's changing status
Which outcome would be appropriate to include in the nursing
care plan of a patient who has undergone total knee replacement
- ANSWER-The patient will transfer from the bed to chair with
assistance of a walker and one staff member by the third
postoperative day
For client baths what should the nurse ensure she should do for
her elderly clients? select all that apply - ANSWER-1. Take into
consideration the client's personal preferences
2. pat dry their skin instead of wiping them dry with a towel.
3. never leave the client during the duration of the shower
, 4|Page
Place the following in the correct order for donning PPE (from top
to bottom) - ANSWER-1. Grown
2. Mask
3. Eyewear (goggles/face shield)
4. Gloves
The LVN walks into a clients room who has all 4 rails up but has
no physicians order for restraints the nurse should - ANSWER-
Place the side rails down until only 2 side rails are up
Place the following in the correct order for doffing (removing) PPE
(From top to bottom) - ANSWER-1. Gloves
2. eyewear
3. gown
4. mask
Place the following in the correct order (from top to bottom) -
ANSWER-1. Rescue
2. Activate the fire alarm
NURS 136 EXAM 1 LATEST 2025 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
which step of the nursing process is it when an LPN/LVN is
assisting the RN in the development of goals and intervention for
a patient's plan of care - ANSWER-Planning
The student nurse ask "How does knowing the nurse diagnosis
assist the LPN/LVN" The best response is based on
understanding that - ANSWER-Nursing diagnosis identifies the
patient's problems
During the assessment the phase of the nursing process, the
LPN/LVN is expected to - ANSWER-Collect data about the patient
When the LPN/LVN participates in the evaluation phase of the
nursing process, she or he compares the patient's responses with
the - ANSWER-Outcome criteria
,2|Page
When a nurse uses Maslow's Hierarchy of Needs to priorities
patients problems, which problem would be considered the
highest priority - ANSWER-The patient is acutely short of breath
The patient's problem has been identified as insufficient intake of
oral fluids. Which outcome statement is best? - ANSWER-The
patient will ingest 1500 mL of oral fluids during each 24-hour
period
A student nurse ask, "What the primary purpose of the evaluation
phase of the nursing process?" The best response is - ANSWER-
To compare actual patient outcomes with desired outcomes
Which phases of the nursing process does the LPN/LVN
participate in with the greatest degree of independence -
ANSWER-Data collection and implementation
The RN head nurse is having a busy day. When the LPN/LVN
reports data she has collected, the RN states "incorporate that
into the nursing care plan and write down the intervention you
would use. I will cosign the entry" The LPN/LVN should -
,3|Page
ANSWER-Tell the RN that this action is not within the LPN/LVN
scope of practice
The LPN/LVN learns at the report that a patient's priority problems
are pain and inability to ambulate associated with arthritis. During
the patient's bath, he becomes short of breath. The LPN/LVN
should implement interventions based on - ANSWER-The
patient's changing status
Which outcome would be appropriate to include in the nursing
care plan of a patient who has undergone total knee replacement
- ANSWER-The patient will transfer from the bed to chair with
assistance of a walker and one staff member by the third
postoperative day
For client baths what should the nurse ensure she should do for
her elderly clients? select all that apply - ANSWER-1. Take into
consideration the client's personal preferences
2. pat dry their skin instead of wiping them dry with a towel.
3. never leave the client during the duration of the shower
, 4|Page
Place the following in the correct order for donning PPE (from top
to bottom) - ANSWER-1. Grown
2. Mask
3. Eyewear (goggles/face shield)
4. Gloves
The LVN walks into a clients room who has all 4 rails up but has
no physicians order for restraints the nurse should - ANSWER-
Place the side rails down until only 2 side rails are up
Place the following in the correct order for doffing (removing) PPE
(From top to bottom) - ANSWER-1. Gloves
2. eyewear
3. gown
4. mask
Place the following in the correct order (from top to bottom) -
ANSWER-1. Rescue
2. Activate the fire alarm
