Comprehensive LPN-to-ADN Transition Competency
Assessment with Practice Questions and
Rationales|Just released!!
The healthcare provider tells the family of a 6-year old
child with a malignant brain tumor that the tumor is
metastasizing and the child's condition is terminal. How
can the nurse best help the family cope with this news? -
ANSWER-C. Listen to the family's reactions and reflect
and their fears and concerns
The home health nurse observes an elderly male client
attempt to open a child-proof medication container. When
,he is unsuccessful in opening the container, he throws it
across the room and curses loudly. What action should the
nurse implement? - ANSWER-D. Describe other types of
medication containers that are available
A hospitalized 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? -
ANSWER-A. Autonomy vs. Shame and doubt.
In assisting a client perform pursed lip breathing, the nurse
should ensure that the client performs which action? -
ANSWER-A. Inhale through the nose with the mouth shut
and exhale through pursed lips
,In assisting a client to obtain a sputum specimen, the
nurse observes the client cough and spit a large amount of
frothy saliva in the specimen collection cup. What action
should the nurse implement next? - ANSWER-B. Re-
instruct the client in coughing techniques to obtain another
specimen
In caring for a client following a below the knee amputation
(BKA) which task is best for the nurse to delegate to the
unlicensed assistive personnel (UAP) who is assisting with
the care of this client? - ANSWER-A. Empty and measure
the drainage in the suction drainage device
, In counting a client's radial pulse, the nurse notes the
pulse is weak and irregular. To record the most accurate
heart rate, what should the nurse take? - ANSWER-C.
Count the apical pulse rate for sixty seconds
In describing the "at risk" individual for developing Breast
Cancer, the nurse should recognize that which client is at
the highest risk? The woman who is... - ANSWER-C. a 32-
year-old whose mother had breast cancer
In obtaining an orthostatic vital sign measurement, what
action should the nurse take first? - ANSWER-C. Instruct
the client to lie supine