Test Bank - Chapter 01
1. Prior to administering prescribed drugs, the LPN is collecting data for the initial assessment of a patient upon
admission to a long-term care facility. Which action should the LPN consider to be of highest priority? [Multiple
Choice]
a. Obtaining any special equipment that will be needed to give the patient’s drug.
b. Educating the patient to the desired response of the drug given.
c. Collecting data about the patient and the patient’s health condition. ✔
d. Reviewing the nursing care plan to verify that it is accurate.
ANS: C
Collecting and documenting data about the patient and the patient’s health condition is a critical step before any
drugs are given since it is the basis upon which drug therapy is based. Information regarding the present illness,
any signs and symptoms, review of medical records, drug history, and vital signs are needed before drugs are
prescribed. Deciding on special equipment that will be needed to give the patient’s drug is part of the planning
phase of the nursing process. Educating the patient to their expected response to the drug is part of the
implementation stage of the nursing process. Reviewing the nursing care plan to verify that it is being followed
accurately is part of the implementation stage of the nursing process.
Collecting and documenting data about the patient and the patient’s health condition is a critical step before any
drugs are given since it is the basis upon which drug therapy is based. Information regarding the present illness,
any signs and symptoms, review of medical records, drug history, and vital signs are needed before drugs are
prescribed. Deciding on special equipment that will be needed to give the patient’s drug is part of the planning
phase of the nursing process. Educating the patient to their expected response to the drug is part of the
implementation stage of the nursing process. Reviewing the nursing care plan to verify that it is being followed
accurately is part of the implementation stage of the nursing process.
2. The LPN is working with a patient in the assessing stage of the nursing process related to the patient’s
prescribed drugs. Which action should the LPN take during this stage? [Multiple Choice]
a. Developing a nursing goal to plan the procedures needed to give drug.
b. Developing a teaching plan for the patient regarding the drug’s actions.
c. Determining that the patient understands the expected response to the drug. ✔
d. Determining how much the patient understands about the drug being prescribed.
ANS: C
Determining how much the patient understands about the drug is part of the assessment phase of the nursing
process. All the remaining options are part of the planning stage of the nursing process.
,Determining how much the patient understands about the drug is part of the assessment phase of the nursing
process. All the remaining options are part of the planning stage of the nursing process.
3. The LPN is reenforcing teaching to a patient diagnosed with depression about the potential adverse effects of a
prescribed drug. What part of the nursing process related to drug therapy is the nurse engaging in at this point of
the teaching plan? [Multiple Choice]
a. Assessment
b. Implementation
c. Evaluation ✔
d. Diagnosis
ANS: C
In the implementation phase of the nursing process, the LPN understands and teaches to the patient the drug’s
therapeutic effects, expected side effects, and potential adverse effects. This does not occur in any of the other
teaching plan.
In the implementation phase of the nursing process, the LPN understands and teaches to the patient the drug’s
therapeutic effects, expected side effects, and potential adverse effects. This does not occur in any of the other
teaching plan.
4. Which of the following is an example of subjective data? [Multiple Choice]
a. The patient states feeling pain in their left arm. ✔
b. The medical chart has a recorded blood pressure of 128/88.
c. The serum potassium level is 3.8 mmol/L.
d. The patient’s ECG shows normal sinus rhythm.
ANS: A
Reports of what the patient says they are feeling or thinking is considered subjective data. Symptoms such as
pain, nausea, or dizziness are examples of symptoms that cannot be “seen” and are data collected from the
patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a medical chart are examples
of objective data since they can be seen, heard, felt, or measured by someone other than the patient.
Reports of what the patient says they are feeling or thinking is considered subjective data. Symptoms such as
pain, nausea, or dizziness are examples of symptoms that cannot be “seen” and are data collected from the
patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a medical chart are examples
of objective data since they can be seen, heard, felt, or measured by someone other than the patient.
5. Which statement provides an example of objective data? [Multiple Choice]
,a. The patient’s partner reports the patient is often depressed.
b. Grimacing was noted with movement during the examination. ✔
c. The patient reports moderate alcohol consumption.
d. The patient states pain is severe, stating “It’s at least an eight out of ten”.
ANS: B
Data obtained by visual assessment during a physical exam such as grimacing with movement is an example of
objective data. Subjective data includes information presented by the patient or family that cannot be
substantiated, such as a partner’s report of a patient’s depression, patient report of degree of alcohol
consumption, and a patient’s pain rating.
Data obtained by visual assessment during a physical exam such as grimacing with movement is an example of
objective data. Subjective data includes information presented by the patient or family that cannot be
substantiated, such as a partner’s report of a patient’s depression, patient report of degree of alcohol
consumption, and a patient’s pain rating.
6. The LPN/VN is assessing a patient before giving a drug for blood pressure management. The nurse notes the
blood pressure to be 90/50 mm Hg. What action should the nurse take to best assure patient safety? [Multiple
Choice]
a. Hold the drug and report the blood pressure to the RN. ✔
b. Give the patient a full glass of water before giving the drug.
c. Come back in 30 minutes and recheck the blood pressure.
d. Have the patient perform pursed lip breathing before giving the drug.
ANS: A
Much of LPN’s role in assessment may be reporting data collected to the RN or to other professional members of
the healthcare team. The best action is to hold the drug and contact the RN. The patient may need an adjustment
to the dose of the blood pressure drug or switching to another drug. Giving water with the drug is not
contraindicated but does not recognize the patient’s risk for hypotension nor have a positive effect on the
pressure. Rechecking the pressure in 30 minutes does not address the issue related to the administration of the
medication. Pursed lip breathing has no role in this situation.
Much of LPN’s role in assessment may be reporting data collected to the RN or to other professional members of
the healthcare team. The best action is to hold the drug and contact the RN. The patient may need an adjustment
to the dose of the blood pressure drug or switching to another drug. Giving water with the drug is not
contraindicated but does not recognize the patient’s risk for hypotension nor have a positive effect on the
pressure. Rechecking the pressure in 30 minutes does not address the issue related to the administration of the
medication. Pursed lip breathing has no role in this situation.
, 7. The LPN is collecting objective data for inclusion in the nursing assessment. Which piece of information
indicates that the LPN has a clear understanding of objective assessment data? [Multiple Choice]
a. A patient’s rating of chest pain as 8 on a 1 to 10 scale.
b. Family members report that patient has been experiencing pain for 1 month.
c. Detailed history of the patient’s current illness upon admission.
d. Compilation of past laboratory results and x-ray reports. ✔
ANS: D
The patient’s past laboratory and x-ray results are examples of objective data. A pain rating of 8/10, a family
member’s description of the patient’s pain, and history of current illness are examples of subjective data.
The patient’s past laboratory and x-ray results are examples of objective data. A pain rating of 8/10, a family
member’s description of the patient’s pain, and history of current illness are examples of subjective data.
8. A patient recently began a taking blood pressure drug and presents for a follow-up appointment. The office
nurse reviews the patient’s daily blood pressure recordings. Which stage of the nursing process corresponds to
this review? [Multiple Choice]
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation ✔
ANS: D
The evaluation phase involves examining the results that occur when the plan is implemented. Reviewing the
patient’s daily blood pressure recording examines the patient’s response to the drug. The assessment phase
provides initial information about the patient, the problem, and anything that may change the choice of
treatment. The planning phase involves using patient assessment data and diagnoses to set goals and write care
plans. The diagnosis phase involves decision-making about the patient’s problems, including medical diagnoses
made by the healthcare provider and nursing diagnoses developed to focus actions on addressing the patient’s
needs.
The evaluation phase involves examining the results that occur when the plan is implemented. Reviewing the
patient’s daily blood pressure recording examines the patient’s response to the drug. The assessment phase
provides initial information about the patient, the problem, and anything that may change the choice of
treatment. The planning phase involves using patient assessment data and diagnoses to set goals and write care
plans. The diagnosis phase involves decision-making about the patient’s problems, including medical diagnoses
made by the healthcare provider and nursing diagnoses developed to focus actions on addressing the patient’s
needs.
1. Prior to administering prescribed drugs, the LPN is collecting data for the initial assessment of a patient upon
admission to a long-term care facility. Which action should the LPN consider to be of highest priority? [Multiple
Choice]
a. Obtaining any special equipment that will be needed to give the patient’s drug.
b. Educating the patient to the desired response of the drug given.
c. Collecting data about the patient and the patient’s health condition. ✔
d. Reviewing the nursing care plan to verify that it is accurate.
ANS: C
Collecting and documenting data about the patient and the patient’s health condition is a critical step before any
drugs are given since it is the basis upon which drug therapy is based. Information regarding the present illness,
any signs and symptoms, review of medical records, drug history, and vital signs are needed before drugs are
prescribed. Deciding on special equipment that will be needed to give the patient’s drug is part of the planning
phase of the nursing process. Educating the patient to their expected response to the drug is part of the
implementation stage of the nursing process. Reviewing the nursing care plan to verify that it is being followed
accurately is part of the implementation stage of the nursing process.
Collecting and documenting data about the patient and the patient’s health condition is a critical step before any
drugs are given since it is the basis upon which drug therapy is based. Information regarding the present illness,
any signs and symptoms, review of medical records, drug history, and vital signs are needed before drugs are
prescribed. Deciding on special equipment that will be needed to give the patient’s drug is part of the planning
phase of the nursing process. Educating the patient to their expected response to the drug is part of the
implementation stage of the nursing process. Reviewing the nursing care plan to verify that it is being followed
accurately is part of the implementation stage of the nursing process.
2. The LPN is working with a patient in the assessing stage of the nursing process related to the patient’s
prescribed drugs. Which action should the LPN take during this stage? [Multiple Choice]
a. Developing a nursing goal to plan the procedures needed to give drug.
b. Developing a teaching plan for the patient regarding the drug’s actions.
c. Determining that the patient understands the expected response to the drug. ✔
d. Determining how much the patient understands about the drug being prescribed.
ANS: C
Determining how much the patient understands about the drug is part of the assessment phase of the nursing
process. All the remaining options are part of the planning stage of the nursing process.
,Determining how much the patient understands about the drug is part of the assessment phase of the nursing
process. All the remaining options are part of the planning stage of the nursing process.
3. The LPN is reenforcing teaching to a patient diagnosed with depression about the potential adverse effects of a
prescribed drug. What part of the nursing process related to drug therapy is the nurse engaging in at this point of
the teaching plan? [Multiple Choice]
a. Assessment
b. Implementation
c. Evaluation ✔
d. Diagnosis
ANS: C
In the implementation phase of the nursing process, the LPN understands and teaches to the patient the drug’s
therapeutic effects, expected side effects, and potential adverse effects. This does not occur in any of the other
teaching plan.
In the implementation phase of the nursing process, the LPN understands and teaches to the patient the drug’s
therapeutic effects, expected side effects, and potential adverse effects. This does not occur in any of the other
teaching plan.
4. Which of the following is an example of subjective data? [Multiple Choice]
a. The patient states feeling pain in their left arm. ✔
b. The medical chart has a recorded blood pressure of 128/88.
c. The serum potassium level is 3.8 mmol/L.
d. The patient’s ECG shows normal sinus rhythm.
ANS: A
Reports of what the patient says they are feeling or thinking is considered subjective data. Symptoms such as
pain, nausea, or dizziness are examples of symptoms that cannot be “seen” and are data collected from the
patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a medical chart are examples
of objective data since they can be seen, heard, felt, or measured by someone other than the patient.
Reports of what the patient says they are feeling or thinking is considered subjective data. Symptoms such as
pain, nausea, or dizziness are examples of symptoms that cannot be “seen” and are data collected from the
patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from a medical chart are examples
of objective data since they can be seen, heard, felt, or measured by someone other than the patient.
5. Which statement provides an example of objective data? [Multiple Choice]
,a. The patient’s partner reports the patient is often depressed.
b. Grimacing was noted with movement during the examination. ✔
c. The patient reports moderate alcohol consumption.
d. The patient states pain is severe, stating “It’s at least an eight out of ten”.
ANS: B
Data obtained by visual assessment during a physical exam such as grimacing with movement is an example of
objective data. Subjective data includes information presented by the patient or family that cannot be
substantiated, such as a partner’s report of a patient’s depression, patient report of degree of alcohol
consumption, and a patient’s pain rating.
Data obtained by visual assessment during a physical exam such as grimacing with movement is an example of
objective data. Subjective data includes information presented by the patient or family that cannot be
substantiated, such as a partner’s report of a patient’s depression, patient report of degree of alcohol
consumption, and a patient’s pain rating.
6. The LPN/VN is assessing a patient before giving a drug for blood pressure management. The nurse notes the
blood pressure to be 90/50 mm Hg. What action should the nurse take to best assure patient safety? [Multiple
Choice]
a. Hold the drug and report the blood pressure to the RN. ✔
b. Give the patient a full glass of water before giving the drug.
c. Come back in 30 minutes and recheck the blood pressure.
d. Have the patient perform pursed lip breathing before giving the drug.
ANS: A
Much of LPN’s role in assessment may be reporting data collected to the RN or to other professional members of
the healthcare team. The best action is to hold the drug and contact the RN. The patient may need an adjustment
to the dose of the blood pressure drug or switching to another drug. Giving water with the drug is not
contraindicated but does not recognize the patient’s risk for hypotension nor have a positive effect on the
pressure. Rechecking the pressure in 30 minutes does not address the issue related to the administration of the
medication. Pursed lip breathing has no role in this situation.
Much of LPN’s role in assessment may be reporting data collected to the RN or to other professional members of
the healthcare team. The best action is to hold the drug and contact the RN. The patient may need an adjustment
to the dose of the blood pressure drug or switching to another drug. Giving water with the drug is not
contraindicated but does not recognize the patient’s risk for hypotension nor have a positive effect on the
pressure. Rechecking the pressure in 30 minutes does not address the issue related to the administration of the
medication. Pursed lip breathing has no role in this situation.
, 7. The LPN is collecting objective data for inclusion in the nursing assessment. Which piece of information
indicates that the LPN has a clear understanding of objective assessment data? [Multiple Choice]
a. A patient’s rating of chest pain as 8 on a 1 to 10 scale.
b. Family members report that patient has been experiencing pain for 1 month.
c. Detailed history of the patient’s current illness upon admission.
d. Compilation of past laboratory results and x-ray reports. ✔
ANS: D
The patient’s past laboratory and x-ray results are examples of objective data. A pain rating of 8/10, a family
member’s description of the patient’s pain, and history of current illness are examples of subjective data.
The patient’s past laboratory and x-ray results are examples of objective data. A pain rating of 8/10, a family
member’s description of the patient’s pain, and history of current illness are examples of subjective data.
8. A patient recently began a taking blood pressure drug and presents for a follow-up appointment. The office
nurse reviews the patient’s daily blood pressure recordings. Which stage of the nursing process corresponds to
this review? [Multiple Choice]
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation ✔
ANS: D
The evaluation phase involves examining the results that occur when the plan is implemented. Reviewing the
patient’s daily blood pressure recording examines the patient’s response to the drug. The assessment phase
provides initial information about the patient, the problem, and anything that may change the choice of
treatment. The planning phase involves using patient assessment data and diagnoses to set goals and write care
plans. The diagnosis phase involves decision-making about the patient’s problems, including medical diagnoses
made by the healthcare provider and nursing diagnoses developed to focus actions on addressing the patient’s
needs.
The evaluation phase involves examining the results that occur when the plan is implemented. Reviewing the
patient’s daily blood pressure recording examines the patient’s response to the drug. The assessment phase
provides initial information about the patient, the problem, and anything that may change the choice of
treatment. The planning phase involves using patient assessment data and diagnoses to set goals and write care
plans. The diagnosis phase involves decision-making about the patient’s problems, including medical diagnoses
made by the healthcare provider and nursing diagnoses developed to focus actions on addressing the patient’s
needs.
