DAS LVN Final Exam Questions and Answers 2023

A nurse enters a client's room and finds the client and family member visiting very upset and crying. What is the best response by the nurse to the client and family member at this time? Select one: A. "Well, it is raining outside today. Do you want me to close or open the curtains for you?" B. "You both look very upset. Is there anything you would like to talk about?" C. "Would you like me to come back later?" D. "Has your primary care provider been in to answer your questions today?" - Answer- B. "You both look very upset. Is there anything you would like to talk about?" A nurse is caring for a client with streptococcal pharyngitis. What type of precautions should the nurse initiate? Select one: A. Contact precautions B. Airborne precautions C. Protective precautions D. Droplet precautions - Answer- Droplet precautions When caring for a client with diabetic neuropathy, what sign should the nurse monitor the client for? Select one: A. Weight gain B. Lack of sensation C. Somnolence D. Temperature elevation - Answer- B. Lack of sensation The nurse is working with a young child. What are important principles to keep in mind when communicating with a young child? Select one: A. Role playing is a threatening communication technique with children. B. When a child is sick, the child will often regress to an earlier stage of development. C. Children use verbal communication rather than drawing pictures to make their needs known. D. Therapeutic communication techniques work well for children ages 6 to 18. - Answer- B. When a child is sick, the child will often regress to an earlier stage of development. What type of precautions should the nurse initiate for a client diagnosed with drug-resistant gastroenteritis? Select one: A. Droplet B. Contact C. Airborne D. Protective - Answer- B. Contact During your pre-operative assessment of your client, your assessment suggests anxiety, to facilitate the client's coping, which statement by the nurse is most therapeutic at this time? Select one: A. "Did you watch last night's Laker game?" B. "You'll see, everything will turn out okay for you." C. "Tell me more about how you're feeling now." D. "Others with your diagnosis have done just fine and on the other hand others have not." - Answer- C. "Tell me more about how you're feeling now." The nurse is caring for a client postoperatively following excision of a lung carcinoid tumor. The nurse instructs the client how to use an incentive spirometer to prevent postoperative respiratory complications. Preventing which of the following alterations is a major reason for the use of incentive spirometry? Select one: A. Streptococcus B. Bronchitis C. Atelectasis D. Nasal polyps - Answer- C. Atelectasis After a bronchoscopy, the client can have liquids when Select one: A. He is oriented to time, place, and person. B. He can hold a glass. C. His gag reflex has returned. D. He has regular eupneic respirations. - Answer- C. His gag reflex has returned. A client is diagnosed with bronchial asthma. What should the nurse include in the client education? Select one: A. Rinse and clean the mouthpiece of the inhaler daily. B. Take precautions to prevent the transmission of the disease. C. Instruct the client to avoid deep breathing exercises. D. Avoid sleeping in a supine position to avoid recurrent asthma attacks. - Answer- A. Rinse and clean the mouthpiece of the inhaler daily. The nurse is reinforcing home care instructions to the mother of a 10 year old child with hemophilia. What activity does the nurse suggest that the child could safely participate? Select one: A. Field hockey B. Basketball C. Soccer D. Swimming - Answer- D. Swimming A client has been diagnosed with an enlarged prostate. What information should the nurse explain to the client about the effects of an enlarged prostate? Select one: A. Painful erection B. Inability to defecate C. Lower sperm count D. Retention of urine - Answer- D. Retention of urine Each accredited healthcare facility must have an infection control committee that monitors and evaluates any infection occurring in the facility. The nurse is reviewing with a group of nursing students the goals of the infection control committee. Based on this information, what would be the best answer by the nursing student about the goals of the infection control committee? 1. Offer continuing education for nursing students to prevent infections 2. Serve as consultants in cases of questions or concerns by healthcare personnel 3. Establish employee health and wellness programs 4. Work to prevent further recurrences Select one: A. 2, 4 B. 3, 4 C. 1, 4 D. 1, 2 - Answer- A. 2, 4 A client who has cystitis complains of extreme dysuria, and phenazopyridine (Pyridium) has been prescribed. Which of these aspects should the nurse include in client teaching? Select one: A. "Reduce the amount of whole grains and meats in your diet." B. "This medicine turns your urine red-orange and can stain clothes and toilets." C. "Drink at least 3 liters of water and 3 liters of cranberry juice per day." D. "Expect your urine to appear more concentrated." - Answer- B. "This medicine turns your urine red-orange and can stain clothes and toilets." A nurse is teaching a client about the various contraceptives. What is a 100% effective method of birth control and protection against sexually transmitted diseases (STDs)? Select one: A. Abstinence B. Depo-Provera C. Oral contraceptives D. Rhythm method - Answer- A. Abstinence The nurse examines a client who slipped and fell while climbing stairs and now has ankle swelling and pain on movement. While the client is waiting for their ankle to be x-rayed, which nursing measure is most helpful for relieving the soft-tissue swelling? Select one: A. Apply ice to the ankle B. Place a heating pad on the ankle C. Immobilize the client's foot D. Exercise the client's foot - Answer- A. Apply ice to the ankle Which statement most accurately describes a nursing action associated with Standard Precautions? Select one: A. Blood-contaminated materials are disposed of in a biohazard container. B. Gloves are not required to be worn for client care unless body fluids are seen. C. A mask is worn when in direct contact with clients. D. Recap the needle after administering an IM injection. - Answer- A. Blood-contaminated materials are disposed of in a biohazard container. A group of nurses is attending a lecture on the female reproductive system. A student nurse wants to know which hormones lead to breast enlargement. Which hormone should the nursing instructor say causes breast enlargement? Select one: A. Follicle-stimulating hormone (FSH) B. Prolactin and oxytocin C. Luteinizing hormone (LH) D. Estrogen and progesterone - Answer- D. Estrogen and progesterone Aminophylline (theophylline), a bronchodilator, is administered to a client with acute bronchitis. A nurse administers the medication, knowing that the primary action of this medication is to: Select one: A. suppress coughing B. promote expectoration C. prevent infection D. relax smooth muscles of the bronchial airway - Answer- D. relax smooth muscles of the bronchial airway A nurse is caring for a client with a draining abscess. What precautions should the nurse take when caring for this client? Select all that apply. Select one or more: A. Wear a mask when within 3 ft of the client. B. Place the client in a room that has negative airflow pressure. C. Change gloves after contact with a client's infective material. D. Place client with other clients infected with the same microorganisms. - Answer- C. Change gloves after contact with a client's infective material. A nurse is caring for a client who does not speak the same language as the nurse. Which is a nonverbal form of communication that the nurse can use when communicating with the client and client's family? Select one: A. Speaking slowly with expressions B. Recording assessment details C. Using a picture board D. Using written materials in English - Answer- C. Using a picture board If gallstones obstruct the flow of bile, how would the nurse expect the client's stools to appear? Select one: A. Light, clay colored B. Black and tarry C. Greenish-yellow D. Brown with bloody mucus - Answer- A. Light, clay colored A client is admitted to a unit with influenza. What is the most appropriate type of precautions that should be initiated by the nurse for this client? Select one: A. Droplet precautions B. Protective precautions C. Airborne precautions D. Contact precautions - Answer- A. Droplet precautions The primary health care provider makes a diagnosis of laryngotracheobronchitis (croup) for a 2 year old child. Which common characteristic of croup would the nurse expect to document in the child's chart? Select one: A. Muffled cough B. Moist cough C. Barky cough D. Wheezy cough - Answer- C. Barky cough The best place for you to obtain a pulse rate for a child younger than the age of 2 years is Select one: A. At the radial site B. At the femoral site C. At the carotid site D. At the apical site - Answer- D. At the apical site A nurse is caring for a client with tuberculosis (TB). What measure should be employed when caring for the client? Select one: A. Take precautions to prevent transmission through the feco-oral route. B. Ask the client to eat a diet rich in protein and vitamins A and C. C. Instruct the client to keep the doors of the room closed at night. D. Dispose the infectious waste of the client in biohazardous waste receptacles. - Answer- B. Ask the client to eat a diet rich in protein and vitamins A and C. A client visits the healthcare facility for information on tubal ligation. What information should the nurse provide the client? Select one: A. The client needs only a minor dressing B. It is a temporary sterilization technique C. Only one non-absorbable stitch is needed D. The client can drive home after surgery - Answer- A. The client needs only a minor dressing A nurse is employed with the infection control committee of a healthcare facility. Based on this information, what should the nurse tell the new employees about the goal of the infection control committee in the healthcare agency? Select one: A. Providing a central place for reporting infections B. Improving coordination between nurses and physicians C. Maintaining hygiene in the healthcare facility D. Determining the history of clients' illnesses - Answer- A. Providing a central place for reporting infections A nurse is performing fundal massage for a client. What precaution should the nurse take when giving a fundal massage? Select one: A. Report cramps immediately to physician B. Avoid placing a hand over the symphysis pubis C. Never massage a contracted fundus D. Avoid applying heat to relieve cramps - Answer- C. Never massage a contracted fundus Following treatment for renal calculi that were primarily calcium in composition, what dietary modifications would assist a client in preventing recurrence? Select one: A. Avoid anchovies, sardines, and organ meats. B. Eat foods such as broccoli, asparagus, chocolate, tea, and spinach. C. Avoid foods high in calcium such as milk, broccoli, and cheese. D. Avoid cereals, cranberries, plums, eggs, and meats. - Answer- C. Avoid foods high in calcium such as milk, broccoli, and cheese. Which action best demonstrates the correct measure for prevention of transmission of tuberculosis? Select one: A. Wash hands after completion of client care. B. Have the client wear a mask when being transported to the x-ray department. C. Wear a surgical mask in the care of the client. D. Stock the supply cart with masks at the beginning of every shift. - Answer- B. Have the client wear a mask when being transported to th