Which question will the RN ask the LPN/LVN who is assigned to do an enteral feeding for a
patient with a small-bore feeding tube? - Answers Have you had any problems checking the
residual?
When a patient is being prepared for a colonoscopy procedure, which task is most suitable to
delegate to assistive personnel (AP)? - Answers Reinforcing the need for a clear liquid diet
Which laboratory results would the nurse check to determine if there are untoward effects
associated with vomiting, nasogastric suction, or lavage? - Answers Serum electrolytes
The nurse would be most concerned about a prescription for a total parenteral nutrition (TPN)
fat emulsion for a patient with which condition? - Answers Fractured femur
For a patient with short bowel syndrome, the nurse would question the prescription of which
enteral formula? - Answers High fat content
The nurse is caring for a patient with peptic ulcer disease (PUD). Which assessment finding is
the most serious? - Answers Board-like abdomen with shoulder pain
The nurse is taking an initial history for a patient seeking surgical treatment for obesity. Which
finding should be called to the attention of the surgeon? - Answers History of counseling for
body dysmorphic disorder
The nurse is taking a report on an older patient who was admitted with abdominal pain, nausea,
vomiting, and diarrhea. The patient also has a history of chronic dementia. Which comment by
the night shift nurse is most concerning? - Answers The patient has a fluctuating level of
consciousness and mood swings.
In the care of a patient with gastroesophageal reflux disease, which task would be appropriate
to delegate to assistive personnel (AP)? - Answers Reminding the patient not to lie down for 2 to
3 hours after eating
The patient needs diagnostic testing to confirm symptoms of peptic ulcer disease (PUD), and
the health care provider tells the nurse that the patient prefers noninvasive methods. Which
brochure is the nurse most likely to prepare for the patient? - Answers "Three Simple Ways to
Detect H. pylori Using Your Blood, Breath, or Stool."
The nurse is providing the immediate postoperative care for a patient who had fundoplication to
reinforce the lower esophageal sphincter for the purpose of a hiatal hernia repair. What is the
priority action in the care of this patient? - Answers Elevate the head of the bed at least 30
degrees.
A patient with chronic hepatitis C has been taking a daily dose of the antiviral medication
ledipasvir-sofosbuvir for the past month. Which information is the most important for the nurse
, to communicate to the health care provider? - Answers The patient has missed a period and is
having unprotected sex.
Which patient is the most appropriate to assign to an LPN/LVN under the supervision of an RN?
- Answers A patient with intermittent nausea and vomiting after chemotherapy
For patients with peptic ulcer disease (PUD), what is the most important lifestyle modification? -
Answers Smoking cessation
For the postoperative care of a morbidly obese patient, which task best utilizes the expertise of
the LPN/LVN, under the supervision of the RN team leader? - Answers Assisting in the planning
of toileting, turning, and ambulation
A patient with proctitis needs a rectal suppository. A senior nursing student assigned to care for
this patient tells the nurse that she is afraid to insert a suppository because she has never done
it before. What is the most appropriate action in supervising this student? - Answers Show the
student how to insert the suppository and talk to the instructor.
A nursing student is performing a colostomy irrigation. When would the nurse intervene? -
Answers Student hangs the prepared irrigation container on the bed rail.
Which task, related to a nasogastric (NG) tube, can be delegated to an experienced assistive
personnel (AP)? - Answers Disconnecting the suction to allow ambulation to the toilet
The nurse is planning a treatment and prevention program for chronic bowel incontinence for an
older patient. Which intervention should the nurse try first? - Answers Assist the patient to the
commode or toilet 30 minutes after meals.
In which case would fecal microbiota transplantation (FMT) be considered for a patient with
Clostridium difficile infection (CDI)? - Answers Patient has had multiple recurrences of CDI
treated with vancomycin or fidaxomicin.
The charge nurse is reviewing the medication administration records for several patients. Which
situation needs to be brought to the attention of the prescribing health care provider? - Answers
A patient with abdominal pain secondary to diverticulitis is receiving bisacodyl.
What question is the home health nurse most likely to ask the patient to evaluate the efficacy of
cimetidine? - Answers "Has the medication helped to relieve the acid indigestion?"
The nurse is caring for an obese postoperative patient who underwent surgery for bowel
resection. As the patient is moving in bed, he comments, "Something popped open." Upon
examination, the nurse notes wound evisceration. Place the steps in order for handling this
complication. - Answers 1. Stay calm and stay with the patient.
2. Put the patient into semi-Fowler position with knees slightly flexed.