2027 WITH ORGANIZED QUESTIONS
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STEP BY STEP EXPLANATIONS AND
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A 24-year-old man seeks medical attention for complaints of
claudication in the arch of the foot. The nurse also notes
superficial thrombophlebitis of the lower leg. The nurse should
check the client for which next? - THE CORRECT ANSWER-Smoking
history
The nurse has reinforced instructions to the client with
Raynaud's disease about self-management of the disease
process. The nurse determines that the client needs further
teaching if the client states which? - THE CORRECT ANSWER-"Moving
to a warmer climate should help."
A client with myocardial infarction suddenly becomes
tachycardic, shows signs of air hunger, and begins coughing
frothy, pink-tinged sputum. The nurse listens to breath sounds,
expecting to hear which breath sounds bilaterally? - THE CORRECT
ANSWER-Crackles
The LPN/LVN is collecting data on a client with a diagnosis of
right-
,sided heart failure. The nurse should expect to note which
specific characteristic of this condition? - THE CORRECT ANSWER-
Dependent edema
The LPN/LVN is checking the neurovascular status of a client
who returned to the surgical nursing unit 4 hours ago after
undergoing an aortoiliac bypass graft. The affected leg is warm,
and the nurse notes redness and edema. The pedal pulse is
palpable and unchanged from admission. The nurse interprets
that the neurovascular status is which? - THE CORRECT ANSWER-
Normal, caused by increased blood flow through the leg
A client with a diagnosis of rapid rate atrial fibrillation asks the
nurse why the health care provider is going to perform carotid
massage. The LPN/LVN responds that this procedure may
stimulate which? - THE CORRECT ANSWER-Vagus nerve to slow the
heart rate
A client is admitted to the hospital with possible rheumatic
endocarditis. The LPN/LVN should check for a history of which
type of infection? - THE CORRECT ANSWER-Staphylococcal infection
client has an Unna boot applied for treatment of a venous stasis
leg ulcer. The LPN/LVN notes that the client's toes are mottled,
and cool and the client verbalizes some numbness and tingling
of the foot. Which interpretation should the nurse make of
these findings? - THE CORRECT ANSWER-The boot has been applied
too tightly
A client with angina complains that the anginal pain is
prolonged and severe and occurs at the same time each day,
, most often in the morning. On further data collection, the nurse
notes that the pain occurs in the absence of precipitating
factors. How should the LPN/LVN best describe this type of
anginal pain? - THE CORRECT ANSWER-Variant angina
The LPN/LVN is monitoring a client with an abdominal aortic
aneurysm (AAA). Which finding is probably unrelated to the
AAA? - THE CORRECT ANSWER-Hyperactive bowel sounds in the area
An emergency department client who complains of slightly
improved but unrelieved chest pain for 2 days is reluctant to
take a nitroglycerin sublingual tablet offered by the nurse. The
client states, "I don't need that—my dad takes that for his heart.
There's nothing wrong with my heart." Which description best
describes the client's response? - THE CORRECT ANSWER-Denial
A client is scheduled for a cardiac catheterization using a
radiopaque dye. The LPN/LVN checks which most critical item
before the procedure? - THE CORRECT ANSWER-Prior reaction to
contrast media
A client is scheduled for a dipyridamole thallium scan. The
LPN/ LVN should check to make sure that the client has not
consumed which substance before the procedure? - THE CORRECT
ANSWER-Caffeine
An ambulatory clinic nurse is interviewing a client who is
complaining of flulike symptoms. The client suddenly develops
chest pain. Which question best assists the nurse to
discriminate pain caused by a non cardiac problem? - THE
CORRECT ANSWER-"Does the pain get worse when you breathe in?"