CORRECT ANSWERS
When performing a physical musculoskeletal assessment, an LPN would include:
a. Palpation of muscle mass
b. Inspection of posture
c. Observe of gait
d. All of the above ANSW✅✅d. All of the above
Which of the following is the most accurate way to determine the correct placement of a newly
inserted tube feed?
a. Patient description of placement
b. X-ray
c. ph of aspirated contents
d. Surgical report from physcian ANSW✅✅b. X-ray
A patient who is expecting diarrhea after starting a new tube feed formula may be experiencing
formula intolerance.
true or false ANSW✅✅true
For the client with receptive aphasia, which of the following nursing interventions is the most
effective?
a. Using a system of simple gestures and repeated behaviours to communicate
b. Providing the client with a letter chart to use to answer complex questions
c. Offering the client a notepad to write questions and concerns
d. Obtaing a referral for a speech therapist ANSW✅✅a. Using a system of simple gestures and
repeated behaviours to communicate
,The nurse recognizes that changes in elimination occur with the aging process. Which one of the
following is an expected change affecting bowel elimination?
a. Change in nerve innervation and sensation cause diarrhea
b. Mastication processes are less efficient
c. Esophageal emptying time is increased
d. Absorptive processes are increased in the intestinal mucosa ANSW✅✅b. Mastication processes
are less efficient
The Glasgow coma scale involves patients response with:
a. their eyes
b. verbally
c. motor
d. all of the above ANSW✅✅d. all of the above
Types of internal feeding tubes can include, gastrostomy tubes, jejunal tubes, and nasogastric tubes.
true or false ANSW✅✅true
When providing stoma care, it is important that the nurse should:
a. Ensure that the pouch is the right size and the ring fits properly around the stoma
b. Clean and dry the patient's skin and stoma throughly with warm tap water
c. Assess the patient's skin for any signs of breakdown or irritation
d. All of the above ANSW✅✅d. All of the above
When performing an abdominal assessment, it is important to palpate the painful areas first.
true or false ANSW✅✅false
, Complaints of pain is common when a brace or immobilization devise is properly applied.
true or false ANSW✅✅false
For the application of heat and cold, the following times should be adhered to:
a. Apply as long as the client can tolerate it, checking every 10 minutes
b. Apply for 40-45 minutes, check every 10,minutes, repeat Q8H
c. Apply for 30-40 minutes, check evert 5 minutes, repeat as often as needed
d. Apply for 15-20 minutes, check every 5 minutes, evaluate effectiveness 30 minutes after
procedure ANSW✅✅d. Apply for 15-20 minutes, check every 5 minutes, evaluate effectiveness 30
minutes after procedure
The nurse has completed the admission for a client admitted to the hospital's sub-acute care unit. Of
the following nursing diagnosis identified by the nurse's, which one takes the highest priority?
a. Adjustment, impaired
b. Risk for injury
c. Social isolation
d. Communication, impaired verbal ANSW✅✅b. Risk for injury
When a patient has a seizure it is important to retrain their arms and legs to prevent them hurting
themselves
true or false ANSW✅✅false
An ambulatory client is admitted to the extended care facility with a diagnosis of Alzheimer's
disease. In using a falls assessment tool, the nurse knows that the greatest indicator of risk is:
1. Confusion