ANSWERS RATED A+
✔✔What did the patient complain of? - ✔✔A headache lasting for three days.
✔✔What should the LPN do when the patient's primary language is Spanish? - ✔✔Use
an interpreter to convey all necessary information.
✔✔Which pulse points should the LPN assess? - ✔✔Radial, Popliteal, Posterior Tibial,
Temporal, Carotid, Brachial, Femoral, Dorsalis Pedis.
✔✔What action should the nurse take after administering blood pressure medications to
a patient with a BP of 122/89? - ✔✔Advise the patient to request staff assistance prior
to getting out of bed.
✔✔Why do older adults tend to complain about room temperature? - ✔✔They have a
diminished ability to regulate body temperature because of slower metabolism.
✔✔What assessment finding indicates hyperthermia in an older adult? - ✔✔Red skin
color and decreased amount of sweat.
✔✔What advice should the LPN provide to a patient with stage four prostate cancer
wanting to go to the zoo? - ✔✔Conserve energy and pace activities to prevent fatigue.
✔✔What is a priority nursing action for a patient suspected of hypothermia? -
✔✔Remove wet clothes.
✔✔What contributes to a culture of safety in healthcare? - ✔✔Effective communication.
✔✔Why is testing of new medications not always appropriate for older adults? -
✔✔Testing is usually conducted on healthy young persons.
✔✔What impairment should concern the home health nurse regarding self-medicating
errors? - ✔✔Visual impairment.
✔✔What is the most reliable method of patient identification for medication
administration? - ✔✔An identification bracelet.
✔✔What intervention helps prevent medications from sticking to the back of the throat?
- ✔✔Offering a sip of water before and after each pill.
✔✔What should the nurse say when a patient asks about a pill? - ✔✔"It's an antibiotic
for the infection in your urine."
, ✔✔When would the nurse question an order for a sedative? - ✔✔For a patient with
sleep apnea.
✔✔Which component is NOT part of a mental status assessment? - ✔✔Morse fall
scale.
✔✔What incorrect statement might an LPN make about delirium and dementia? -
✔✔Patients can expect to recover from dementia.
✔✔What is an example of secondary prevention for cognitive impairment? -
✔✔Montreal Cognitive Assessment.
✔✔Which vitamin is fat-soluble? - ✔✔Vitamin K.
✔✔What mineral absorption is affected by Vitamin D deficiency? - ✔✔Calcium.
✔✔What factors can cause hypokalemia? - ✔✔Prolonged diarrhea, decreased intake of
potassium, diabetic ketoacidosis (DKA).
✔✔What subjective data finding suggests hypervolemia? - ✔✔Complaints of dyspnea.
✔✔What incorrect statement might a student nurse make about fall risks in older
adults? - ✔✔"Older adults have the same risk for falling as any other age group."
✔✔What is an internal risk factor impacting safety in older adults? - ✔✔Vision deficit.
✔✔What factors may contribute to an older adult's risk for altered nutrition? -
✔✔Immobility, living alone, transportation, decreased taste perception.
✔✔What nursing intervention would NOT be appropriate for increasing nutritional
intake? - ✔✔Encourage them to drink a full glass of water right before eating each meal.
✔✔What condition is indicated by confusion, cool skin, and bradycardia? -
✔✔Hypothermia.
✔✔What condition is indicated by pH 7.50, pCO2 37, and HCO3 32? - ✔✔Metabolic
Alkalosis.
✔✔What action should the nurse take for a patient with fluid volume overload and a
potassium level of 2.8? - ✔✔Hold the medication and contact the physician.