NURSING 176 EXAM 2 REVIEW QUESTIONS
The LPN is discharging a client after successful bariatric (Gastric) surgery. Which
information should be included in the plan of care related to this procedure? - Answers
:May need to be on B12 injections for life.
The LPN is caring for a client diagnosed with cystitis. Which statement is correct related
to this condition? - Answers :The client is at risk for urinary tract infections
The LPN is caring for a client diagnosed with chronic renal failure, who is receiving
hemodialysis today. Which priority nursing intervention will the LPN implement? -
Answers :Weigh the client before and after dialysis
The LPN is caring for a client who has been diagnosed with heart failure and
complaining of severe dyspnea. The client is coughing up pink frothy sputum and has a
02 sat of 87%. What is the most appropriate nursing intervention to prevent further
complications? - Answers :Pull the client up in bed and administer oxygen as ordered.
The client presents to the emergency department with BP 200/130, blurred vision,
severe headache, and a history of hypertension (HTN). Labs show elevated LDL and
triglyceride levels, also. The LPN suspects the client is experiencing which acute
condition? - Answers :Malignant hypertension
The LPN is caring for a client who is overweight, smokes and has a family history of
Coronary artery disease (CAD). Which intervention would be best to include in the plan
of care? - Answers :Educating on weight management and smoking cessation.
The LPN is caring for a client after a stroke. The patient states to the LPN, "When I
cough or sneeze, I'm peeing on myself. I always need to use the commode but never
make it in time." What action will the LPN take in response? (Select all that apply) -
Answers :Establish a routine for a toileting schedule,
Educate the patient on how to do Kegel exercises
The LPN is providing teaching to a client diagnosed with Celiac disease. Which
statement by the client indicates proper understanding of the disease process? -
Answers :"I can learn to adjust to a gluten free diet."
The LPN is caring for a client scheduled for an endoscopic procedure. Which statement
by the patient demonstrates a need for more education? - Answers :"I won't eat before
the procedure, but I can have fluids to drink immediately after it is done."
The LPN reviews discharge instructions with a client taking furosemide (Lasix). Which
effects will the LPN anticipate related to this treatment? - Answers :Polyuria and weight
loss
, The LPN is preparing a diet plan for a client diagnosed with chronic renal failure. What
dietary choices would be best for this client to consume? - Answers :Apples and green
beans
The LPN is caring for a client in sickle cell crisis with severe pain. Which intervention
would be a priority to be initiated? - Answers :Administration of oxygen
The LPN is caring for a client experiencing difficulty with elimination. Which statement
by the client indicates a need for further teaching? - Answers :"I will reduce my fluid
intake to prevent excessive voiding."
The LPN is caring for a patient with severe anemia. Which lab test could help with
determining the cause of anemia? - Answers :Hemoccult
The LPN is caring for a patient with a history of hypertension and smoking. The patient
is concerned about developing a DVT (deep vein thrombosis). Which action should the
LPN take to address this condition? (Select all that apply) - Answers :Assess for
increased warmth on the calf areas,
Assess for circulation, then apply proper compression therapy as indicated,
Assess for pain and swelling of the calf on the affected leg
The LPN is caring for a client with a history of sickle cell anemia. The client is asking
about ways to reduce exacerbation. What should the LPN say to address this concern?
(Select all that apply) - Answers :Be sure to reduce stress from extreme environmental
temperatures when possible,
Be sure to drink 6-8 glasses of water daily,
Get plenty of rest and relaxation to reduce mental stress
The client is admitted to the cardiac unit with a diagnosis of angina and a stress test as
ordered for the client. The client states to the LPN, "I am not able to walk on a treadmill
so I will not take the test." What action will the LPN take first? - Answers :Collect more
information to determine why the patient is unable to walk.
The LPN is completing discharge planning on a client diagnosed with atrial fibrillation.
What instructions will the LPN include for this client who will be taking Coumadin at
home? (Select all that apply) - Answers :Your dose will be dependent on the PT values
taken on a routine basis, Your therapeutic values for INR should be between 2.0 and
3.0
A 50-year-old female client arrives at the emergency department (ED) reporting
shortness of breath (SOB), nausea, and cool clammy skin. What test should the LPN
expect to be ordered by the physician based on this information? - Answers :12-lead
EKG
The LPN is discharging a client after successful bariatric (Gastric) surgery. Which
information should be included in the plan of care related to this procedure? - Answers
:May need to be on B12 injections for life.
The LPN is caring for a client diagnosed with cystitis. Which statement is correct related
to this condition? - Answers :The client is at risk for urinary tract infections
The LPN is caring for a client diagnosed with chronic renal failure, who is receiving
hemodialysis today. Which priority nursing intervention will the LPN implement? -
Answers :Weigh the client before and after dialysis
The LPN is caring for a client who has been diagnosed with heart failure and
complaining of severe dyspnea. The client is coughing up pink frothy sputum and has a
02 sat of 87%. What is the most appropriate nursing intervention to prevent further
complications? - Answers :Pull the client up in bed and administer oxygen as ordered.
The client presents to the emergency department with BP 200/130, blurred vision,
severe headache, and a history of hypertension (HTN). Labs show elevated LDL and
triglyceride levels, also. The LPN suspects the client is experiencing which acute
condition? - Answers :Malignant hypertension
The LPN is caring for a client who is overweight, smokes and has a family history of
Coronary artery disease (CAD). Which intervention would be best to include in the plan
of care? - Answers :Educating on weight management and smoking cessation.
The LPN is caring for a client after a stroke. The patient states to the LPN, "When I
cough or sneeze, I'm peeing on myself. I always need to use the commode but never
make it in time." What action will the LPN take in response? (Select all that apply) -
Answers :Establish a routine for a toileting schedule,
Educate the patient on how to do Kegel exercises
The LPN is providing teaching to a client diagnosed with Celiac disease. Which
statement by the client indicates proper understanding of the disease process? -
Answers :"I can learn to adjust to a gluten free diet."
The LPN is caring for a client scheduled for an endoscopic procedure. Which statement
by the patient demonstrates a need for more education? - Answers :"I won't eat before
the procedure, but I can have fluids to drink immediately after it is done."
The LPN reviews discharge instructions with a client taking furosemide (Lasix). Which
effects will the LPN anticipate related to this treatment? - Answers :Polyuria and weight
loss
, The LPN is preparing a diet plan for a client diagnosed with chronic renal failure. What
dietary choices would be best for this client to consume? - Answers :Apples and green
beans
The LPN is caring for a client in sickle cell crisis with severe pain. Which intervention
would be a priority to be initiated? - Answers :Administration of oxygen
The LPN is caring for a client experiencing difficulty with elimination. Which statement
by the client indicates a need for further teaching? - Answers :"I will reduce my fluid
intake to prevent excessive voiding."
The LPN is caring for a patient with severe anemia. Which lab test could help with
determining the cause of anemia? - Answers :Hemoccult
The LPN is caring for a patient with a history of hypertension and smoking. The patient
is concerned about developing a DVT (deep vein thrombosis). Which action should the
LPN take to address this condition? (Select all that apply) - Answers :Assess for
increased warmth on the calf areas,
Assess for circulation, then apply proper compression therapy as indicated,
Assess for pain and swelling of the calf on the affected leg
The LPN is caring for a client with a history of sickle cell anemia. The client is asking
about ways to reduce exacerbation. What should the LPN say to address this concern?
(Select all that apply) - Answers :Be sure to reduce stress from extreme environmental
temperatures when possible,
Be sure to drink 6-8 glasses of water daily,
Get plenty of rest and relaxation to reduce mental stress
The client is admitted to the cardiac unit with a diagnosis of angina and a stress test as
ordered for the client. The client states to the LPN, "I am not able to walk on a treadmill
so I will not take the test." What action will the LPN take first? - Answers :Collect more
information to determine why the patient is unable to walk.
The LPN is completing discharge planning on a client diagnosed with atrial fibrillation.
What instructions will the LPN include for this client who will be taking Coumadin at
home? (Select all that apply) - Answers :Your dose will be dependent on the PT values
taken on a routine basis, Your therapeutic values for INR should be between 2.0 and
3.0
A 50-year-old female client arrives at the emergency department (ED) reporting
shortness of breath (SOB), nausea, and cool clammy skin. What test should the LPN
expect to be ordered by the physician based on this information? - Answers :12-lead
EKG
