( NCSBN) LPN
A nurse must use an interpreter to collect data from a client. Which action should the nurse
take to help communicate with the client?
Face the client while asking questions as the interpreter translates the information
The client is admitted with a diagnosis of hyperglycemia and poor glycemic control. Which
task can an unlicensed assistive person (UAP) be assigned by the nurse? Measure blood
pressure, pulse and respirations
Acute care unit work has been assigned to the licensed practical nurse (LPN). Which of
these clients would be most appropriate for the LPN to accept?
An elderly client with a cystitis diagnosis and an indwelling urethral catheter A client who
recently experienced a stroke has an order to ambulate with assistance. Which statement
by the nurse provides the best instructions to the unlicensed assistive person (UAP) who will
assist the client to ambulate?
"Have the client lift and move the walker out to arm's length, then walk into the walker."
The nurse is reviewing information about the health care organization's efforts to improve
quality of care. Which of these statements best describes the goal of continuous quality
improvement (CQI) in a health care setting?
Proactively raise the standard of care. The client's son states, "I do not understand the need
for a living will" during a discussion about one. What is the best response by the nurse?
"Health care decisions can be made based on the client's wishes."
A client diagnosed with bipolar disorder has been referred to social services for possible
placement in a community halfway house after discharge. The social worker telephones the
nurse and asks for information about the client's mental status and adjustment. What should
the nurse do next to respond to this request?
Verify that the client's medical record includes the client's written consent to release
information.
When walking past a client's room, the nurse hears an unlicensed assistive person (UAP)
talking to another UAP. Which of these statements requires further intervention by the
nurse?
"Since I am late for lunch, would you perform my client's blood glucose test?"
The nurse has been assigned to four clients. Which client should the nurse see first?
The client with a history of coronary artery disease (CAD) reporting dyspnea, nausea and
unusual discomfort in the upper back
The client requests not to be interrupted before 10 am because it interferes with the client's
time to meditate. What action shall the nurse take first?
Meet with the client to formulate a mutually agreeable schedule.
A client refuses to take the medication prescribed because the client prefers to take an
herbal preparation instead. What is the first action the nurse should take?
Discuss with the client to find out about the preferred herbal preparation
A client diagnosed with schizophrenia insists that the nurse explain the use and side effects
of the medications prescribed for the client. What should the nurse understand before
responding to the client?
All clients have a right to be informed about their prescribed medications
, The nurse is caring for a group of clients when a fire alarm sounds in the hospital cafeteria.
What else should the nurse do? Close all doors in the area.
A LPN complains to the charge nurse that an unlicensed assistive person (UAP)
consistently leaves the work area untidy and does not restock supplies. What is the best
initial response by the charge nurse?
Explore for further identification about the nature of the problem
A home health nurse is providing care for a client. Which client statement should the nurse
report immediately to the client's health care provider?
"My urine catheter drainage bag looked like rusty-colored water when I emptied it." A client
with a musculoskeletal disorder has been newly fitted with a lower limb orthotic. Which task
can be delegated by the nurse to the certified nursing assistant (CNA)? Assist with
transferring the client from the bed to the chair.
A newly licensed nurse is concerned about time management. Which action should be
most effective in the initial development of a time management plan?
Keep a time log of the activities performed during the working hours. The nurse is providing
care for a client who was recently diagnosed with end-stage heart failure. The client does
not have advance directives in place. Which of the following statements by the nurse would
be appropriate? (Select all that apply.)
"Have you thought about what you want done as your disease progresses?"
"Have you discussed your wishes regarding resuscitation with your health care provider?
"What does your family know about your condition and prognosis?"
During the management of a client's pain, the nurse should adhere to the code of ethics for
nurses. Which of these actions should the nurse consider first when treating the client's
pain?
The client's self-report of pain is the most important consideration
The nurse is caring for a client with congestive heart failure. Which task can the nurse
delegate to the unlicensed assistive person (UAP)?
Record and report the client's intake and output.
The home health nurse is visiting a client diagnosed with type 1 diabetes and osteoarthritis.
The client has difficulty holding and using the prescribed insulin pen. Which community
resource should the client be referred to by the nurse? Occupational therapist
The licensed practical nurse (LPN) is caring for a client with an order that reads, "morphine
sulfate 2 mg IV push every 3 to 4 hours as needed for pain." There are no other licensed
persons working that shift. Which action should the nurse take?
Hold the medication and contact the health care provider.
A nurse is named in a lawsuit. Which of these factors will offer the best protection for that
nurse in a court of law?
Complete and accurate documentation of assessments and interventions
On the day shift, the nurse is responsible for taking care of several clients. Which client
should the nurse see first after receiving shift report?
The client with peptic ulcer disease who has been vomiting most of the night
After reviewing the admission paperwork for a client who is 27 years old, the nurse
discovers that the client does not have any advance directives. What action should the nurse
take?
Inform the charge nurse to offer information about advance directives
At 8:00, the nurse is getting ready to give a client regular insulin by subcutaneous injection.
What information from the client's electronic health record should the nurse review in order
to safely administer the medication? (Select all that apply.)
, Name and date of birth.
0700 blood glucose.
Medication administration record (MAR).
The nurse hears a health care provider (HCP) loudly criticizing one of the unlicensed
assistive persons (UAP) within the earshot of others. The UAP does not react or respond to
the HCP's complaints. What is the best action by the nurse?
Encourage the UAP to directly confront the HCP about the unprofessional behavior.
Even though no one saw the patient waste an opioid injection, the nurse asks another staff
nurse to sign for it. This nurse seems to make requests of this kind on a regular basis. For
the second staff nurse, what is the best course of action? Report this request immediately to
the nurse manager.
The LPN/VN assists the RN in evaluating the plan of care for clients. What action does the
LPN focus on during the evaluation phase?
Achievement or status of progress related to prior goals
Information about case management and the role of the case management nurse is
presented during an orientation session for new nurses. Which statement correctly
describes an important fact about case management?
Case management is a collaborative process designed to meet complex client needs.
The nurse is reinforcing education to a group of parents on how to treat accidental
poisoning of children in the home. What information should the nurse include?
Empty the child's mouth of any poisonous substance still present.
The nurse is stuck in the hand by an exposed needle that was accidentally left in the client's
bed. What action should the nurse take first?
Immediately wash hands vigorously with soap and warm water.
The client is diagnosed with active tuberculosis (TB) and the case has been reported to the
local health department. The nurse understands that the most important reason for notifying
the health department is:
To trace and screen recent contacts the client had
A client has been placed in physical restraints due to aggressive behavior. Which of the
following demonstrates that the nurse has appropriately implemented the restraints? (Select
all that apply.)
The client's status is documented every 15 minutes.
The appropriate client advocate or relative has been notified.
The radial and pedal pulses are palpable and strong.
The 4-year-old child is newly diagnosed with hepatitis A. Which instructions should the
nurse reinforce with the child's parents?
Wash hands thoroughly with soap and warm water after contact with the child.
The nurse is preparing a client for a colonoscopy and notes that the consent form has not
been signed. Which of the following statements by the nurse are appropriate to make to the
client? (Select all that apply.)
"Please tell me your full name and date of birth."
"Do you have any questions about the colonoscopy?"
"Describe what the health care provider told you about a colonoscopy."
The nurse is reviewing the documentation of a client's care in their electronic health record
and realizes that one of the entries was completed on the wrong client. Which of the
following actions are appropriate for the nurse to take? (Select all that apply.)
Mark the entry as "mistaken entry-wrong patient."
Enter the time the error was discovered.
A nurse must use an interpreter to collect data from a client. Which action should the nurse
take to help communicate with the client?
Face the client while asking questions as the interpreter translates the information
The client is admitted with a diagnosis of hyperglycemia and poor glycemic control. Which
task can an unlicensed assistive person (UAP) be assigned by the nurse? Measure blood
pressure, pulse and respirations
Acute care unit work has been assigned to the licensed practical nurse (LPN). Which of
these clients would be most appropriate for the LPN to accept?
An elderly client with a cystitis diagnosis and an indwelling urethral catheter A client who
recently experienced a stroke has an order to ambulate with assistance. Which statement
by the nurse provides the best instructions to the unlicensed assistive person (UAP) who will
assist the client to ambulate?
"Have the client lift and move the walker out to arm's length, then walk into the walker."
The nurse is reviewing information about the health care organization's efforts to improve
quality of care. Which of these statements best describes the goal of continuous quality
improvement (CQI) in a health care setting?
Proactively raise the standard of care. The client's son states, "I do not understand the need
for a living will" during a discussion about one. What is the best response by the nurse?
"Health care decisions can be made based on the client's wishes."
A client diagnosed with bipolar disorder has been referred to social services for possible
placement in a community halfway house after discharge. The social worker telephones the
nurse and asks for information about the client's mental status and adjustment. What should
the nurse do next to respond to this request?
Verify that the client's medical record includes the client's written consent to release
information.
When walking past a client's room, the nurse hears an unlicensed assistive person (UAP)
talking to another UAP. Which of these statements requires further intervention by the
nurse?
"Since I am late for lunch, would you perform my client's blood glucose test?"
The nurse has been assigned to four clients. Which client should the nurse see first?
The client with a history of coronary artery disease (CAD) reporting dyspnea, nausea and
unusual discomfort in the upper back
The client requests not to be interrupted before 10 am because it interferes with the client's
time to meditate. What action shall the nurse take first?
Meet with the client to formulate a mutually agreeable schedule.
A client refuses to take the medication prescribed because the client prefers to take an
herbal preparation instead. What is the first action the nurse should take?
Discuss with the client to find out about the preferred herbal preparation
A client diagnosed with schizophrenia insists that the nurse explain the use and side effects
of the medications prescribed for the client. What should the nurse understand before
responding to the client?
All clients have a right to be informed about their prescribed medications
, The nurse is caring for a group of clients when a fire alarm sounds in the hospital cafeteria.
What else should the nurse do? Close all doors in the area.
A LPN complains to the charge nurse that an unlicensed assistive person (UAP)
consistently leaves the work area untidy and does not restock supplies. What is the best
initial response by the charge nurse?
Explore for further identification about the nature of the problem
A home health nurse is providing care for a client. Which client statement should the nurse
report immediately to the client's health care provider?
"My urine catheter drainage bag looked like rusty-colored water when I emptied it." A client
with a musculoskeletal disorder has been newly fitted with a lower limb orthotic. Which task
can be delegated by the nurse to the certified nursing assistant (CNA)? Assist with
transferring the client from the bed to the chair.
A newly licensed nurse is concerned about time management. Which action should be
most effective in the initial development of a time management plan?
Keep a time log of the activities performed during the working hours. The nurse is providing
care for a client who was recently diagnosed with end-stage heart failure. The client does
not have advance directives in place. Which of the following statements by the nurse would
be appropriate? (Select all that apply.)
"Have you thought about what you want done as your disease progresses?"
"Have you discussed your wishes regarding resuscitation with your health care provider?
"What does your family know about your condition and prognosis?"
During the management of a client's pain, the nurse should adhere to the code of ethics for
nurses. Which of these actions should the nurse consider first when treating the client's
pain?
The client's self-report of pain is the most important consideration
The nurse is caring for a client with congestive heart failure. Which task can the nurse
delegate to the unlicensed assistive person (UAP)?
Record and report the client's intake and output.
The home health nurse is visiting a client diagnosed with type 1 diabetes and osteoarthritis.
The client has difficulty holding and using the prescribed insulin pen. Which community
resource should the client be referred to by the nurse? Occupational therapist
The licensed practical nurse (LPN) is caring for a client with an order that reads, "morphine
sulfate 2 mg IV push every 3 to 4 hours as needed for pain." There are no other licensed
persons working that shift. Which action should the nurse take?
Hold the medication and contact the health care provider.
A nurse is named in a lawsuit. Which of these factors will offer the best protection for that
nurse in a court of law?
Complete and accurate documentation of assessments and interventions
On the day shift, the nurse is responsible for taking care of several clients. Which client
should the nurse see first after receiving shift report?
The client with peptic ulcer disease who has been vomiting most of the night
After reviewing the admission paperwork for a client who is 27 years old, the nurse
discovers that the client does not have any advance directives. What action should the nurse
take?
Inform the charge nurse to offer information about advance directives
At 8:00, the nurse is getting ready to give a client regular insulin by subcutaneous injection.
What information from the client's electronic health record should the nurse review in order
to safely administer the medication? (Select all that apply.)
, Name and date of birth.
0700 blood glucose.
Medication administration record (MAR).
The nurse hears a health care provider (HCP) loudly criticizing one of the unlicensed
assistive persons (UAP) within the earshot of others. The UAP does not react or respond to
the HCP's complaints. What is the best action by the nurse?
Encourage the UAP to directly confront the HCP about the unprofessional behavior.
Even though no one saw the patient waste an opioid injection, the nurse asks another staff
nurse to sign for it. This nurse seems to make requests of this kind on a regular basis. For
the second staff nurse, what is the best course of action? Report this request immediately to
the nurse manager.
The LPN/VN assists the RN in evaluating the plan of care for clients. What action does the
LPN focus on during the evaluation phase?
Achievement or status of progress related to prior goals
Information about case management and the role of the case management nurse is
presented during an orientation session for new nurses. Which statement correctly
describes an important fact about case management?
Case management is a collaborative process designed to meet complex client needs.
The nurse is reinforcing education to a group of parents on how to treat accidental
poisoning of children in the home. What information should the nurse include?
Empty the child's mouth of any poisonous substance still present.
The nurse is stuck in the hand by an exposed needle that was accidentally left in the client's
bed. What action should the nurse take first?
Immediately wash hands vigorously with soap and warm water.
The client is diagnosed with active tuberculosis (TB) and the case has been reported to the
local health department. The nurse understands that the most important reason for notifying
the health department is:
To trace and screen recent contacts the client had
A client has been placed in physical restraints due to aggressive behavior. Which of the
following demonstrates that the nurse has appropriately implemented the restraints? (Select
all that apply.)
The client's status is documented every 15 minutes.
The appropriate client advocate or relative has been notified.
The radial and pedal pulses are palpable and strong.
The 4-year-old child is newly diagnosed with hepatitis A. Which instructions should the
nurse reinforce with the child's parents?
Wash hands thoroughly with soap and warm water after contact with the child.
The nurse is preparing a client for a colonoscopy and notes that the consent form has not
been signed. Which of the following statements by the nurse are appropriate to make to the
client? (Select all that apply.)
"Please tell me your full name and date of birth."
"Do you have any questions about the colonoscopy?"
"Describe what the health care provider told you about a colonoscopy."
The nurse is reviewing the documentation of a client's care in their electronic health record
and realizes that one of the entries was completed on the wrong client. Which of the
following actions are appropriate for the nurse to take? (Select all that apply.)
Mark the entry as "mistaken entry-wrong patient."
Enter the time the error was discovered.
