The nurse is caring for a 5-month-old. Which of the following are fine
motor skills the nurse should expect to see?
A. Palmar grasp
B. Bringing objects up to their mouth
C. Pincer grasp
D. Transferring objects from hand to hand
E. Plays with fingers in midline
F. Opens and shuts hands - ANSWERS-B, E, & F
The nurse has become aware of the following client situations. The
nurse should first assess the client
A. with chronic obstructive pulmonary disease (COPD), who is using
pursed-lip breathing and reporting a productive cough.
B. who had a laparoscopic cholecystectomy three hours ago and is
reporting right shoulder pain and abdominal cramping.
C. with ulcerative colitis, who had three bloody stools in the past two
hours and reporting abdominal cramping.
D. two hours postoperative following a tonsillectomy and is reporting
throat pain while vomiting. - ANSWERS-D. two hours postoperative
following a tonsillectomy and is reporting throat pain while vomiting.
,The LPN reinforces teaching a client about newly prescribed isoniazid
(INH) for pulmonary tuberculosis. Which of the following statements
by the client would require follow-up?
A. "I will have to take this medication for three months."
B. "I will need to have my blood drawn periodically to see if I am
having an adverse effect to this medication."
C. "I will not be considered infectious if I have three consecutive
negative sputum samples."
D. "This medication may make my hands and feet have numbness and
tingling sensations." - ANSWERS-A. "I will have to take this
medication for three months."
The nurse is attending to a client who presents to the emergency
department after a burn injury. They describe the burn as extremely
painful. Select the zone corresponding to the area where the wound
could be extending.
A. Epidermis
B. Dermis
C. Subcutaneous tissue
D. Muscle - ANSWERS-B. Dermis
Which of the following food choices would be suitable for a client
with iron deficiency anemia? Select all that apply.
,A. Quinoa
B. Liver
C. Spinach
D. Baked beans
E. Dairy product - ANSWERS-A, B, C, & D
The nurse knows that which of the following are possible causes of
constipation in the pediatric client? Select all that apply.
A. Hirschsprung disease
B. Spina bifida
C. Iron supplements
D. Psychosocial factors
E. Changes in routine - ANSWERS-A, B, C, D, & E
The nurse is assessing a client with appendicitis. Which of the
following would be an expected finding? Select all that apply.
A. Leukocytosis
B. Melena
C. Fever
D. Nausea and Vomiting
E. Anorexia - ANSWERS-A, C, D, & E
, The nurse is caring for a client who has influenza. Which of the
following prescriptions may be prescribed by the primary healthcare
provider (PHCP)?
A. Valacyclovir
B. Oseltamivir
C. Azithromycin
D. Omeprazole - ANSWERS-B. Oseltamivir
The nurse, working at a clinic, is collecting data on a client who is
complaining of abdominal pain, diarrhea, shortness of breath, and
epistaxis. What should the nurse's first action be?
A. Ask the client about any recent travel to Asia or the Middle East.
B. Screening clients for upper respiratory tract symptoms.
C. Determine whether the client has received all the recommended
immunizations.
D. Call an ambulance to take the client to the hospital immediately. -
ANSWERS-A. Ask the client about any recent travel to Asia or the
Middle East.
The licensed practical/vocational nurse (LPN/VN) is assisting a
registered nurse in triaging a client with diabetes mellitus (type one)
with diabetic ketoacidosis (DKA). Which assessment finding requires
immediate follow-up by the LPN/VN?