The LPN/LVN is assigned to administer medications in a long-term care facility. A
disoriented resident has no identification band or picture. Prior to administering
medications to this resident, what is the best Nursing action?
A. Confirm the room and bed numbers with those on the medication record
B. Ask a regular staff member to confirm the residents identity
C. Hold the medication until a family member arrives
D. Re-orient the resident to name, place and situation.
Give this one a try later!
B. Ask a regular staff member to confirm the residents identity
At 7AM, a Diabetic client is conscious with a serum glucose level of 50mg/dL. To
manage this client's care effectively, what should the nurse administer?
A. Orange juice
B. Glucagon
,C. 10 units of regular insulin
D. IV of 5% glucose in water at 100 mL/hr
Give this one a try later!
A. Orange juice
A client is having Radical Mastectomy. What is the position of choice during the
immediate postoperative period?
A. Side-lying on the operative side with the bed flat
B. Supine with the arm on the operative side in a dependent position
C. Semi-Fowler's position with the arm on the operative side elevated
D. Sim's position with the arm on the operative side in a dependent position
Give this one a try later!
C. Semi-Fowler's position with the arm on the operative side elevated
A terminally ill male client and his family are requesting hospice care after discharge
from the hospital and ask the LPN/LVN to explain what kind of care they should
expect. The nurse should indicate that hospice philosophy focuses on what aspect of
health care?
A. Enhance symptom management to improve end of life quality
B. facilitates assisted suicide with the client's consent
C. Offers ways to postpone the death experience at home
D. Provide training for family members to care for the client.
Give this one a try later!
A. Enhance symptom management to improve end of life quality
,The LPN/LVN is administering the shingles vaccine to an older male- client who asks
why he should receive the immunization. Which information should the nurse
provide?
A. A history of chickenpox indicates that the harbors the dormant virus
B. The client's last dose of adult immunizations was 10 years ago
C. A recent outbreak of fever blisters indicates reactivation of the virus
D. Multiple stressful personal experiences increase his risk of shingles
Give this one a try later!
A. A history of chickenpox indicates that the harbors the dormant virus
Prior to administering morphine sulfate (Morphine), the LPN/LVN takes the client's
vital signs. Based on which finding should the nurse withhold administration of the
medication until the charge nurse is notified?
A. Temperature of 100.8F
B. A pulse rate of 150 beats per minute
C. A respiratory rate of 10 breaths per minute
D. A blood pressure of 180/110
Give this one a try later!
C. A respiratory rate of 10 breaths per minute
Based on the Nursing diagnosis of "Potential for infection related to second and third
degree burns," which intervention has the highest priority?
A. Application of topical antibacterial cream
B. Use of careful hand washing technique
C. Administration of plasma expanders
D. Limiting visitors to the burned client.
, Give this one a try later!
B. Use of careful hand washing technique
A 26 year-old primigravida who delivered a 7-pound male infant 26 hours ago tells
the nurse that she is confused about when she and her husband can return to having
sexual intercourse. What info should the nurse reinforce with this client?
A. They can have intercourse when the episiotomy is healed and the lochia flow has
stopped
B. They should wait to resume sexual activities until the fatigue assorted with a new
baby has passed
C. They can resume sexual activity at 6 weeks postpartum
D. It is best to wait until both parties feel up to having sexual intercourse
Give this one a try later!
A. They can have intercourse when the episiotomy is healed and the lochial
flow has stopped
The LPN/LVN is changing the colostomy bag for a client who is complaining of
leakage of diarrheal stool under the disposable ostomy bag. What action should the
nurse implement to prevent leakage?
A. Place a 4X4 wick in the stoma opening
B. Apply a layer of zinc oxide ointment to the perimeter of the stoma
C. Cut the bag opening to the measurement of the stoma size
D. Administer a PRN antidiarrheal agent
Give this one a try later!
C. Cut the bag opening to the measurement of the stoma size
disoriented resident has no identification band or picture. Prior to administering
medications to this resident, what is the best Nursing action?
A. Confirm the room and bed numbers with those on the medication record
B. Ask a regular staff member to confirm the residents identity
C. Hold the medication until a family member arrives
D. Re-orient the resident to name, place and situation.
Give this one a try later!
B. Ask a regular staff member to confirm the residents identity
At 7AM, a Diabetic client is conscious with a serum glucose level of 50mg/dL. To
manage this client's care effectively, what should the nurse administer?
A. Orange juice
B. Glucagon
,C. 10 units of regular insulin
D. IV of 5% glucose in water at 100 mL/hr
Give this one a try later!
A. Orange juice
A client is having Radical Mastectomy. What is the position of choice during the
immediate postoperative period?
A. Side-lying on the operative side with the bed flat
B. Supine with the arm on the operative side in a dependent position
C. Semi-Fowler's position with the arm on the operative side elevated
D. Sim's position with the arm on the operative side in a dependent position
Give this one a try later!
C. Semi-Fowler's position with the arm on the operative side elevated
A terminally ill male client and his family are requesting hospice care after discharge
from the hospital and ask the LPN/LVN to explain what kind of care they should
expect. The nurse should indicate that hospice philosophy focuses on what aspect of
health care?
A. Enhance symptom management to improve end of life quality
B. facilitates assisted suicide with the client's consent
C. Offers ways to postpone the death experience at home
D. Provide training for family members to care for the client.
Give this one a try later!
A. Enhance symptom management to improve end of life quality
,The LPN/LVN is administering the shingles vaccine to an older male- client who asks
why he should receive the immunization. Which information should the nurse
provide?
A. A history of chickenpox indicates that the harbors the dormant virus
B. The client's last dose of adult immunizations was 10 years ago
C. A recent outbreak of fever blisters indicates reactivation of the virus
D. Multiple stressful personal experiences increase his risk of shingles
Give this one a try later!
A. A history of chickenpox indicates that the harbors the dormant virus
Prior to administering morphine sulfate (Morphine), the LPN/LVN takes the client's
vital signs. Based on which finding should the nurse withhold administration of the
medication until the charge nurse is notified?
A. Temperature of 100.8F
B. A pulse rate of 150 beats per minute
C. A respiratory rate of 10 breaths per minute
D. A blood pressure of 180/110
Give this one a try later!
C. A respiratory rate of 10 breaths per minute
Based on the Nursing diagnosis of "Potential for infection related to second and third
degree burns," which intervention has the highest priority?
A. Application of topical antibacterial cream
B. Use of careful hand washing technique
C. Administration of plasma expanders
D. Limiting visitors to the burned client.
, Give this one a try later!
B. Use of careful hand washing technique
A 26 year-old primigravida who delivered a 7-pound male infant 26 hours ago tells
the nurse that she is confused about when she and her husband can return to having
sexual intercourse. What info should the nurse reinforce with this client?
A. They can have intercourse when the episiotomy is healed and the lochia flow has
stopped
B. They should wait to resume sexual activities until the fatigue assorted with a new
baby has passed
C. They can resume sexual activity at 6 weeks postpartum
D. It is best to wait until both parties feel up to having sexual intercourse
Give this one a try later!
A. They can have intercourse when the episiotomy is healed and the lochial
flow has stopped
The LPN/LVN is changing the colostomy bag for a client who is complaining of
leakage of diarrheal stool under the disposable ostomy bag. What action should the
nurse implement to prevent leakage?
A. Place a 4X4 wick in the stoma opening
B. Apply a layer of zinc oxide ointment to the perimeter of the stoma
C. Cut the bag opening to the measurement of the stoma size
D. Administer a PRN antidiarrheal agent
Give this one a try later!
C. Cut the bag opening to the measurement of the stoma size
