While being prepared for transport to the operating room, a client scheduled for hysterectomy informs the nurse that she no longer wants to have surgery. What action should the nurse take?
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Question 2 of 92
A client requires gastric decompression, and a nurse is inserting an NG tube. Which action should the nurse take to verify proper placement of the tube?
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Question 3 of 92
A client reports mild back pain after receiving analgesia 1 hour ago. Which non-pharmacological pain method should the nurse plan to use?
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Question 4 of 92
Postoperative client with fluid volume deficit. Which change indicates successful treatment?
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Question 5 of 92
A client who has a new prescription for warfarin (Coumadin) is receiving discharge teaching from a nurse. Which of the following statements indicates that the client understands the teaching?
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Question 6 of 92
The healthcare professional prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours. The infusion set delivers 10 drops per milliliter. The healthcare professional should regulate the IV to administer approximately how many drops per minute?
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Question 7 of 92
A client with a history of heart failure presents to the clinic with a 2-day history of weight gain, swelling in the legs, and shortness of breath. Which of the following is the most appropriate initial nursing action?
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Question 8 of 92
A healthcare professional is obtaining the blood pressure in a client's lower extremity. Which of the following actions should the healthcare professional take?
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Question 9 of 92
A client with amphetamine toxicity and sensory overload is being cared for by a nurse. Which intervention should the nurse implement?
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Question 10 of 92
The nurse is caring for a client with hyperthyroidism. Which finding should the nurse expect to observe in this client?
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Question 11 of 92
The nurse assesses a client who has a nasal cannula delivering oxygen at 2 L/min. To assess for skin damage related to the cannula, which areas should the nurse observe?
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Question 12 of 92
A client with iron-deficiency anemia asks a nurse why the Z-track method is necessary for administering iron dextran. Which response should the nurse provide?
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Question 13 of 92
A client is expressing anger over his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
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Question 14 of 92
A nurse is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching?
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Question 15 of 92
When developing a plan of care for a client with dementia, what should the LPN/LVN remember about confusion in the elderly?
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Question 16 of 92
A client appears upset about the IV catheter insertion but does not communicate it to the nurse after being informed about the prescribed IV fluids. Which of the following is an appropriate nursing response?
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Question 17 of 92
Which client statement from the assessment data is likely to explain their noncompliance with propranolol hydrochloride (Inderal)?
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Question 18 of 92
The healthcare provider is caring for a client receiving chemotherapy. Which finding should the LPN/LVN report to the healthcare provider immediately?
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Question 19 of 92
A nurse is evaluating teaching about nutrition with the guardians of an 11-year-old child. Which of the following statements should indicate to the nurse an understanding of the teaching?
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Question 20 of 92
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the LPN have for planning care in terms of the client's beliefs?
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Question 21 of 92
If a security officer is reviewing actions to take in the event of a bomb threat by phone to a group of nurses, which statement by a nurse indicates understanding?
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Question 22 of 92
A healthcare provider is assessing a client with a diagnosis of acute pancreatitis. Which laboratory value would be most concerning?
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Question 23 of 92
A client who is postoperative is being taught how to use a flow-oriented incentive spirometer. Which of the following instructions should be included by the nurse?
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Question 24 of 92
The nurse is working on an orthopedic rehabilitation unit that requires lifting and positioning of patients. Which personal injury will the nurse most likely try to prevent?
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Question 25 of 92
A client with diabetes mellitus is learning to self-administer insulin. Which action by the client indicates the need for further teaching?
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Question 26 of 92
While bathing a patient, the nurse notices movement in the patient's hair. What action should the nurse take?
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Question 27 of 92
A client with a history of hypertension is taking a beta-blocker. Which side effect should the LPN/LVN monitor for in this client?
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Question 28 of 92
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the LPN/LVN implement?
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Question 29 of 92
What is the most important action for the nurse to take to prevent infection in a client who has just returned from surgery with an indwelling urinary catheter in place?
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Question 30 of 92
A client is receiving teaching from a healthcare provider about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?
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Question 31 of 92
A healthcare professional is preparing to administer an intramuscular injection to a young adult client. Which of the following injection sites is the safest for this client?
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Question 32 of 92
The nurse is caring for a client who was successfully resuscitated from a pulseless dysrhythmia. Which of the following assessments is MOST critical for the nurse to include in the plan of care?
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Question 33 of 92
The healthcare provider is caring for a client with a history of atrial fibrillation. Which assessment finding would be most concerning?
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Question 34 of 92
A client has undergone an allogeneic stem cell transplant, and a nurse is initiating a protective environment. Which precaution should the nurse plan for this client?
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Question 35 of 92
A client with a history of asthma is experiencing shortness of breath. What is the most appropriate action for the LPN/LVN to take first?
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Question 36 of 92
The nurse is assessing body alignment for a patient who is immobilized. Which patient position will the nurse use?
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Question 37 of 92
A client with a new diagnosis of diabetes mellitus is being taught how to administer insulin. Which of the following instructions should the nurse include?
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Question 38 of 92
During an admission assessment, a healthcare professional finds a client's radial pulse rate to be 68/min and the simultaneous apical pulse to be 84/min. What is the client's pulse deficit (per minute)?
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Question 39 of 92
When assessing a client's heart sounds, the nurse hears a scratching sound during both systole and diastole. These sounds become more distinct when the nurse has the client sit up and lean forward. The nurse should document the presence of a:
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Question 40 of 92
How can the LPN/LVN best handle the situation of a postoperative client being kept awake by a neighboring client with dementia who sings all night?
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Question 41 of 92
A client is being taught about medications at discharge. Which statement should the nurse identify as an indication that the client understands the instructions?
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Question 42 of 92
During preoperative teaching, a client in a surgeon's office expresses intent to prepare advance directives before surgery. Which statement by the client indicates understanding of advance directives?
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Question 43 of 92
While auscultating a client's abdomen, a nurse hears a blowing sound over the aorta. The nurse should identify this sound as which of the following?
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Question 44 of 92
A client who has been experiencing frequent tonic-clonic seizures is being admitted by a nurse. Which of the following actions should the nurse include in the client's plan of care?
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Question 45 of 92
After abdominal surgery, a client has not urinated since the urinary catheter was removed 8 hours ago. What action should the LPN take first?
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Question 46 of 92
A nurse in an outpatient surgical center is admitting a client for a laparoscopic procedure. The client has a prescription for preoperative diazepam. Prior to administering the medication, which of the following actions is the nurse's priority?
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Question 47 of 92
A 3-year-old child has had multiple tooth extractions while under general anesthesia. The client returns from the post-anesthesia care unit crying but awake. Which approach is likely to be successful?
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Question 48 of 92
A 10-year-old client is recovering from a splenectomy following a traumatic injury. The client's laboratory results show a hemoglobin of 9 g/dL and a hematocrit of 28 percent. The best approach for the nurse to use is to:
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Question 49 of 92
A healthcare professional is caring for a client who has pharyngeal diphtheria. Which of the following types of transmission precautions should the healthcare professional initiate?
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Question 50 of 92
In a disaster at a child day care center, which child would the triage nurse prioritize for treatment last?
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Question 51 of 92
A healthcare professional is planning to assess the abdomen of a client who reports feeling bloated for several weeks. Which of the following methods of assessment should the healthcare professional use first?
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Question 52 of 92
A client with a history of congestive heart failure (CHF) is admitted with dyspnea and a productive cough. What is the most important assessment for the LPN/LVN to perform?
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Question 53 of 92
A healthcare professional is caring for a group of clients. Which of the following measures should the professional take to prevent the spread of infection?
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Question 54 of 92
A client is scheduled for an appendectomy and has given informed consent. Which statement by the client should the nurse address first preoperatively?
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Question 55 of 92
Which statement by the nurse indicates culturally responsive care for a client following Islamic practices?
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Question 56 of 92
The healthcare provider is providing teaching to an immobilized patient with impaired skin integrity about diet. Which diet will the healthcare provider recommend?
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Question 57 of 92
A home health nurse is planning to provide health promotion activities for a group of clients in the community. Which of the following activities is an example of the nurse promoting primary prevention?
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Question 58 of 92
A client with a history of falls is under the care of a nurse. Which of the following actions should be the nurse's priority?
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Question 59 of 92
A healthcare professional is preparing to administer 750 mL of 0.9% sodium chloride IV to infuse over 7 hours. The healthcare professional should set the pump to deliver how many mL/hr?
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Question 60 of 92
A nurse is caring for a client who has herpes zoster. The client asks about complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies?
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Question 61 of 92
A client with a history of diabetes mellitus is experiencing polyuria, polydipsia, and polyphagia. What is the most important action for the nurse to take?
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Question 62 of 92
A client with a terminal illness and approaching death has noisy respirations and is short of breath. Which of the following actions should the nurse take?
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Question 63 of 92
The nurse observes an UAP positioning a newly admitted client who has a seizure disorder. The client is supine, and the UAP is placing soft pillows along the side rails. Which action should the nurse implement?
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Question 64 of 92
During a skin assessment, a healthcare professional is observing a group of clients. Which of the following lesions should the healthcare professional identify as vesicles?
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Question 65 of 92
A middle adult client tells the nurse, 'I feel so useless now that my children do not need me anymore.' Which of the following responses should the nurse make?
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Question 66 of 92
How should the nurse transcribe the dosage of this medication on the client's medical record?
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Question 67 of 92
A client with Guillain-Barre syndrome is in a non-responsive state, yet vital signs are stable and breathing is independent. What should the nurse document to most accurately describe the client's condition?
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Question 68 of 92
A nurse is preparing to administer methylprednisolone 10 mg by IV bolus. The amount available is methylprednisolone injection 40-mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Do not use a trailing zero.)
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Question 69 of 92
The client has a nasogastric (NG) tube in place for decompression. What action should the LPN/LVN take to maintain patency of the NG tube?
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Question 70 of 92
A client is 24 hours postoperative following an inguinal hernia repair. The client is tolerating clear liquids well, has active bowel sounds, and is expressing a desire for "real food." The nurse tells the client, "I will call the surgeon and ask for a change in diet." The surgeon hears the nurse's report and prescribes a full liquid diet. The nurse used which of the following levels of critical thinking?
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Question 71 of 92
A client is being treated for paranoid schizophrenia. When the client became loud and boisterous, the nurse immediately placed him in seclusion as a precautionary measure. The client willingly complied. The nurse's action:
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Question 72 of 92
In an emergency department, a nurse is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hours. Which of the following actions should the nurse take first?
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Question 73 of 92
The healthcare provider is preparing a client with deep vein thrombosis (DVT) for a Venous Doppler evaluation. Which of the following would be necessary for preparing the client for this test?
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Question 74 of 92
A client with a history of seizures is prescribed phenytoin (Dilantin). What side effect should the healthcare provider report immediately?
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Question 75 of 92
During passive range of motion (ROM) and splinting, the absence of which finding will indicate goal achievement for these interventions?
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Question 76 of 92
The patient refuses a morning bath, stating a preference for evening baths. What is the best action for the nurse to take?
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Question 77 of 92
A client is receiving 0.9% sodium chloride IV at 125 mL/hr. The nurse notes that the client has received only 80 mL over the last 2 hr. Which of the following actions should the nurse take first?
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Question 78 of 92
The mother of a toddler calls the nurse for help as the baby is choking on his food. The nurse determines that the Heimlich maneuver is necessary based on which finding?
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Question 79 of 92
The healthcare provider is providing oral care to an unconscious patient and notes that the patient has extremely bad breath. Which term will the healthcare provider use when reporting to the oncoming shift?
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Question 80 of 92
A 25-year-old primigravida at 16 weeks gestation is admitted to the hospital with a diagnosis of hyperemesis gravidarum. Which nursing diagnosis should have the highest priority?
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Question 81 of 92
During a Weber test, what is an appropriate action for the nurse to take?
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Question 82 of 92
When a healthcare professional makes an initial assessment of a client who is post-op following gastric resection, the client's NG tube is not draining. The healthcare professional's attempt to irrigate the tube with 10ml of 0.9% NaCl was unsuccessful, so they determine that the tube was obstructed. Which of the following actions should the healthcare professional take?
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Question 83 of 92
A client is scheduled for an IVP (Intravenous Pyelogram). Which of the following data from the client's history indicates a potential hazard for this test?
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Question 84 of 92
The nurse is evaluating client learning about a low-sodium diet. Selection of which meal would indicate to the LPN that this client understands the dietary restrictions?
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Question 85 of 92
When transferring a client to a long-term care facility, what information should the nurse include in the handoff report?
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Question 86 of 92
A client has pharyngeal diphtheria. What transmission precautions are necessary?
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Question 87 of 92
A client will require oxygen therapy at home. Which of the following statements should the nurse identify as an indication that the client understands how to manage this therapy at home?
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Question 88 of 92
A client is admitted with a diagnosis of Guillain-Barre syndrome. Which assessment finding is most concerning?
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Question 89 of 92
In a mass casualty scenario at a child day care center, which child would the triage nurse prioritize for treatment last?
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Question 90 of 92
A healthcare professional is planning to collect a liquid stool specimen from a client for ova and parasites. Inaccurate test results may result if the healthcare professional:
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Question 91 of 92
A healthcare professional is measuring vital signs for a client and notices an irregularity in the pulse. Which of the following actions should the healthcare professional take?
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Question 92 of 92
A client who is postoperative has paralytic ileus. Which of the following abdominal assessments should the nurse expect?
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