A client with chronic obstructive pulmonary disease (COPD) is being discharged with home oxygen therapy. Which statement by the client indicates a need for further teaching?
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Question 2 of 92
A client is receiving continuous IV fluid therapy via a peripheral vein in the left forearm. Which of the following findings indicates that the client has developed phlebitis at the IV site?
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Question 3 of 92
The nurse is caring for a patient diagnosed with diabetes. Which task will the nurse assign to the nursing assistive personnel?
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Question 4 of 92
To evaluate a client's understanding of self-administering insulin within the psychomotor domain of learning, what action should the instructor take?
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Question 5 of 92
A nurse is caring for a client receiving fluid through a peripheral IV catheter. Which of the following findings at the IV site should the nurse identify as infiltration?
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Question 6 of 92
While changing a client's postoperative dressing, the nurse observes a red and swollen wound with a moderate amount of yellow and green drainage and a foul odor. Given there is a positive MRSA, which is the most important action for the nurse to take?
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Question 7 of 92
A client is reporting difficulty falling asleep. Which of the following measures should the nurse recommend?
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Question 8 of 92
A school-aged child has had a long leg (hip to ankle) synthetic cast applied 4 hours ago. Which statement from the mother indicates that teaching has been inadequate?
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Question 9 of 92
A nurse is caring for an older adult client who becomes agitated when the nurse requests the client's dentures be removed prior to surgery. Which of the following responses should the nurse make?
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Question 10 of 92
The nurse is planning a meal plan that would provide the most iron for a child with anemia. Which dinner menu would be best?
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Question 11 of 92
A client is on bed rest following an abdominal surgery. Which of the following findings indicates the need to increase the frequency of position changes?
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Question 12 of 92
A nurse discovers a small paper fire in a trash can in a client's bathroom. The client has been taken to safety and the alarm has been activated. Which of the following actions should the nurse take?
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Question 13 of 92
When assessing the respiratory system for complications of immobility, what action should the nurse take?
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Question 14 of 92
When assisting an older adult client with dysphagia following a CVA during mealtime, what should the nurse prioritize?
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Question 15 of 92
A client admitted with abdominal pain tells the nurse that her father died recently, and she begins crying while talking about him. The nurse determines that the client's temperature is 39.2°C (102.6°F), her abdomen is soft without tenderness, and her menses are overdue by 2 days. To which observation should the nurse give priority attention?
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Question 16 of 92
The healthcare provider is caring for a client receiving total parenteral nutrition (TPN). Which laboratory value should be monitored closely to assess for complications?
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Question 17 of 92
Which toy is most appropriate for an 18-month-old child?
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Question 18 of 92
The LPN/LVN observes that a male client has removed the covering from an ice pack applied to his knee. What action should the nurse take first?
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Question 19 of 92
When is a depressed client at highest risk for attempting suicide?
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Question 20 of 92
A client scheduled for arthroplasty expresses concern about the risk of acquiring an infection from a blood transfusion. Which of the following statements should the nurse make to the client?
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Question 21 of 92
A client with a history of falls is under the care of a nurse. Which of the following actions should the nurse take to prevent falls?
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Question 22 of 92
A healthcare professional is preparing to administer IV fluids to a client. The professional notes sparks when plugging in the IV pump. Which of the following actions should the professional take first?
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Question 23 of 92
A patient requires repositioning every 2 hours. Which task can the nurse delegate to the nursing assistive personnel?
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Question 24 of 92
The healthcare professional is preparing to administer a tuberculin skin test. Which site is most appropriate for this injection?
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Question 25 of 92
A client in a provider's office tells the nurse that, 'I fast for several days each week to help control my weight.' The client takes several medications for various chronic issues. The nurse should explain to the client that which of the following mechanisms that result from fasting puts her at risk for medication toxicity?
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Question 26 of 92
A client who has had an allogeneic stem cell transplant needs protective measures. What precaution should the nurse plan for this client?
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Question 27 of 92
During an integumentary assessment for a group of clients, a healthcare professional notes various skin findings. Which of the following findings should the professional recognize as requiring immediate intervention?
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Question 28 of 92
A client with a history of chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2 liters per minute via nasal cannula. The client is short of breath and has a pulse oximetry reading of 88%. What action should the LPN take first?
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Question 29 of 92
A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and unable to focus on the issue at hand. Today, the nurse was found asleep in a chair in the break room not during a break time. Which of the following actions should the nurse take?
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Question 30 of 92
The healthcare provider is assessing a client with a diagnosis of chronic obstructive pulmonary disease (COPD). Which assessment finding would be most concerning?
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Question 31 of 92
A nurse is planning care for a client who reports abdominal pain. An assessment by the nurse reveals the client has a temperature of 39.2°C (102°F), heart rate of 105/min, a soft tender abdomen, and menses overdue by 2 days. Which of the following findings should be the nurse's priority?
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Question 32 of 92
When reviewing EBP about the administration of O2 therapy, what is the recommended maximum flow rate for regulating O2 via nasal cannula?
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Question 33 of 92
When replacing a client's surgical dressing, what should the nurse do?
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Question 34 of 92
A client with a history of chronic obstructive pulmonary disease (COPD) is being discharged with home oxygen therapy. Which statement by the client indicates a need for further teaching?
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Question 35 of 92
A nurse receives a prescription for an antibiotic for a client with cellulitis. The nurse checks the client's medical record, discovers the client's allergy to the antibiotic, and calls the provider for a different prescription. Which of the following critical thinking attitudes did the nurse demonstrate?
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Question 36 of 92
A nurse is caring for a young adult at a college health clinic. Which of the following actions should the nurse take first?
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Question 37 of 92
A patient has been diagnosed with osteoporosis and lactose intolerance. What intervention will the nurse implement?
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Question 38 of 92
A client with a history of hypertension is prescribed a beta-blocker. Which side effect should the nurse monitor for in this client?
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Question 39 of 92
An elderly male client who suffered a cerebral vascular accident is receiving tube feedings via a gastrostomy tube. The LPN knows that the best position for this client during administration of the feedings is
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Question 40 of 92
During a health assessment, a client who takes herbal supplements makes a statement indicating an understanding of their use. Which statement is most indicative of this understanding?
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Question 41 of 92
A nurse enters a client's room and finds her on the floor. The client's roommate reports that the client was trying to get out of bed and fell over the bedrail onto the floor. Which of the following statements should the nurse document about this incident?
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Question 42 of 92
A client enters the emergency department unconscious via ambulance from the client's workplace. What document should be given priority to guide the direction of care for this client?
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Question 43 of 92
A client has a terminal diagnosis and their health is declining. The client requests information about advance directives. Which of the following responses should the nurse make?
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Question 44 of 92
A client expresses that, based on religious values and mandates, a blood transfusion is not an acceptable treatment option. Which of the following responses should the nurse make?
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Question 45 of 92
A client who is unstable and requires frequent vital signs has an electronic blood pressure machine automatically measuring his blood pressure every 15 min. However, the machine is reading the client's blood pressure at more frequent intervals, and the readings are not similar. The nurse checks the machine settings and observes the additional readings, but the problem continues. Which of the following is the appropriate nursing action?
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Question 46 of 92
What action should the nurse take if she observes an unlicensed assistive personnel (UAP) soaking a client's foot in a basin of warm water placed on the bed during a total bed bath for a confused and lethargic client?
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Question 47 of 92
The patient has been brought to the emergency department following a motor vehicle accident. The patient is unresponsive. The driver's license states that glasses are needed to operate a motor vehicle, but no glasses were brought in with the patient. Which action should the nurse take next?
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Question 48 of 92
The nurse is caring for a client with diabetes insipidus. Which finding should the LPN/LVN report to the healthcare provider?
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Question 49 of 92
Which action is most important for maintaining sterility when donning sterile gloves?
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Question 50 of 92
While documenting in a client's medical record, which of the following entries should the nurse record?
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Question 51 of 92
When a nurse instructs a client with hearing loss about cleaning their new hearing aids, which statement indicates that the client understands the instructions?
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Question 52 of 92
The nurse is preparing to provide a complete bed bath to an unconscious patient. The nurse decides to use a bag bath. In which order will the nurse clean the body, starting with the first area?
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Question 53 of 92
A healthcare professional is preparing to administer lactated Ringer's (LR) IV 100 mL over 15 min. How many mL/hr should the IV infusion pump be set to deliver? (Round the answer to the nearest whole number. Do not use a trailing zero.)
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Question 54 of 92
When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are blue. What action should the nurse implement first?
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Question 55 of 92
A client asks a nurse about their Snellen eye test results. The client's visual acuity is 20/30. Which of the following responses should the nurse make?
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Question 56 of 92
An adult client is found to be unresponsive during morning rounds. After checking for responsiveness and calling for help, what should the nurse do next?
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Question 57 of 92
A client is receiving discharge instructions for using a walker. Which statement indicates an understanding of the teaching?
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Question 58 of 92
When working with a client who does not speak the same language as the nurse and an interpreter is present, which of the following actions should the nurse take?
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Question 59 of 92
When planning to insert a peripheral IV catheter for an older adult client, which of the following actions should the nurse plan to take?
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Question 60 of 92
Which nutritional assessment data should be collected to best reflect total muscle mass in an adolescent?
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Question 61 of 92
A client has a sodium level of 125 mEq/L. Which of the following findings should the nurse expect?
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Question 62 of 92
The nurse is caring for a client with a urinary tract infection (UTI). Which finding should the LPN/LVN report to the healthcare provider immediately?
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Question 63 of 92
A client is being admitted to a same-day surgery center for an exploratory laparotomy procedure. The surgeon asks the nurse to witness the signing of the preoperative consent form. In signing the form as a witness, the nurse affirms that:
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Question 64 of 92
A caregiver is talking with the caregivers of a 10-year-old child who is concerned that their child is becoming secretive, including closing the door when showering and dressing. Which of the following responses should the caregiver make?
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Question 65 of 92
When caring for a client with diarrhea due to shigellosis, what precautions should the nurse implement?
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Question 66 of 92
A client with a tracheostomy is being taught by a nurse and their family how to care for the tracheostomy at home. Which of the following should the nurse include in the teaching?
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Question 67 of 92
Postoperatively, signs of hemorrhagic shock are observed. The nurse notifies the surgeon, who instructs to continue monitoring vitals every 15 minutes and report back in one hour. What should the nurse do next?
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Question 68 of 92
A healthcare professional is caring for a client who has a prescription for a stool specimen to be sent to the laboratory to be tested for ova and parasites. Which of the following instructions regarding specimen collection should the healthcare professional provide to the assistive personnel?
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Question 69 of 92
A healthcare professional is assessing a client's extraocular eye movements. Which of the following should the professional do?
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Question 70 of 92
A client is admitted with a diagnosis of septicemia. Which assessment finding should the LPN/LVN report to the healthcare provider immediately?
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Question 71 of 92
The nurse is preparing to administer digoxin (Lanoxin) to a client with heart failure. Which assessment finding would prompt the nurse to withhold the medication and contact the healthcare provider?
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Question 72 of 92
When assessing bowel sounds, what action should a healthcare professional take?
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Question 73 of 92
When admitting a client to an acute care facility, an identification bracelet is sent up with the admission form. In the event these do not match, the nurse's best action is to
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Question 74 of 92
The nurse is caring for a client with a tracheostomy who is unable to clear secretions by coughing. What is the most appropriate action for the nurse to take?
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Question 75 of 92
A cerebrovascular accident patient is placed on a ventilator. The client's daughter arrives with a durable power of attorney and a living will that indicates no extraordinary life-saving measures. What action should the nurse take?
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Question 76 of 92
A nurse is caring for a client who is postoperative and has signs of hemorrhagic shock. When the nurse notifies the surgeon, he directs her to continue measuring the client's vital signs every 15 minutes and call him back in 1 hour. From a legal perspective, which of the following actions should the nurse take next?
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Question 77 of 92
A parent asks a nurse about his infant's expected physical development during the first year of life. Which of the following information should the nurse include?
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Question 78 of 92
In an emergency situation, the charge nurse on the night shift at an urgent care center has to deal with admitting clients of higher acuity than usual due to a large fire in the area. Which style of leadership and decision-making would be best in this circumstance?
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Question 79 of 92
A nurse at a long-term facility is providing a change-of-shift report to an oncoming nurse about an older adult client who has shingles. Which of the following information should the nurse include in the report?
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Question 80 of 92
The nurse is preparing a handout on infant feeding to be distributed to families visiting the clinic. Which notation should be included in the teaching materials?
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Question 81 of 92
A client with lower extremity weakness is being taught a four-point crutch gait by a nurse. Which of the following instructions should the nurse include in the teaching?
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Question 82 of 92
The healthcare provider is providing postoperative care to a client who had a submucosal resection (SMR) for a deviated septum. The healthcare provider should monitor for what complication associated with this type of surgery?
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Question 83 of 92
The client is receiving total parenteral nutrition (TPN). Which laboratory value should the LPN/LVN monitor closely to assess for complications?
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Question 84 of 92
A nurse enters a client's room and finds her on the floor. The client's roommate reports that the client fell out of bed. Which of the following statements should the nurse document?
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Question 85 of 92
A client returns from surgery with two Penrose drains in place. Anticipating frequent dressing changes, what should the nurse use around the incision site?
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Question 86 of 92
When teaching a client how to administer medication through a jejunostomy tube, which of the following instructions should the nurse include?
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Question 87 of 92
A client with a history of hypertension is prescribed a low-sodium diet. Which food should the LPN/LVN recommend the client avoid?
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Question 88 of 92
Prior to a client being transported for a chest x-ray, what should a healthcare professional do first?
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Question 89 of 92
The client is being taught how to use a peak flow meter. The nurse explains that this device should be used to:
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Question 90 of 92
The nurse is caring for a patient who has experienced a stroke causing total paralysis of the right side. To help maintain joint function and minimize the disability from contractures, passive range of motion (ROM) will be initiated. When should the nurse begin this therapy?
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Question 91 of 92
A nurse manager is preparing to review practice guidelines with a group of newly licensed nurses. Which of the following interventions should the nurse include that is within the RN scope of practice?
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Question 92 of 92
When teaching a client and their family how to care for the client's tracheostomy at home, which of the following should the nurse include?
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