A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy?
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Question 2 of 90
A healthcare professional is assessing an adult client who has been immobile for the past 3 weeks. The healthcare professional should identify that which of the following findings requires further intervention?
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Question 3 of 90
A client with a history of severe anxiety is scheduled for surgery. Which preoperative medication is the most appropriate for the LPN/LVN to administer to this client?
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Question 4 of 90
A nurse is providing education about cultural and religious traditions and rituals related to death for the assistive personnel on the unit. Which of the following information should the nurse include?
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Question 5 of 90
When should discharge planning be initiated for a client experiencing an exacerbation of heart failure?
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Question 6 of 90
The nurse is providing discharge instructions to a client who has been prescribed an iron supplement. Which statement by the client indicates a need for further teaching?
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Question 7 of 90
A client has a new prescription for a metered-dose inhaler. Which of the following instructions should the nurse include?
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Question 8 of 90
The healthcare provider is assessing a client diagnosed with rheumatoid arthritis. Which assessment finding would be most concerning?
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Question 9 of 90
A nurse at a health department is planning strategies related to heart disease. Which of the following activities should the nurse include as part of primary prevention?
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Question 10 of 90
A client with congestive heart failure (CHF) is receiving furosemide (Lasix). Which laboratory value should the LPN monitor closely while the client is taking this medication?
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Question 11 of 90
A nurse is planning to insert a nasogastric tube for a client after explaining the procedure. The client states, 'You are not putting that hose down my throat.' Which of the following statements should the nurse make?
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Question 12 of 90
The nurse is assessing a 17-year-old female client with bulimia. Which of the following laboratory reports would the nurse anticipate?
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Question 13 of 90
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago but feels fine now. What action is best for the LPN/LVN to take?
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Question 14 of 90
A healthcare professional is providing care to a client who has a tracheostomy. Which of the following actions should the professional take to prevent complications?
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Question 15 of 90
When assessing the skin of an immobilized patient, what should the nurse do?
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Question 16 of 90
A nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia. Which of the following tasks should the nurse assign to an assistive personnel (AP)?
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Question 17 of 90
A client reports abdominal pain. An assessment by the nurse reveals a temperature of 39.2 degrees C (102 degrees 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 18 of 90
A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG Tube. Which of the following actions should the nurse take?
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Question 19 of 90
The patient is immobilized after undergoing hip replacement surgery. Which finding will alert the nurse to monitor for hemorrhage in this patient?
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Question 20 of 90
The patient has been in bed for several days and needs to be ambulated. Which action will the nurse take first?
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Question 21 of 90
A nurse is providing care to four clients. Which of the following situations requires the nurse to complete an incident report?
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Question 22 of 90
While assisting a client with a meal, the client suddenly grabs at their neck with both hands and appears frightened. The appropriate nursing action is to:
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Question 23 of 90
An adult client is found to be unresponsive on morning rounds. After checking for responsiveness and calling for help, the next action that should be taken by the nurse is to:
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Question 24 of 90
A healthcare professional is screening several clients at a neighborhood health fair. Which of the following assessment findings is the priority for referral for further care?
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Question 25 of 90
A client is to have mafenide (Sulfamylon) cream applied to burned areas. For which serious side effect of mafenide therapy should the LPN/LVN monitor this client?
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Question 26 of 90
A postoperative client is reporting pain at a level of 2 on a scale of 0 to 10. What is an indication that the client understands pain management?
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Question 27 of 90
A client scheduled for a hysterectomy has not yet signed the operative consent form. When the nurse approaches the client and asks that she review and sign the form, the client says she no longer wants to have the surgery. At this time, which action should the nurse take?
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Question 28 of 90
A nurse is talking with an adolescent who is having difficulty dealing with several issues. Which of the following issues should the nurse identify as the priority?
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Question 29 of 90
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 degrees C (102 degrees F), heart rate of 105/min, a soft tender abdomen, and census overdue by 2 days. Which of the following findings should be the nurse's priority?
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Question 30 of 90
A client is talking with an older adult who is contemplating retirement. The client states, 'I keep thinking about how much I enjoy my job. I'm not sure I want to retire.' Which of the following responses should the nurse make?
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Question 31 of 90
A client is on bed rest. Which of the following interventions should the nurse plan to implement?
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Question 32 of 90
A nurse is caring for a client postoperatively. When the nurse prepares to change the dressing, the client says it hurts. Which intervention is the nurse's priority action?
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Question 33 of 90
A client with a history of asthma presents to the emergency department with difficulty breathing and wheezing. Which of the following is the priority nursing action?
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Question 34 of 90
When providing oral care to an unconscious patient, what action should the nurse take to protect the patient from injury?
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Question 35 of 90
A client is scheduled for hip surgery in an hour. Which of the following actions is the nurse's priority?
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Question 36 of 90
A healthcare professional uses a head-to-toe approach to conduct a physical assessment of a client who will undergo surgery the following week. Which of the following critical thinking did the healthcare professional demonstrate?
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Question 37 of 90
A healthcare professional is caring for a child who has a prescription for a blood transfusion. The parents have refused the treatment due to religious beliefs. Which of the following actions should the healthcare professional take?
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Question 38 of 90
After completing an assessment and determining that a client has a problem, what should the LPN/LVN do next?
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Question 39 of 90
An elderly male client who is unresponsive following a cerebral vascular accident (CVA) is receiving bolus enteral feedings through a gastrostomy tube. What is the best client position for the administration of bolus tube feedings?
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Question 40 of 90
An assistive personnel says to the nurse, "This client is incontinent of stool three or four times a day. I get angry, and I think that the client is doing it just to get attention. I think we should put adult diapers on her." Which is the appropriate nursing response?
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Question 41 of 90
The pediatric clinic nurse examines a toddler with a tentative diagnosis of neuroblastoma. Findings observed by the nurse that are associated with this problem include which of these?
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Question 42 of 90
A nurse educator is conducting a parenting class for new guardians of infants. Which of the following statements made by a participant indicated understanding?
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Question 43 of 90
The client is advised to take dexamethasone (Decadron) with food or milk. What is the physiological basis for this advice?
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Question 44 of 90
A healthcare provider is caring for several clients who are receiving oxygen therapy. Which client should the provider assess most frequently for manifestations of oxygen toxicity?
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Question 45 of 90
A client is being taught how to administer ear drops. Which of the following statements should the nurse identify as an indication that the client understands?
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Question 46 of 90
During auscultation of the anterior chest wall of a client newly admitted to a medical-surgical unit, what type of breath sounds should a nurse expect to hear?
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Question 47 of 90
The nurse is caring for a client with cirrhosis of the liver. Which finding should the LPN/LVN report to the healthcare provider immediately?
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Question 48 of 90
When assessing a client's neurologic system, what should the nurse ask the client to close their eyes and identify?
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Question 49 of 90
A nurse in a provider's office is obtaining the health and medication history of a client who has a respiratory infection. The client tells the nurse that she is not aware of any allergies, but that she did develop a rash the last time she was taking an antibiotic. Which of the following information should the nurse give the client?
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Question 50 of 90
At 0100 on a male client's second postoperative night, the client states he is unable to sleep and plans to read until feeling sleepy. What action should the nurse implement?
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Question 51 of 90
A healthcare provider is assessing a client's ability to balance. Which of the following actions is appropriate when the healthcare provider conducts a Romberg test?
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Question 52 of 90
A nurse is providing teaching to an older adult client who has constipation. Which of the following statements should the nurse include in the teaching?
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Question 53 of 90
When conducting an admission assessment, the LPN should ask the client about the use of complementary healing practices. Which statement is accurate regarding the use of these practices?
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Question 54 of 90
A nurse is assessing the heart sounds of a client who has developed chest pain that becomes worse with inspiration. The nurse auscultates a high-pitched scratching sound during both systole and diastole with the diaphragm of the stethoscope positioned at the left sternal border. Which of the following heart sounds should the nurse document?
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Question 55 of 90
A healthcare professional is preparing to administer metoprolol 200 mg PO daily. The medication available is metoprolol 100 mg/tablet. How many tablets should the healthcare professional administer? (Round the answer to the nearest whole number. Do not use a trailing zero.)
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Question 56 of 90
During an abdominal examination, a nurse in a provider's office determines that a client has abdominal distention. The protrusion is at midline, the skin over the area is taut, and the nurse notes no involvement of the flanks. Which of the following possible causes of distention should the nurse suspect?
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Question 57 of 90
A charge nurse on an acute care unit is planning care for a client. Which of the following actions should the nurse take to promote the client's continuity of care?
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Question 58 of 90
A client is immobile due to a cast, and a nurse is assisting in the use of a fracture bedpan. Which of the following actions should the nurse take?
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Question 59 of 90
The client with chronic obstructive pulmonary disease (COPD) is being educated about lifestyle changes. Which statement by the client indicates a need for further teaching?
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Question 60 of 90
A client is receiving chemotherapy for breast cancer. Which laboratory value would be most important for the nurse to monitor?
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Question 61 of 90
The healthcare provider is caring for a client who has just been diagnosed with myasthenia gravis. Which symptom should the healthcare provider expect to observe?
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Question 62 of 90
A client reports increased pain following physical therapy. Which of the following questions should the nurse ask to assess the quality of the pain?
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Question 63 of 90
A client with a diagnosis of hypertension is being assessed. Which symptom would be most concerning?
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Question 64 of 90
A nurse observes an assistive personnel (AP) preparing to obtain blood pressure with a regular size cuff for a client who is obese. Which of the following explanations should the nurse give the AP?
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Question 65 of 90
A nurse is planning an education session for an older adult client who has just learned that she has type 2 diabetes mellitus. Which of the following strategies should the nurse plan to use with this client?
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Question 66 of 90
A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best intervention for the LPN/LVN to implement?
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Question 67 of 90
A nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses on her toes. Which of the following statements by the client indicates an understanding of the teaching?
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Question 68 of 90
A nurse is providing teaching to a newly licensed nurse about the care of a client who has MRSA. Which of the following statements by the newly licensed nurse indicates an understanding of teaching?
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Question 69 of 90
Which of the following should a group of community health nurses plan as part of a primary prevention program for occupational pulmonary diseases?
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Question 70 of 90
Which task can the RN delegate to an unlicensed assistive personnel (UAP)?
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Question 71 of 90
A nurse in a provider's office is assessing a client who has heart failure. The client has gained weight since her last visit, and her ankles are edematous. Which of the following findings by the nurse is another clinical manifestation of fluid volume excess?
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Question 72 of 90
A healthcare professional is preparing to admit a client suspected of having pulmonary tuberculosis. Which of the following actions should the healthcare professional plan to perform first?
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Question 73 of 90
The healthcare provider is caring for a client with tuberculosis (TB). Which type of isolation precautions should the healthcare provider implement?
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Question 74 of 90
A nurse is reviewing the correct use of a fire extinguisher with a client. Which of the following actions should the nurse direct the client to take first?
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Question 75 of 90
Which nursing diagnosis would be a priority for a client admitted with a CVA (cerebral vascular accident)?
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Question 76 of 90
A provider prescribes cold application for a client who reports ankle joint stiffness. Which of the following assessment findings should the nurse identify as a contraindication to the application of cold?
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Question 77 of 90
A client with stage IV lung cancer is 3 days postoperative following a wedge resection. The client states, "I told myself that I would go through with the surgery and quit smoking, if I could just live long enough to attend my child's wedding." Based on the Kubler-Ross model, which stage of grief is the client experiencing?
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Question 78 of 90
A healthcare professional is admitting a client who has influenza. Which of the following types of transmission precautions should the healthcare professional initiate?
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Question 79 of 90
The healthcare professional caring for a patient who is immobile frequently checks for impaired skin integrity. What is the rationale for this action?
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Question 80 of 90
A client with chronic kidney disease has been prescribed a low-protein diet. Which food should the healthcare provider advise the client to limit?
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Question 81 of 90
A nurse is giving a change-of-shift report about a client he admitted earlier that day who has pneumonia. Which of the following pieces of information is the priority for the nurse to provide?
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Question 82 of 90
When caring for a client with diarrhea due to Shigella, which of the following precautions should the nurse take?
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Question 83 of 90
When caring for a client prescribed a blood transfusion that parents refuse due to religious beliefs, what should the nurse do?
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Question 84 of 90
During an initial history and physical assessment of a 3-month-old brought into the clinic for spitting up and excessive gas, what would the nurse expect to find?
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Question 85 of 90
A nurse is preparing to check a client's blood pressure. Which of the following actions should the nurse take?
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Question 86 of 90
A nurse is assigned to a manipulative client for 5 days and becomes aware of feelings of reluctance to interact with the client. What should the nurse do next?
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Question 87 of 90
A client with a new colostomy is being taught how to irrigate the ostomy. The healthcare provider realizes that the client needs further teaching when the client:
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Question 88 of 90
The healthcare provider attaches a pulse oximeter to a client's fingers and obtains an oxygen saturation reading of 91%. Which assessment finding most likely contributes to this reading?
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Question 89 of 90
A patient is placed in the Sims' position. Which areas will the nurse observe for pressure points?
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Question 90 of 90
A nursing assistive personnel (AP) is providing AM care to patients. Which action by the NAP will require the nurse to intervene?
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