A nurse at a provider's office is discussing routine screenings with a 45-year-old female client who has no specific family history of cancer or diabetes mellitus. Which of the following client statements indicates that the client understands how to proceed?
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Question 2 of 91
A client is hospitalized for an infection of a surgical wound following abdominal surgery. To promote healing and fight wound infection, the nurse plans to arrange to increase the client's intake of:
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Question 3 of 91
While reviewing the medical records of a client with a pressure ulcer, a nurse should expect which of the following findings?
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Question 4 of 91
When assessing a client reporting increased pain after physical therapy, which question should the nurse ask to evaluate the quality of the pain?
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Question 5 of 91
A client with moderate persistent asthma is admitted for a minor surgical procedure. On admission, the peak flow meter is measured at 480 liters/minute. Post-operatively, the client is complaining of chest tightness. The peak flow has dropped to 200 liters/minute. What should the nurse do first?
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Question 6 of 91
A nurse reviews an immobilized patient's laboratory results and discovers hypercalcemia. Which condition will the nurse monitor for most closely in this patient?
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Question 7 of 91
During an admission assessment for an older adult client, what is the priority action for the nurse after gathering data and reviewing systems?
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Question 8 of 91
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 9 of 91
The client is post-operative following abdominal surgery. Which of the following assessment findings would require immediate intervention?
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Question 10 of 91
A child is injured on the school playground and appears to have a fractured leg. What action should the school nurse take first?
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Question 11 of 91
A nurse in a provider's office is collecting information from an older adult who reports that he has been taking acetaminophen 500 mg/day for severe joint pain. The nurse should instruct the client that large doses of acetaminophen could cause which of the following adverse effects?
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Question 12 of 91
A client who requires maximal support is being taught how to use a two-wheeled walker by a nurse. Which of the following actions by the client indicates an understanding of the teaching?
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Question 13 of 91
The client with gastroesophageal reflux disease (GERD) is receiving dietary modification education from the nurse. Which statement by the client indicates a need for further teaching?
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Question 14 of 91
During an eye assessment, what action should the nurse take to assess a client's extraocular eye movements?
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Question 15 of 91
An older adult male client is admitted to the medical unit following a fall at home. When undressing him, the nurse notes that he is wearing an adult diaper and skin breakdown is obvious over his sacral area. What action should the nurse implement first?
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Question 16 of 91
A nurse prepares an injection of morphine to administer to a client who reports pain but asks a second nurse to give the injection because another assigned client needs to use a bedpan. Which of the following actions should the second nurse take?
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Question 17 of 91
A client reports having insomnia. Which of the following interventions is appropriate for the nurse to recommend?
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Question 18 of 91
During a neurologic examination, which assessment should a nurse perform to test a client's balance?
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Question 19 of 91
A client is receiving a blood transfusion. The client reports flank pain, and the nurse notes reddish-brown urine in the client's urinary catheter bag. The nurse recognizes these manifestations as which of the following types of transfusion reactions?
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Question 20 of 91
The patient is admitted to a skilled care unit for rehabilitation after the surgical procedure of fixation of a fractured left hip. The patient's nursing diagnosis is Impaired physical mobility related to musculoskeletal impairment from surgery and pain with movement. The patient is able to use a walker but needs assistance ambulating and transferring from the bed to the chair. Which nursing intervention is most appropriate for this patient?
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Question 21 of 91
When evaluating a client's use of a cane, which action should the nurse identify as an indication of correct use?
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Question 22 of 91
A 15-year-old client has been placed in a Milwaukee Brace. Which statement from the adolescent indicates the need for additional teaching?
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Question 23 of 91
The patient is being taught about flossing and oral hygiene. What instruction will the nurse include in the teaching session?
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Question 24 of 91
The nurse is caring for an older adult patient with a diagnosis of urinary tract infection (UTI). Upon assessment, the nurse finds the patient confused and agitated. How will the nurse interpret these assessment findings?
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Question 25 of 91
A nurse on a medical-surgical unit is caring for a client. Which of the following actions should the nurse take first when using the nursing process?
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Question 26 of 91
A client has an order for 1000 ml of D5W over an 8-hour period. The nurse discovers that 800 ml has been infused after 4 hours. What is the priority nursing action?
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Question 27 of 91
The healthcare professional is caring for a client who is post-operative following a hip replacement. Which assessment finding would require immediate intervention?
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Question 28 of 91
While instructing a male client's wife in the performance of passive range-of-motion exercises to his contracted shoulder, the nurse observes that she is holding his arm above and below the elbow. What nursing action should the LPN/LVN implement?
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Question 29 of 91
A client is scheduled for a total laryngectomy. Which of the following interventions is the priority for the nurse?
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Question 30 of 91
A client has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection?
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Question 31 of 91
During a physical assessment, a nurse is assessing 4 adult clients. Which of the following physical assessment techniques should the nurse use?
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Question 32 of 91
A client is evaluated by a nurse regarding the use of a sequential compression device. Which of the following client statements indicates understanding of the device's purpose?
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Question 33 of 91
After inserting an NG tube for a client, which of the following assessment findings should the nurse expect to confirm correct tube placement?
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Question 34 of 91
During a staff meeting, a nurse is discussing the purpose of regulatory agencies. Which of the following tasks should the nurse identify as the responsibility of state licensing boards?
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Question 35 of 91
A young adult client is receiving instruction from a healthcare provider about health promotion and illness prevention. Which of the following statements indicates understanding?
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Question 36 of 91
A healthcare professional is caring for a client who has a prescription for morphine 5mg IM but accidentally administers the entire 10mg from the single-dose vial. Which of the following actions should the healthcare professional take first?
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Question 37 of 91
A client with a terminal illness is being educated by a healthcare provider about declining resuscitation in a living will. The client asks, "What would happen if I arrived at the ED and I had difficulty breathing?"
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Question 38 of 91
A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the following information should the nurse include?
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Question 39 of 91
The healthcare provider is planning care for a 3-month-old infant immediately postoperative following placement of a ventriculoperitoneal shunt for hydrocephalus. The healthcare provider needs to
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Question 40 of 91
An elderly client who requires frequent monitoring fell and fractured a hip. Which LPN/LVN is at greatest risk for a malpractice judgment?
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Question 41 of 91
While being educated by a nurse, an assistive personnel (AP) is learning about proper hand hygiene. Which statement made by the AP indicates a good understanding of the teaching?
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Question 42 of 91
While caring for a client who begins to experience a generalized seizure while standing in her room, which of the following actions should the nurse take?
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Question 43 of 91
A healthcare professional is calculating a client's fluid intake over the past 8 hr. Which of the following should the healthcare professional plan to document on the client's intake and output record as 120 mL of fluid?
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Question 44 of 91
A client who had a myocardial infarction (MI) 2 days ago has many questions about this condition. What area is a priority for the nurse to discuss at this time?
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Question 45 of 91
A client with diabetes mellitus is experiencing polyuria, polydipsia, and polyphagia. What is the most important action for the LPN/LVN to take?
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Question 46 of 91
The healthcare provider is caring for a client with a history of hypertension. Which assessment finding would be most concerning?
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Question 47 of 91
A client who is receiving chemotherapy for cancer treatment is experiencing nausea and vomiting. What is the best intervention for the LPN/LVN to implement?
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Question 48 of 91
The charge nurse on the unit observes that one of the staff nurses is not using proper hand washing techniques. Which is the most appropriate initial approach to correct the behavior?
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Question 49 of 91
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture resulting from a fall. In reviewing hip precautions with the client, which instruction should the LPN/LVN include in this client's teaching plan?
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Question 50 of 91
An assistive personnel (AP) is assisting a nurse with the care of a female client who has an indwelling urinary catheter. Which of the following actions by the AP indicates a need for further teaching?
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Question 51 of 91
The debilitated patient is resisting attempts by the nurse to provide oral hygiene. Which action will the nurse take next?
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Question 52 of 91
A client with type 1 diabetes mellitus is experiencing hypoglycemia. What is the best initial action for the LPN/LVN to take?
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Question 53 of 91
A healthcare professional is preparing for change of shift. Which document or tool should the healthcare professional use to communicate?
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Question 54 of 91
A client requires a 24-hour urine collection. Which statement by the client indicates an understanding of the teaching?
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Question 55 of 91
A nurse prepares to admit a client who is immediately postoperative to the unit following abdominal surgery. When transferring the client from the gurney to the bed, what should the nurse do?
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Question 56 of 91
A nurse is inserting an IV catheter for a client that results in a blood spill on her gloved hand. The client has no documented bloodstream infection. Which of the following actions should the nurse take?
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Question 57 of 91
During a physical assessment on a toddler, what should be the first action?
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Question 58 of 91
A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when working with the client?
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Question 59 of 91
A nurse is preparing to administer ketorolac 0.5 mg/kg IV bolus every 6 hr to a school-age child who weighs 66 lb. The available ketorolac injection is 30 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
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Question 60 of 91
A healthcare professional is preparing to administer 750 mL of 0.9% sodium chloride IV to infuse over 7 hr. The professional should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
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Question 61 of 91
A parent is reviewing safety measures for an 8-month-old infant with a nurse. Which of the following statements by the parent indicates an understanding of safety for the infant?
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Question 62 of 91
A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take as part of the medication reconciliation process?
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Question 63 of 91
A client with rheumatoid arthritis is prescribed methotrexate. What information should the LPN include when teaching the client about this medication?
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Question 64 of 91
A client with a history of hypertension is prescribed a diuretic. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the medication?
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Question 65 of 91
The client is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which finding indicates that the bladder irrigation is effective?
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Question 66 of 91
A client with diabetes mellitus is being taught by a nurse about mixing regular and NPH insulin. Which of the following statements by the client indicates an understanding of the teaching?
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Question 67 of 91
Which nursing action prevents injury to a client's eye during the administration of eye drops?
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Question 68 of 91
During an eye irrigation for a client exposed to smoke and ash, which nursing action should receive the highest priority?
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Question 69 of 91
A male Native American presents to the clinic with complaints of frequent abdominal cramping and nausea. He states that he has chronic constipation and had not had a bowel movement in five days, despite trying several home remedies. Which intervention is most important for the nurse to implement?
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Question 70 of 91
When initiating cardiopulmonary resuscitation (CPR), what assessment finding must the healthcare provider confirm before beginning chest compressions?
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Question 71 of 91
A nurse in a primary care clinic is assessing a client who has a history of herpes zoster. Which of the following findings suggests that the client has postherpetic neuralgia?
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Question 72 of 91
When taking a history of a 3-year-old with neuroblastoma, what comment by the parents requires follow-up and is consistent with the diagnosis?
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Question 73 of 91
When caring for a patient diagnosed with diabetes mellitus and circulatory insufficiency, experiencing peripheral neuropathy and urinary incontinence, on which areas does the nurse focus care?
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Question 74 of 91
A patient's neighbor is scheduled for elective surgery. The neighbor's provider indicated that a moderate amount of blood loss is expected during the surgery, and the neighbor is anxious about acquiring an infection from a blood transfusion. Which of the following is appropriate for the nurse to suggest?
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Question 75 of 91
During the stages of dying, a client reaches the point of acceptance. What response should the LPN/LVN expect the client to exhibit?
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Question 76 of 91
A young mother of three children complains of increased anxiety during her annual physical exam. What information should the LPN/LVN obtain first?
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Question 77 of 91
A client on a telemetry unit is being cared for by a nurse after a myocardial infarction. The client expresses, 'All this equipment is making me nervous.' Which of the following responses should the nurse make?
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Question 78 of 91
A healthcare provider is monitoring a client for adverse effects following the administration of an opioid. Which of the following effects should the provider identify as an adverse effect of opioids?
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Question 79 of 91
A client with a terminal illness is expected to pass away within 24 hours. The family asks the nurse about what to expect at this time. Which of the following findings should the nurse include?
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Question 80 of 91
A male client being discharged with a prescription for the bronchodilator theophylline tells the nurse that he understands he is to take three doses of the medication each day. Since timed-release capsules are not available at the time of discharge, which dosing schedule should the LPN advise the client to follow?
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Question 81 of 91
A nurse manager 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 82 of 91
How should a healthcare professional care for a client approaching death with shortness of breath and noisy respirations?
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Question 83 of 91
A healthcare professional is preparing to perform nasal tracheal suctioning for a client. Which of the following is an appropriate action for the healthcare professional to take?
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Question 84 of 91
A staff nurse is teaching a newly hired nurse about alternatives to the use of restraints on clients who are confused. Which of the following instructions should the staff nurse include?
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Question 85 of 91
A client with heart failure is being taught by a nurse on reducing daily sodium intake. What is the most important factor in determining the client's ability to learn new dietary habits?
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Question 86 of 91
A client who is terminally ill has a family member who is coping effectively with the situation. Which of the following statements should the nurse identify as an indication of effective coping?
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Question 87 of 91
When moving a patient up in bed using a drawsheet with the help of another nurse, in which order will the nurses perform the steps, starting with the first one?
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Question 88 of 91
During a client admission, how should the nurse conduct medication reconciliation?
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Question 89 of 91
During auscultation of a client experiencing chest pain worsened by inspiration, a nurse hears a high-pitched scratching sound in both systole and diastole with the diaphragm of the stethoscope placed at the left sternal border. Which of the following heart sounds should the nurse document?
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Question 90 of 91
A client with chronic kidney disease is receiving epoetin alfa (Epogen). Which laboratory value should the LPN/LVN monitor to determine the effectiveness of this medication?
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Question 91 of 91
A client with chronic kidney disease is experiencing hyperkalemia. Which medication should the LPN/LVN anticipate being prescribed to lower the client's potassium level?
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