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LPN NCLEX MULTIPLE CHOICE
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30 terms Olivia_Pagano1 Preview Cushings/Addison's Practice Questi...44 terms alexisvu99Preview RN At-R 15 terms Col A client who's paralyzed on the left side has been receiving physical therapy and attending teaching sessions about safety. Which behavior indicates that the client accurately understands safety measures related to paralysis?The client uses a mirror to inspect the skin.The nurse meets with the client and his wife to discuss depression and the client's medication. Which comment by the wife would indicate that the nurse's teaching about disease process and medications has been effective?"It is important for him to take his medication so that the depression will not return or get worse." A person calls the neonatal intensive care unit stating that his son is receiving care there. He tells the nurse that he and the mother "aren't together," and requests
information about his son's condition. The nurse should:
obtain more data before giving the caller any confidential information.A client is to have a below-the-knee amputation. Prior to surgery, the circulating nurse in the operating room
should:
initiate a time-out.The nurse is reviewing a client's prenatal history. Which of the following is a significant factor in anticipating complications in labor and birth?History of postpartum hemorrhage (PPH) The nurse is to check a client's gag reflex. The most
effective technique for testing the gag reflex is to:
touch the back of the client's throat with a tongue blade.
A client scheduled for a total laryngectomy and radical neck dissection begins talking rapidly, commenting, "I'm really nervous and scared about the operation." What is the most therapeutic action by the nurse?The nurse should listen attentively and provide realistic verbal reassurance.Which use of restraints in a school-age child should the nurse question?To substitute for observation A client has been diagnosed with hypothyroidism. Which statement by the client would demonstrate appropriate teaching by the nurse?"I will increase fiber and fluids in my diet." A client is admitted to the emergency department following an overdose of barbiturates. What should the nurse do first?Assess ventilation and assist ventilation as needed.A 12-year-old with asthma wants to exercise. Which activity should the nurse suggest to improve breathing?swimming The nurse should dispose of a used needle and syringe
by:
Placing uncapped, used needles and syringes immediately in the universal precaution container in the client's room.While examining a 12-month-old child, the nurse notes that the child can stand independently but cannot walk
without support. The nurse should:
do nothing because this is a normal finding in a child this age.A client is transferred from the emergency department to the locked psychiatric unit after attempting suicide by taking 200 acetaminophen tablets. The client is now awake and alert but refuses to speak with the nurse. In
this situation, the nurse's first priority is to:
ensure safety by initiating suicide precautions.To prepare the community for the possible threat of
anthrax, a nurse must teach that:
anthrax can infect the integumentary, GI, and respiratory systems.A client who has a history of Crohn's disease is admitted to the hospital with fever, diarrhea, cramping, abdominal pain, and weight loss. The nurse should monitor the client
for:
hypokalemia.The nurse should assess the client for digoxin toxicity if
serum levels indicate that the client has a:
low potassium level.A client has been taking furosemide for 2 days. The nurse
should assess the client for:
a decreased potassium level.When preparing a teaching plan for a client who is to receive a rubella vaccine during the postpartum period, the nurse should include which information?Pregnancy should be avoided for 4 weeks after the immunization.
While shopping, a nurse meets a neighbor who asks about a friend receiving treatment at the nurse's clinic.What is the nurse's most appropriate response?"I'm sorry, I can't disclose client information." A client is admitted to the hospital for diagnostic testing to rule out colorectal cancer. Which intervention should the nurse include on the plan of care?Test all stools for occult blood.What data indicates to the nurse that placental detachment is occurring?An abrupt lengthening of the cord A nurse is assessing a 15-year-old girl who has lost 30 lb (13.6 kg) over 3 months. What other finding is the nurse likely to assess?amenorrhea.A charge nurse enters a client's room and observes a physician instructing another nurse on how to insert a central line into the client's neck. The nurse is holding the cannula and inserting the line. What would be the appropriate response by the charge nurse?Stop the procedure and inform the nurse that he/she is practicing outside of a nurse's legal scope of practice.The nurse is teaching a client with rheumatoid arthritis about how to manage the fatigue associated with this disease. Which statement by the client indicates she understands how to manage the fatigue?"I schedule afternoon rest periods for myself in addition to sleeping 10 hours every night." A registered nurse (RN) is supervising an unlicensed assistive personnel (UAP). Which principle would the nurse follow when delegating tasks?The RN delegates a task based on the UAP's skill set A client with a personality disorder is upset and calls the nurse a "stupid cow." Which of the following is the most effective initial response by the nurse to this client's behavior?Calmly discuss the inappropriateness of displacing anger to others.The nurse is caring for a client with bipolar disorder who was recently admitted to an inpatient unit and is experiencing a manic episode. What is a priority nursing intervention for this client?Closely monitor the client's eating and sleeping habits.A client is recovering from an infected abdominal wound.Which foods should the nurse encourage the client to eat to support wound healing and recovery from the infection?chicken and orange slices When instilling erythromycin ointment into the eyes of a neonate 1 hour old, the nurse would explain to the parents that the medication is used to prevent which problem?blindness secondary to gonorrhea
A nurse meets his/her neighbor and new baby at the local market. The neighbor states that she received outstanding nursing care from one of the nurse's colleagues during her labor and childbirth. What is the best way for the nurse to recognize her nursing colleague's professional efforts?Share the feedback with the nursing colleague directly.What should a nurse do when administering pilocarpine? Apply pressure on the inner canthus to prevent systemic absorption.When planning home care for a 3-year-old child with eczema, what should the nurse teach the mother to remove from the child's environment at home?stuffed animals A client comes to the emergency department complaining of chest pain. An electrocardiogram (ECG) reveals myocardial ischemia and an anterior-wall myocardial infarction (MI). Which ECG characteristic does the nurse expect to see?Elevated ST segment A client preparing to undergo a lumbar puncture states he doesn't think he will be able to get comfortable with his knees drawn up to his abdomen and his chin touching his chest. He asks if he can lie on his left side. Which statement is the best response by the nurse?"Although the required position may not be comfortable, it will make the procedure safer and easier to perform." An 86-year-old client with dementia is being discharged after treatment for a hip fracture. In reviewing the notes, the nurse identifies that the sole care-giver at home is an adult daughter with a moderate intellectual disability.Which is the most important action the nurse should ensure is in place before discharging the client home?An immediate home visit is arranged with the visiting nurse service and the social worker.During chemotherapy, a boy, age 10, loses his appetite.When teaching the parents about his food intake, the nurse should include which instruction?"Let your child eat any food he wants." A client who has been using benzodiazepines for anxiety wants to add an alternative therapy. The nurse suggests biofeedback. What is the best description of biofeedback?It is a way to concentrate on the body's response during a stressful situation.A nurse assessing the heart rate and rhythm of an 8-year- old child hears a murmur that's barely audible even in a quiet room. The child's heart rate is 80 beats/minute. The
nurse should document her assessment findings as:
"Heart rate regular, grade I murmur auscultated." A grade I murmur is barely audible in a quiet room; a grade II murmur is faint but clearly audible.The 17-year-old client with a diagnosis of bulimia nervosa is hospitalized. The client weighs 5 lb (2.26 kg) less than her ideal weight for her height. She tells the nurse, "I do not have a problem. I am not really underweight." The
nurse should respond by saying:
"Even though your weight is almost ideal for your height, purging and using laxatives are harmful to your body."