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COMPLETE 450 ACTUAL EXAM QUES TIONS AND
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Lactulose has been prescribed for a client with advanced liver disease.Which finding should the nurse use to evaluate the effectiveness of this treatment?
- Less jaundice
- Increased appetite
- Decreased lethargy
- Less edema - Correct Answer - 3
The LPN is unsure about an assignment by the charge nurse to hang an intravenous (IV) infusion that contains potassium. What resource should the LPN check first to determine if LPNs can administer IV medications?
- Employer policy and procedures manuals
- Nursing faculty from a local nursing program
- The nurse practice act of the state in which the practice takes place
- American Nurses Association (ANA) professional standards - Correct
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Answer – 3
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pg. 2 The nurse is assisting with the delivery of a newborn infant. What is the priority nursing intervention for a normal newborn immediately after delivery?
- Dry off infant with a warm blanket or towel
- Apply identification bracelets
- Assign the one-minute APGAR score
- Obtain vital signs - Correct Answer - 1Dry off infant with a warm
blanket or towel
A parent expresses frustration and anger about the toddler constantly saying "no" and refusing to follow directions. The nurse should help the parent understand that this behavior meets which developmental need?
- Self-esteem
- Initiative
- Independence
- Trust - Correct Answer - 3
The LPN is assisting the RN to provide care for a client diagnosed with a traumatic brain injury. Using the Glasgow Coma Scale, when the client does not obey verbal commands to move, which technique will the RN use to evaluate motor function?
- Squeeze the trapezius muscle firmly
- Lift the client's arm and observe for pronation and drift
- Apply finger tip pressure for 10 seconds
- Rub the sternum with the knuckles - Correct Answer – 1. Squeeze the
trapezius muscle firmly - 2 / 4
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pg. 3 In checking a postpartum client, the nurse palpates a firm fundus.However, the nurse also observes a constant trickle of bright red blood from the vaginal opening. What should the nurse suspect?
- Retained placenta
- Clotting disorder
- Vaginal lacerations
- Uterine atony - Correct Answer - 3
A client diagnosed with gout is admitted with severe pain, swelling and redness in the proximal toe joint of the right foot. The nurse should anticipate that the plan of care would include which focus?
- High-protein diet
- Fluid intake of at least 3000 mL/day
- Acetaminophen for inflammation
- Hot compresses to affected joints - Correct Answer - 2
A 6 year-old child is hospitalized with findings of moderate edema, gross hematuria and mild hypertension associated with the diagnosis of acute glomerulonephritis (AGN). Which nursing intervention would be appropriate for this client?
- Weigh the child twice per shift
- Relieve boredom through physical activity
- Institute seizure precautions
- Encourage the child to eat protein-rich foods - Correct Answer - 3
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pg. 4 A client is admitted with newly diagnosed hypothyroidism. A nurse would expect the client to exhibit which finding until the client achieves a euthyroid state with therapy?
- Heat intolerance
- Diarrhea
- Tachycardia
- Lethargy - Correct Answer - 4
The licensed practical nurse is caring for a client with advanced cirrhosis of the liver. Which finding should receive immediate follow-up by the charge nurse?
- Jaundice
- Anorexia
- Hematemesis
- Ascites - Correct Answer - 3
A client diagnosed with head trauma is in a non-responsive state. Vital signs are stable and breathing is regular and spontaneous. What should the nurse document to accurately describe the client's status?
- Glasgow Coma Scale 13, no ventilator required
- Glasgow Coma Scale 8, respirations regular
- Appears to be sleeping, vital signs stable
- Comatose, breathing unlabored; is resting - Correct Answer - 2
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