Reference no: EM133945679

Question

1. As the LPN reinforces teaching, the client says, "I'm not really in favor of going through this procedure to have a pacemaker. Can we just call my health care provider and cancel it?" Which statement reflects how the LPN most appropriately documents these findings?

1. The client states, "I'm really not in favor of going through this procedure to have a pacemaker."

2. "The client requires further teaching regarding pacemakers."

3. "The client states the client does not wish to have a pacemaker implanted."

4. "The client appears to be anxious about the pacemaker procedures.

2. The LPN cares for the client diagnosed with an extracellular fluid deficit. The LPN understands which statement is true?

1. Intracellular fluid is a different osmolality than extracellular fluid is.

2. Intracellular fluid moves freely between that space and the interstitial space.

3. Fluid volume excess will cause the osmolality level to be higher than normal.

4. The extracellular fluid compartment is comprised of the intravascular and interstitial spaces.

3. The LPN asks the six-year-old child, "How did you fracture your arm?" The child replies, "It was my fault because I was being bad again. "Which response by the LPN is bets?

1. "You better try to be a good child from now on."

2." We won't let this ever happen to you again. "

3. "What did you do this time o make your parent hurt you?"

4. "Tell me more about how it happened."

4. Following a tornado, the LPN assists the disaster team by gathering data from victims who are not physically injured. Which interview question is bets?

1. "Tell me the name and phone number of someone who can help you. "

2." Please share with me what help you need at this time. "

3. "I will contact someone who can help you find a place to sleep tonight."

4. "I will sit here with you until your family ca come help you."

5. The LPN instructs the NAP to complete the bath for the client. Toward the end of the shift, the NAO informs the LPN there is not enough time to complete the client's bah before the end of the shift. Which action does the LPN take first?

1. Tell the NAP to remain after the change-of-shift to complete the task.

2. Request the nurse manager peak to the NAP.

3. Report the incomplete bath to the RN supervising the LPN.

4. Assist the NAP to complete the client's bath.

6. The LPN cares for the client who returns from a traditional cholecystectomy 45 minutes ago. Since that time, the client NG tube has been draining at a rate of 75-100 ml/hour, and the fluid appears to be slightly blood-tinged. The LPN takes which action first?

1. Continue to observe the drainage for one hour

2. Observes the drainage for the nest three hours

3. Reports this to the RN within 30 minutes.

4. Report this to the RN immediately

7. The client diagnosed with asthma currently takes beclomethasone dipropionate. The LPN is aware that the most serious side effect of this medication are which findings?

1. Headache and upper respiratory tract infection

2. Bronchospasm and angioedema

3. Skin pallor and nasal congestion

4. Cough and dry mouth

8. The client has frequent diarrhea and is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA). The client s placed on contact precautions. The LPN intervenes if the LPN observes the NAP performing which action?

1. The NAP takes the blood pressure cuff out of the client's room

2. The NAP wears a gown when cleaning the client after toileting

3. The NAP removes gloves before recording the client's intake

4. The NAP wears gloves when entering the client's room

9. The client diagnosed with coronary artery disease, heart failure, and hypertension takes enalapril maleate. The LPN is aware the usual dosage for this medication for the adult is how many mg?

1. 125-175 mg daily

2. 100-150 mg three times a day

3. 50-75 mg twice a day

4. 10-40 mg daily

10. The family relates having difficulty coping with the emotional outbursts of the family member diagnosed with Alzheimer's disease. The family members ask the LPN what they can do about the outbursts. Which response, if made by the LPN, is best?

1. "Talk with clients health care provider to ensure there is no psychiatric disorder."

2." Provide a calm, non-chaotic environment. "

3. 'Play board games with the client to keep the client occupied."

4. "Consult a mental health professional"

11. The LPN monitors a client diagnosed with gastritis, type 1 diabetes, and alcoholism. The client continues to experience acute pain and some nausea and vomiting. It is most appropriate for the LPN to suggest the addition of what goal to the client's plan of care?

1. Client will lose no more than one pound per week.

2. Client will have a 24-hour fluid intake of at least 1000 ml.

3. Client will report any change in urine color

4. Client will seek assistance to reduce or stop alcohol intake.

12. The LPN assists with care of a client who delivered a first child yesterday. The LPN notices multiple varicosities on the client's leg. Which actin by the LPN is bets?

1. Teach the client to rest in bed whenever the baby sleeps.

2. Encourage early and frequent ambulation

3. Apply warm soaks for 20 minutes every four hours

4. Perform passive range of motion exercises three times daily