FREE Licensed Practical Nurse Ultimate Questions and Answers
A client tells the nurse, "My mother spent many years in a mental institution, and my father would abuse me when my mother was not around." Based on tis data, which is the client at greatest risk for developing?
Personality disorders are characterized by enduring patterns of thoughts, emotions, and behaviors that deviate from cultural expectations and cause significant distress or impairment in various areas of life. While the exact causes of personality disorders are complex and multifactorial, environmental factors, such as childhood trauma, abuse, or neglect, can contribute to their development.
A nurse is reviewing prescriptions for a client who has acute dyspnea and diaphoresis. The client states that she is anxious because she feels that she cannot get enough air. Vital signs are HR 117/min, RR 38/min, Temp 38.4C (101.2F), BP 100/54 mmHg. Which of the following actions is the priority action at this time?
the priority action at this time for a client who has acute dyspnea, diaphoresis, tachycardia, tachypnea, and fever is to administer oxygen therapy.
The client's symptoms, including acute dyspnea, diaphoresis, and a feeling of not getting enough air, along with vital signs indicating an increased heart rate (117/min), respiratory rate (38/min), and an elevated temperature (38.4C or 101.2F), suggest a respiratory distress or potential respiratory compromise.
Which nursing task should the nurse on the renal unit assign to the LPN?
Inserting an indwelling urinary catheter is a common nursing procedure that involves the insertion of a catheter into the bladder to drain urine. LPNs are often trained and competent in performing this task and can safely insert urinary catheters for patients in various clinical settings, including on a renal unit.
A patient has been receiving palliative care for the past several weeks in light of her worsening condition following a series of strokes. The caregiver has rung the call bell, stating that the patient now "stops breathing for a while, then breathes fast and hard, and then stops again." The nurse would recognize that the patient is experiencing
Cheyne-Stokes respirations are a specific pattern of breathing characterized by a cycle of progressively increasing and then decreasing depths of breaths, followed by a period of temporary apnea (absence of breathing). This pattern repeats in a regular cycle.
Which of these nursing actions can the RN working in a long-term care facility delegate to an experienced LPN who is caring for a patient with a permanent tracheostomy?
The nursing action that can be delegated to an experienced LPN who is caring for a patient with a permanent tracheostomy in a long-term care facility is suctioning the tracheostomy when needed.
A nurse is reinforcing discharge teaching with a client following a stapedectomy. Which of the following statements by the client indicates understanding of the teaching?
The nurse is instructing the spouse of a client with a stroke on how to do passive range of motion to the affected limbs. Which rationale for this intervention will the nurse include in the teaching session?
The rationale the nurse will include in the teaching session for instructing the spouse of a client with a stroke on how to do passive range of motion (ROM) to the affected limbs is to maintain joint flexibility.
Which of the following sensory-perceptual deficits is associated with left-brain stroke (right hemiplegia)?
A left-brain stroke typically results in right-sided hemiplegia, meaning paralysis or weakness on the right side of the body. However, sensory-perceptual deficits are not directly related to left-brain stroke and right hemiplegia. Sensory-perceptual deficits can occur in strokes affecting either the left or right hemisphere of the brain, depending on the specific location and extent of the stroke.
A nurse is reinforcing teaching with a client who is pregnant about the amniocentesis procedure. Which of the following statements by the client requires clarification?
A nurse is reinforcing teaching a client who has tuberculosis. Which of the following statements should the nurse include when reinforcing the teaching?
A nurse is evaluating a client's understanding about the risk for cancer. Which of the following client statements indicates the need for further teaching?
Chewing tobacco, also known as smokeless tobacco, is not a safe alternative to smoking and still carries significant health risks, including an increased risk of cancer. While it is commendable that the client has made a switch from smoking to chewing tobacco, it is crucial to address the misconception that chewing tobacco is a safer option.
A nurse is caring for a client who is receiving IV magnesium sulfate. Which of the following medications should the nurse anticipate assisting with the administration of if magnesium sulfate toxicity is suspected?
Magnesium sulfate is commonly used for various indications, including the prevention and treatment of seizures in preeclampsia and eclampsia, as well as for the management of certain cardiac arrhythmias. However, magnesium sulfate can have adverse effects, including toxicity, which may lead to symptoms such as decreased reflexes, respiratory depression, decreased level of consciousness, and cardiac disturbances.
While the nurse is assisting with an admission history for a client at 39 weeks of gestation, the client tells the nurse that water has been leaking from her vagina for 2 days. The nurse should know that this client is at risk for which of the following?
This situation raises concerns about premature rupture of membranes (PROM) or preterm premature rupture of membranes (PPROM), which occurs when the amniotic sac ruptures before the onset of labor. When the amniotic fluid leaks for an extended period, it increases the risk of infection as it provides a pathway for bacteria to enter the uterus and potentially reach the developing fetus.
For early detection of an anaphylactic reaction in a patient who has received allergen testing using the cutaneous scratch method, which action should the nurse take first?
For early detection of an anaphylactic reaction in a patient who has received allergen testing using the cutaneous scratch method, the first action the nurse should take is to assess the arm at the site of the skin testing.
The nurse is providing care to a client diagnosed with bipolar disorder. The client's family asks the nurse what this is. Which response by the nurse is appropriate?
Bipolar disorder is a mental health condition characterized by recurrent episodes of depression and mania. The depressive episodes involve persistent feelings of sadness, hopelessness, low energy, and changes in sleep and appetite. On the other hand, the manic episodes involve periods of elevated mood, increased energy, impulsivity, and heightened activity levels.
A nurse is assisting in the care of a client who has ARDS with absent breath sounds in the lower lobes and dyspnea. Which of the following actions should the nurse take first?
In the case of a client with acute respiratory distress syndrome (ARDS) exhibiting absent breath sounds in the lower lobes and dyspnea, the first action the nurse should take is to administer oxygen via a high-flow mask.