1 >>The nurse is preparing to walk the post-operative client for the first time since surgery. Before walking the client, the nurse should: ?
(A) Give the client pain medication
(B) Assist the client in dangling his legs
(C) Have the client breathe deeply
(D) Provide the client with additional fluids
2 >>While performing a neurological assessment on a client with a closed head injury, the licensed practical nurse notes a positive Babinski reflex. The nurse should: ?
(A) Recognize that the client’s condition is improving
(B) Reposition the client and check reflexes again
(C) Do nothing because the finding is an expected one
(D) Notify the charge nurse of the finding
3 >>The physician has prescribed Gantrisin (sulfasoxazole) 1 gram in divided doses for a client with a urinary tract infection. The nurse should administer the medication: ?
(A) With meals or a snack
(B) 30 minutes before meals
(C) 30 minutes after meals
(D) At bedtime
4 >>A client hospitalized with renal calculi complains of severe pain in the right flank. In addition to complaints of pain, the nurse can expect to see changes in the client’s vital signs, which include: ?
(A) Decreased pulse rate
(B) Increased blood pressure
(C) Decreased respiratory rate
(D) Increased temperature
5 >>A 3-year-old is diagnosed with diarrhea caused by an infection with salmonella. Which of the following most likely contributed to the child’s illness? ?
(A) Brushing the family dog
(B) Playing with a pet turtle
(C) Taking a pony ride
(D) Feeding the family cat
6 >>The nurse is administering Pyridium (phenazopyridine) to a client with cystitis. The nurse should tell the client that: ?
(A) The urine will have a strong odor of ammonia.
(B) The urinary output will increase in amount.
(C) The urine will have a red-orange color.
(D) The urinary output will decrease in amount.
7 >>The nurse is caring for an infant with atopic dermatitis. An important part of the infant’s care will be: ?
(A) Keeping the infant warm
(B) Trimming the fingernails
(C) Using soap for bathing
(D) Applying peroxide to dry areas
8 >>The nurse is providing care for a 10-month-old infant diagnosed with a Wilms tumor. Most parents report feeling a mass when: ?
(A) The infant is diapered or bathed
(B) The infant raises his arms
(C) The infant has finished a bottle
(D) The infant tries to sit
9 >>The LPN is assigned to care for a client with a fractured femur. Which of the following should be reported to the charge nurse immediately? ?
(A) The client complains of chest pain and feelings of apprehension
(B) Ecchymosis is noted on the side of the injured leg
(C) The client’s oral temperature of 99.2°F
(D) The client complains of Level 2 pain on a scale of
10 >>The Joint Commission for Accreditation of Hospital Organizations (JCAHO) specifies that two client identifiers are to be used before medication administration. Which method is best for identifying patients using two patient identifiers? ?
(A) Take the medication administration record (MAR) to the room and compare it with the name and medical number recorded on the armband
(B) Compare the medication administration record (MAR) with the client’s room number and name on the armband
(C) Request that a family member identify the client, and then ask the client to state his name
(D) Ask the client to state his full name and then to write his full name
11 >>A nurse finds her neighbor lying unconscious in the doorway of her bathroom. After determining that the victim is unresponsive, the nurse should: ?
(A) Start cardiac compression
(B) Give two slow deep breaths
(C) Open the airway using the head-tilt chin-lift maneuver
(D) Call for help
12 >>A client with AIDS-related cytomegalovirus has been started on Cytovene (ganciclovir). The client asks the nurse how long he will have to take the medication. The nurse should tell the client that the medication will be needed: ?
(A) Until the infection clears
(B) For 6 months to a year
(C) Until the cultures are normal
(D) For the remainder of life
13 >>The nurse is caring for a client with a basal cell epithelioma. The nurse recognizes that the risk factors for basal cell carcinoma include having fair skin and: ?
(A) Sun exposure
(C) Ingesting alcohol
(D) Ingesting food preservatives
14 >>While caring for a client following a Whipple procedure, the LPN notices that the drainage has become bile tinged and has increased over the past hour. The LPN should: ?
(A) Document the finding and continue to monitor the client
(B) Irrigate the drainage tube with 10mL of normal saline
(C) Decrease the amount of intermittent suction
(D) Notify the RN regarding changes in the drainage
15 >>A client with AIDS tells the nurse that he regularly takes Echinacea to boost his immune system. The nurse should tell the client that: ?
(A) Herbals can interfere with the action of antiviral medication.
(B) Supplements have proven effective in prolonging life.
(C) Herbals have been shown to decrease the viral load.
(D) Supplements appear to prevent replication of the virus.
16 >>A client receiving chemotherapy has Sjogren’s syndrome. The nurse can help relieve the discomfort caused by Sjogren’s syndrome by: ?
(A) Providing cool, noncarbonated beverages
(B) Instilling eyedrops
(C) Administering prescribed antiemetics
(D) Providing small, frequent meals
17 >>Which one of the following symptoms is common in the client with duodenal ulcers? ?
(A) Vomiting shortly after eating
(B) Epigastric pain following meals
(C) Frequent bouts of diarrhea
(D) Presence of blood in the stools
18 >>The physician has prescribed a Flovent (fluticasone) inhaler two puffs twice a day for a client with chronic obstructive pulmonary disease. The nurse should tell the client to report: ?
(A) Increased weight
(B) A sore throat
(C) Difficulty in sleeping
(D) Changes in mood
19 >>A client treated for depression is admitted with a diagnosis of serotonin syndrome. The nurse recognizes that serotonin syndrome can be caused by: ?
(A) Concurrent use of two SSRIs
(B) Eating foods that are high in tyramine
(C) Drastic decrease in dopamine levels
(D) Use of medications containing pseudoephedrine
20 >>A client is admitted with suspected pernicious anemia. Which finding is common in the client with pernicious anemia? ?