LPN Basic Nursing Proctored Exam (Fundamentals)

The nurse notes that a client with a Foley catheter has a distended bladder and no urine output for the past 3 hours. What is the first action?

The nurse is caring for a client with a colostomy. What should the nurse expect the stool to look like?

A nurse is caring for a client with pseudoconstipation. What can cause pseudoconstipation in a client?

An older adult client's small bowel obstruction has resolved, and the intestinal decompression tube has been prescribed for removal. When performing this nursing action, what should the nurse prioriti

A client tells the nurse, "I increased my fiber, but I am still very constipated." What additional information should the nurse provide to the client?

A nurse understands that which of the following will happen if the volume of tube feeding through a G-tube exceeds the client's stomach's physiologic capacity?

A 60-year-old client is experiencing pain that can be attributed to distension of the veins in her rectum. What condition is this client most likely experiencing?

The nurse understands the primary purpose of inserting an orogastric tube is which one of the following?

A 60-year-old client is experiencing pain that can be attributed to distension of the veins in her rectum. What condition is this client most likely experiencing?

The nurse is caring for a client with an ostomy. The nurse understands the need to monitor closely for which of the following?

A client is receiving enteral feeding due to progressive weight loss and dysphagia. The nurse understands which is the priority nursing diagnosis for this client:

A nurse administers a prescribed hypertonic saline enema to a client with constipation. Which is a function of hypertonic saline enema?

A nurse is caring for a client with an ileostomy. The nurse understands the need to monitor closely for which of the following?

Which nursing intervention is correct for a client with an indwelling urinary catheter?

A nurse is removing a client's Foley catheter. What instructions should be given to the client following removal of the catheter?

A nurse understands that which of the following will happen if the volume of tube feeding through a G-tube exceeds the client's stomach's physiologic capacity?

A nurse is preparing discharge instructions for a client with constipation. Which of the following suggestions should the nurse incorporate into the discharge instructions?

A nurse is assessing the nasal passages of a client before inserting a nasointestinal tube. Which finding excludes nostril use for tube insertion?

A nurse has an order for continuous tube feedings via PEG tube. The order is for Jevity 50 mL per hour with an automatic water flush on a feeding pump. The nurse notes her unit is out of Jevity and is

A client is receiving enteral feeding due to progressive weight loss and dysphagia. The nurse understands which is the priority nursing diagnosis for this client:

A nurse provides liquid nourishment 4 to 6 times a day in feedings of less than 30 minutes to a client being tube fed. To which of the following tube-feeding schedules is the nurse adhering?

A nurse checks the placement of a nasogastric tube and aspirates fluid to test the pH. Which result would the nurse expect, indicating likely proper placement?

A nurse is assessing a stoma of a client with a colostomy. Which finding would the nurse interpret as indicating that the stoma is healthy?

A nurse is caring for a client who recently had abdominal surgery. The client reports his stools are "very dark". Which nursing action is most appropriate at this time?

A nurse is caring for a client who is suffering from secondary constipation. The nurse understands that secondary constipation is related to which of the following?