Nclex-Pn Readiness Test 3

A. ConfidentialityB. NonmaleficenceC. JusticeD. Beneficence

The licensed practical/vocational nurse (LPN/VN) observes another nurse starting their shift under the influence of alcohol and decides not to report the nurse to the supervisor. ➢ Which ethical princ

A. have the client stand on the side of the walker toB. the top of the walker should line up with the creaC. ensure the client’s elbow bends 90 degrees while hD. instruct the client to lean over the walker so the

The licensed practical/vocational nurse (LPN/VN) is teaching a client how to ambulate using a walker. ➢ Which of the following information should the nurse include?

A. Obtain a stool specimen for occult blood from a clB. Check the capillary blood glucose (CBG) for a clieC. Assist the unlicensed assistive personnel (UAP) inD. Perform suctioning on a client with a tracheostomy

The licensed practical/vocational nurse (LPN/VN) is prioritizing the following client care activities. ➢ Which of the following activities should the LPN/VN perform first?

A. with diabetes mellitus that is being discharged toB. with a tracheostomy that is experiencing copious sC. experiencing an exacerbation of ulcerative colitisD. decubitus ulcer reporting pain as a 5/10 on the Nu

The licensed practical/vocational nurse (LPN/VN) is caring for assigned clients. The LPN/VN should initially follow-up on which client? A client

A. Hepatitis A vaccineB. Hepatitis B vaccineC. Pneumococcal vaccineD. Human papillomavirus vaccination

The licensed practical/vocational nurse (LPN/VN) is caring for an older adult who had a cerebrovascular accident (CVA). ➢ Which immunization should the LPN/VN recommend for this client?

A. Contact a social worker right away.B. Start prophylactic AZT.C. Start prophylactic Pentamidine treatment.D. Make an appointment with a psychiatrist.

Which of the following would be a priority action for a nurse who sustained a needlestick injury while working with an AIDS client?

A. Pulmonary edemaB. TinnitusC. Nausea and vomitingD. Tachycardia

The licensed practical/vocational nurse (LPN/VN) collects data on a client who has overdosed on aspirin. Which clinical finding would be most concerning?

A. Assure her that the nursing triage team will stay B. Encourage the client regarding her own abilities tC. Ask the client if she wants someone else to be herD. Tell the client she will try to locate her family.

A primigravida client begins labor and is visibly upset that her family is unavailable. Which is the most appropriate approach for the nurse to take to help meet the client’s needs at this time?

Maternal & Newborn Health

The son of a client with early Alzheimer’s disease states, “I’m so tired of hearing Dad talk about the past all the time.” What is the nurse’s best response?

A. "You should have more patience with your father anB. "He is quite anxious at this stage. Reliving the pC. "He has lost his short-term memory but can still rD. "Just remind him when he repeats himself and that

A. BradypneaB. TachycardiaC. VomitingD. Failure to thrive

The nurse caring for a three-year-old with congestive heart failure recognizes which of the following as an early sign of digitalis toxicity?

A. Activation of brain signals followed by avoidance B. The arousal of the hippocampus after being triggerC. The body’s response to stress over both short and D. The development of depression over time as a resul

Which of the following descriptions best defines general adaptation syndrome?

Mental Health

The nurse is discussing different functions of healthcare team members with a nursing student. ➢ Which statement by the nursing student indicates a correct understanding of the primary functions relat

A. "An occupational therapist assisting with gait exeB. "A physical therapist offering the provision of asC. "A speech or language therapist addressing swallowD. "A registered nurse (RN) case manager ordering the

A. Late decelerationB. Moderate variabilityC. Early decelerationD. Marked variability

The nurse is caring for a client in labor, during contraction the nurse notes a decrease in fetal heart rate from 150 to 120 bpm. The heart rate slows for about 10 seconds and increases back to 150 bp

Maternal & Newborn Health

The nurse arrives at work and is told they must float to the labor and delivery mother-baby unit. The nurse has never cared for this client population before. Which of the following actions is most ap

A. Refuse the assignment.B. Identify suitable tasks in the mother-baby unit thC. Call the nurse manager and ask that someone else fD. Float to the mother-baby unit and ensure no one kn

A. Document the completion of the task.B. Make a list of tasks not yet completed to pass on C. Observe the UAP for the duration of the task.D. Follow-up with the UAP to ensure completion of the

During a busy shift, the nurse appropriately delegates tasks to the unlicensed assistive personnel (UAP) working with her. After delegating, which is the nurse's primary responsibility?

A. Clock out, her shift is over and she is not responB. Remove the nasal cannula and carry the child to a C. Move the patient as close to the interior of the rD. Close all of the doors.

The LPN is working on the pediatric floor caring for a 2-year-old who receiving 100% FiO2 via a nasal cannula. At the end of her shift, the hospital receives a tornado warning. Which of the following

A. Pork belly roast, rice, vegetables, mixed fruit, mB. Crab salad on a croissant, potato salad, milk, vegC. Sweet and sour chicken with rice and vegetables, jD. Fettuccini Alfredo with shrimp and vegetables, sal

Which of the following meals would be appropriate for a nurse to assign to a client of Orthodox Judaism faith on a kosher diet?

A. Test for gag reflex returnB. Elevate the head of the bed to 30 degreesC. Encourage oral fluid intakeD. Determine if the client is positive for the Brudzi

The nurse is caring for a client with suspected meningitis. Which priority action should the nurse take immediately following a lumbar puncture procedure?

A. venlafaxineB. hydrochlorothiazideC. gabapentinD. losartan

The licensed practical/vocational nurse (LPN/VN) reviews newly prescribed medications for a client taking prescribed lithium. Which medication requires further follow-up by the LPN/VN?

A. “After this procedure, you will use a wheelchair tB. “You will need to resume your anticoagulants.”C. “Placing a pillow under your knee will help with tD. “You may ice the site for one hour at a time.”

The nurse is discharging a client following knee arthroplasty. Which of the following information should the nurse reinforce in the discharge teaching?

A. Interpret this result as normalB. Prepare the client for a contraction stress testC. Anticipate an order for repeat testingD. Inquire if the patient ate prior to the test

The licensed practical/vocational nurse (LPN/VN) is caring for a primigravida client with the following clinical data. The LPN/VN should take which action based on the result?See the exhibit.

Maternal & Newborn Health

The nurse is reviewing leadership and management concepts with a student nurse. It would require further teaching if the student nurse made which of the following statements?

A. “The Laissez-faire leadership style is a passive lB. “A Registered Nurse (RN) may delegate accountabiliC. “The rights of delegation include task, circumstanD. “The State Nurse Practice Act defines roles and re

A. cystitis reporting a localized rash since startingB. neutropenia reporting an oral temperature of 100°FC. anemia reporting increased energy since starting eD. congestive heart failure reporting increased urina

The nurse is performing follow-up phone calls for clients recently discharged from the medical-surgical unit. Which client situation would require immediate follow-up? A client with

A. "The nurse should wear a surgical mask when transpB. "Disposable utensils must be provided for a clientC. "A surgical mask should be worn when working withiD. "A surgical gown should be applied when entering a

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The nurse is discussing infection control guidelines with a coworker. It would be correct for the nurse to state that