63-year-old male admitted three days ago for community-acquired pneumonia. Intravenous (IV) antibiotics stopped and were switched to oral. Plan is for discharge in one day. Family is at the bedside.Current medications: azithromycin, levofloxacin, warfarin, atorvastatin, acetaminophen, and albuterol via nebulizer. Medical history: mitral valve replacement, venous thromboembolism, and hyperlipidemia. Vital signs: T 101° F (38.3° C), P 72, RR 18, BP 130/86, pulse oximetry reading 95% on room air.55-year-old female admitted two days ago with aplastic anemia. Received two units of packed red blood cells yesterday. Client is scheduled to receive two units of platelets. She developed epistaxis and vaginal bleeding in the last hour. Current medications: multivitamin and lisinopril. Medical history: aplastic anemia and hypertension. Vital signs: T 98.6° F (37° C), P 88, RR 15, BP 111/76, pulse oximetry reading 96% on room air.23-year-old male admitted four days ago with chest trauma caused by a stab wound. Transferred to the medical-surgical unit yesterday. Chest tube was discontinued yesterday. Client is to ambulate every four hours (while awake). Has constipation and needs an enema. Current medications: oxycodone-acetaminophen, docusate, and regular insulin sliding scale. Medical history: diabetes mellitus (type one).Vital signs: T 98° F (36.4° C), P 80, RR 16, BP 119/86, pulse oximetry reading 96% on room air.52-year-old female admitted two hours ago following total abdominal hysterectomy. Occasional nausea. Hypoactive bowel sounds in all quadrants. Has an indwelling urinary catheter connected to drainage bag. Current medications: hydrocodone-acetaminophen, docusate, and ondansetron. Medical history: cervical cancer. Vital signs: T 98° F (36.4° C), P 70, RR 16, BP 125/88, pulse oximetry reading 95% on room air45-year-old male admitted four hours ago with new onset atrial fibrillation. Irregular pulse. Had two episodes of syncope in the emergency department. Current medications: continuous infusion of diltiazem.Medical history: hypertension and congestive heart failure.Vital signs: T 98° F (36.4° C), P 101, RR 19, BP 137/90, pulse oximetry reading 96% on room air77-year-old male admitted one day ago with cystitis. Receives medications and feedings through percutaneous endoscopic gastrostomy (PEG). Requires daily dressing changes for sacral pressure ulcer. Current medications: citalopram, esomeprazole, atenolol, ciprofloxacin. Medical history: hypertension, anxiety, acid reflux. Vital signs: T 98.2° F (36.8° C), P 82, RR 15, BP 133/88, pulse oximetry reading 95% on room air72-year-old female admitted two days ago with cystitis and improving altered mental status. Receiving intermittent intravenous piggyback antibiotics. Current medications: rivaroxaban, diltiazem, and captopril. Medical history: atrial fibrillation and hypertension. Vital signs: T 98.9° F (37.2° C), P 67, RR 16, BP 143/85, pulse oximetry reading 96% on room airThe charge nurse is determining which client should be assigned to the licensed practical/vocational nurse (LPN/VN) or registered nurse (RN). ➢ Click to specify if the client should be assigned to the LPN/VN or RN. A. Client OneB. Client TwoC. Client ThreeD. Client FourE. Client FiveF. Client SixG. Client Seven

NCLEX Question: 63-year-old male admitted three days ago for

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Leadership & Management

63-year-old male admitted three days ago for community-acquired pneumonia.
Intravenous (IV) antibiotics stopped and were switched to oral. Plan is for discharge in one day. Family is at the bedside.
Current medications: azithromycin, levofloxacin, warfarin, atorvastatin, acetaminophen, and albuterol via nebulizer.
Medical history: mitral valve replacement, venous thromboembolism, and hyperlipidemia.
Vital signs: T 101° F (38.3° C), P 72, RR 18, BP 130/86, pulse oximetry reading 95% on room air.

55-year-old female admitted two days ago with aplastic anemia.
Received two units of packed red blood cells yesterday.
Client is scheduled to receive two units of platelets. She developed epistaxis and vaginal bleeding in the last hour.
Current medications: multivitamin and lisinopril.
Medical history: aplastic anemia and hypertension.
Vital signs: T 98.6° F (37° C), P 88, RR 15, BP 111/76, pulse oximetry reading 96% on room air.

23-year-old male admitted four days ago with chest trauma caused by a stab wound.
Transferred to the medical-surgical unit yesterday. Chest tube was discontinued yesterday.
Client is to ambulate every four hours (while awake). Has constipation and needs an enema.
Current medications: oxycodone-acetaminophen, docusate, and regular insulin sliding scale.
Medical history: diabetes mellitus (type one).
Vital signs: T 98° F (36.4° C), P 80, RR 16, BP 119/86, pulse oximetry reading 96% on room air.

52-year-old female admitted two hours ago following total abdominal hysterectomy.
Occasional nausea. Hypoactive bowel sounds in all quadrants. Has an indwelling urinary catheter connected to drainage bag.
Current medications: hydrocodone-acetaminophen, docusate, and ondansetron.
Medical history: cervical cancer.
Vital signs: T 98° F (36.4° C), P 70, RR 16, BP 125/88, pulse oximetry reading 95% on room air

45-year-old male admitted four hours ago with new onset atrial fibrillation.
Irregular pulse. Had two episodes of syncope in the emergency department.
Current medications: continuous infusion of diltiazem.
Medical history: hypertension and congestive heart failure.
Vital signs: T 98° F (36.4° C), P 101, RR 19, BP 137/90, pulse oximetry reading 96% on room air

77-year-old male admitted one day ago with cystitis.
Receives medications and feedings through percutaneous endoscopic gastrostomy (PEG). Requires daily dressing changes for sacral pressure ulcer.
Current medications: citalopram, esomeprazole, atenolol, ciprofloxacin.
Medical history: hypertension, anxiety, acid reflux.
Vital signs: T 98.2° F (36.8° C), P 82, RR 15, BP 133/88, pulse oximetry reading 95% on room air

72-year-old female admitted two days ago with cystitis and improving altered mental status.
Receiving intermittent intravenous piggyback antibiotics.
Current medications: rivaroxaban, diltiazem, and captopril.
Medical history: atrial fibrillation and hypertension.
Vital signs: T 98.9° F (37.2° C), P 67, RR 16, BP 143/85, pulse oximetry reading 96% on room air

The charge nurse is determining which client should be assigned to the licensed practical/vocational nurse (LPN/VN) or registered nurse (RN).

➢ Click to specify if the client should be assigned to the LPN/VN or RN.

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