LPN STUDY EXIT TEST
A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks gestation.At one hour post dilation and D&C, the nurse assesses vital signs and vaginal bleeding. The client begins to cry softly. How should the nurse intervene?Express sorrow for the client's grief and offer to sit with her The nurse is assessing an older resident of a long-term care facility who has a history of Benign Prostatic Hypertrophy and identifies that the client's bladder is distended. The healthcare provider prescribes post voided residual catheterization over the next 24 hours and placement of an indwelling catheter if the residual volume exceeds 100 mL. The client's PO intake is 600 mL, and fifteen minutes ago, the client voided 90 mL. What action should the nurse take?Catheterize with an indwelling catheter and if the residual volume id greater than 100 mL,inflate the balloon A client is receiving dexamethasone (Hexadrol, Decadron). What symptoms should the nurse recognize as Cushingoid side effects?Moon face, slow wound healing, muscle wasting sodium and water retention A client has a prescription for a Transcutaneous Electrical Nerve Stimulator (TENS) unit for pain management during the postoperative period following a Lumbar Laminectomy. What information should the nurse reinforce about the action of this adjuvant pain modality?Mild electrical stimulus on the skin surface closes the gates of nerve conduction for severe pain The nurse explains the 2-week dosage prescription of prednisone (Deltasone) toa client who has poison ivy over multiple skin surfaces. What should the nurse emphasize about the dosing schedule?Decrease dosage daily as prescribed 1 / 3
The nurse observes that a male client's urinary catheter (Foley) drainage tubing is secured with tape to his abdomen and then attached to the bedframe. What action should the nurse implement?Observe the appearance of the urine in the drainage tubing The nurse is with a client when the healthcare provider explains that the biopsy classifies the results as a T1N0M0 tumor. Later in the morning, the client asks the nurse,” What do these letters T1N0M0, stand for?" Which response should the nurse provide first?"The letters stand for tumor size, node involvement, and metastasis A urinary catheter (Foley) with a 5 mL inflated balloon is being removed by the nurse. After withdrawing 5 mL of fluid from the balloon, the nurse begins to withdraw the catheter while the client is in semi-fowlers position. However, the nurse meets resistance and the client voices discomfort. What action should the nurse take next?Attempt to withdraw additional fluid from the balloon The practical nurse (PN) is observing a client self-administering a dose if subcutaneous insulin. What step of the injection technique should the practical nurse (PN) reteach?Selects the same site that was used for the previous injection The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is counting a client's radial pulse as seen in the picture. Which action should the PN take . Demonstrate the correct pulse site to the UAP (follow the thumb for the radial pulse, follow the pinky for the brachial) The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds (4,581 grams). The infant is jittery and has a heel stick glucose level of 40 mg/dL(2.2 mmol/L or SI units) 30 minutes after birth. Based on this information, which intervention should the practical nurse (PN) implement first? 2 / 3
Begin frequent feedings of breast milk or formula A client consumes 8 ounces (oz) of broth, 4 oz of apple juice, 4 ounces of flavored gelatin and 1 banana. During the same shift, this client receives 1 liter of IV fluid and voids 700 mL. How many mL total oral and IV intake should the PN document on the client's medical record? (Enter numeric value only).
- oz x 30 mL = 240 mL 4 oz x 30 mL = 120 mL 4 oz x 30 mL = 120 mL 1 L = 1000 mL
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Total intake = 1480 ml The nurse is very busy and running late with administering medications and asks the practical nurse (PN) to administer a medication already drawn up in an unlabeled syringe. How should the PN respond?"I am not comfortable doing that. Is there something else I can do to help you?The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. Which client should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply.) Empty beside drainage unit for a client with indwelling urinary catheter Transport a urine culture sample to the laboratory Which intervention should the practical nurse (PN) reinforce for a client with pruritis?. Keep fingernails trimmed short While administering prescription medications to an older resident in an extended care facility, the practical nurse (PN) notices that the client is having difficulty hearing. What action is most important for the PN to take?Determine if the client has had difficulty in the past The healthcare provider prescribes cefazolin 500 mg IM every 6 hours. The available vialis labeled, "Cefazolin 1 gram," and the instructions for reconstitution state, "For IM use, add 2.5 mL sterile water for injection to provide a total volume of 3.0 mL." After reconstitution, how many mL should be administered to the