Chapter Quiz

  1. Two hours after the insertion of a Salem sump nasogastric tube, the client vomits a moderate amount of yellow-green fluid. What is the MOST appropriate action for the LPN/LVN to take?
    1. Inject 30 mL air and auscultate the left upper quadrant.
    2. Instill 20 mL carbonated beverage into the drainage tube.
    3. Inform the clinician of the vomiting.
    4. Irrigate the nasogastric tube with 20 mL normal saline.
  2. The LPN/LVN cares for a client after a motor vehicle accident. The LPN/LVN observes that the client is restless and anxious and has tremors of the hands. The family reports that the client has consumed 4 to 6 beers a day for 8 years. What is the PRIORITY action for the LPN/LVN to take?
    1. Reorient the client to the environment frequently.
    2. Place the client in a cool, darkened room.
    3. Assist the client to drink more isotonic fluids.
    4. Administer 100 mg thiamine IM.
  3. The LPN/LVN prepares to administer 300 mg isoniazid. What is a PRIORITY laboratory value to monitor prior to administration of the medication?
    1. Creatine kinase (CK)
    2. Aspartate aminotransferase (AST)
    3. Serum potassium
    4. Serum B12 levels
  4. The LPN/LVN reinforces instructions for a client taking clopidogrel 75 mg daily. Which statement by the client indicates understanding of the reinforced instructions?
    1. “It will be necessary for me to have frequent blood tests done now.”
    2. “I will need to discontinue the garlic tablets I take to control cholesterol.”
    3. “I can continue to take several ibuprofen a day for my low back pain.”
    4. “I will need to take a daily multivitamin tablet regularly now.”
  5. The LPN/LVN cares for the child whose parent reports abdominal cramps and diarrhea following the child’s ingestion of milk. Which of the following test results would rule out a diagnosis of lactose intolerance?
    1. Serum glucose level 20 mg/dL greater than the fasting glucose level
    2. Serum glucose level 20 mg/dL less than the fasting glucose level
    3. Fasting glucose level equal to the serum glucose level
    4. Fasting glucose level 10 mg/dL greater than the serum glucose level
  6. The LPN/LVN is preparing a primigravid woman to see her clinician. Laboratory test results are available, including a fasting blood sugar. Which result would indicate that gestational diabetes is likely?
    1. Serum glucose level of 40 mg/dL
    2. Serum glucose level of 100 mg/dL
    3. Serum glucose level of 140 mg/dL
    4. Serum glucose level of 180 mg/dL
  7. The physician has ordered diphenylhydantoin q.i.d. for the client. Prior to administering the second dose, the LPN/LVN observes that the client appears lethargic and has nystagmus and slurred speech. In addition to notifying the supervising RN, the LPN/LVN should do which of the following?
    1. Administer the diphenylhydantoin to prevent an oncoming seizure.
    2. Administer the diphenylhydantoin to prevent probable cardiac arrhythmia.
    3. Withhold the diphenylhydantoin due to signs of an allergic reaction.
    4. Withhold the diphenylhydantoin due to signs of toxicity.
  8. The LPN/LVN reviews medication information with a female client who has been prescribed sertraline daily. Which of the following statements by the client indicates a need for further instruction?
    1. “I will continue to take my birth control pills.”
    2. “If these pills don’t work in 2 weeks, I will stop taking them.”
    3. “I will take my pill first thing in the morning.”
    4. “I will skip a missed dose if it is almost time for my next one.”
  9. Within 5 minutes of beginning a blood transfusion, the client reports feeling very hot and sweaty, and the LPN/LVN observes that the client appears flushed. Which of the following actions should the nurse take FIRST?
    1. Notify the client’s physician.
    2. Stop the transfusion.
    3. Increase the saline drip rate.
    4. Take the client’s vital signs.
  10. The client comes to the urgent care clinic reporting “I’ve just stepped on a rusty nail at a construction site.” The LPN/LVN notes a deep puncture wound on the sole of the right foot. What order would the nurse expect to receive from the physician for this client?
    1. Complete blood count
    2. Urinalysis
    3. Tetanus vaccine
    4. Lumbar puncture