Chapter Quiz

  1. The LPN/LVN cares for a client several hours after application of a right lower extremity cast. The client reports, “My right toes feel funny.” What is the FIRST action the LPN/LVN should take?
    1. Elevate the right leg on a pillow.
    2. Administer an analgesic.
    3. Reassure the client that tingling is normal.
    4. Compare capillary refill of right and left toes.
  2. The LPN/LVN is assisting a client with ambulation in the hallway when the client begins to fall. What is the MOST appropriate action for the LPN/LVN to take?
    1. Grasp the client under the arms, bend at the waist, and assist the client to the floor.
    2. Place feet close together, place arms under the client’s axillae, and slide the client to the floor.
    3. Place arms around the client’s waist and assist the client to the closest chair or bed.
    4. Place feet wide apart, push the pelvis forward, and slide the client down one leg.
  3. The LPN/LVN observes that a client’s radial pulse is now 56 beats per minute. It was 72 beats per minute 4 hours ago. What is the MOST important action for the LPN/LVN to take?
    1. Check the oxygen saturation level.
    2. Begin oxygen at 2 L/min by nasal cannula.
    3. Obtain the client’s blood pressure.
    4. Palpate bilateral pedal pulse strength.
  4. A client reports to the LPN/LVN, “I just started to feel short of breath.” The client has normal saline infusing at a rate of 75 mL/hour through a peripherally inserted central catheter (PICC) line. What is the FIRST action the LPN/LVN should take?
    1. Obtain blood pressure and apical heart rate.
    2. Reassure client that the shortness of breath will improve.
    3. Observe the insertion site of the PICC line.
    4. Elevate the head of the bed 90 degrees.
  5. The LPN/LVN at the urology clinic obtains a health history from the elderly male client. The client reports difficulty starting and stopping his urine flow, and back pain during urination. Which of the following goals is MOST important for the nurse to include in the client’s plan of care?
    1. Pain medication
    2. Medication to overcome infection
    3. Physical therapy
    4. Laboratory testing
  6. The LPN/LVN is caring for the client whose vaginal delivery resulted in a stillborn infant. Which of the following actions by the nurse is the MOST important?
    1. Be available to listen to expressions of grief.
    2. Provide appropriate fluid replacement.
    3. Check the client’s perineal pad for signs of bleeding.
    4. Instruct the client about measures to deal with severe uterine pain.
  7. The LPN/LVN observes the client who has just eaten lunch having an episode of projectile vomiting. Which of the following actions should the nurse take FIRST?
    1. Give the client an emesis basin.
    2. Take the client’s vital signs.
    3. Contact the client’s physician.
    4. Record the food intake from client’s meal tray.
  8. A frail 88-year-old client is admitted to the hospital for dehydration. The client is incontinent of urine and stool. The LPN/LVN should give which of the following nursing diagnoses the HIGHEST priority?
    1. Body image disturbance related to immobility
    2. Self-esteem disturbance related to loss of independence
    3. Altered nutrition: intake less than body fluid requirements
    4. Risk for impaired skin integrity related to incontinence
  9. The physician has ordered a condom catheter for a male client. Which of the following is the MOST important question the LPN/LVN should ask the client before carrying out this order?
    1. “Do you have a latex allergy?”
    2. “Do you have a history of urinary tract infections?”
    3. “Do you have frequent nocturia?”
    4. “Are you circumcised?”
  10. The client is about to be discharged home with a portable oxygen delivery system. The LPN/LVN knows that which of the following education topics is MOST important for the client’s family?
    1. Correct use of prescribed nebulizers and inhalers
    2. Prohibition of flame or heat sources in the same room
    3. Relaxation techniques, such as visualization or meditation
    4. Maintenance of adequate hydration and nutrition