Chapter Quiz

  1. The LPN/LVN is part of the care team in a medical-surgical unit. The LPN/LVN would expect to perform which of the following client-care activities? Select all that apply.
    1. Educate the presurgical client about clean-catch urine sample procedures.
    2. Assess the client who has just returned to the room following bladder surgery.
    3. Monitor the three-year-old child who had a tonsillectomy the day before.
    4. Call a code on the client found to be unresponsive.
    5. Review the effectiveness of client education about nebulizer use.
    6. Perform the initial dressing change on the client recovering from gallbladder surgery.
  2. The LPN/LVN cares for clients in the acute medical-surgical unit. The LPN/LVN should question which assignment?
    1. Monitor urine output of the client diagnosed with acute kidney injury.
    2. Perform nasotracheal suctioning for a client 4 days after a stroke.
    3. Provide tracheostomy care for the client with a cuffed tracheostomy tube.
    4. Receive a report on the client being transferred from the Emergency Department.
  3. Which task is MOST appropriate for the nursing assistive personnel (NAP) to perform?
    1. Reset a client’s intravenous infusion pump when the alarm sounds.
    2. Change a peripheral intravenous infusion dressing.
    3. Observe the pH of gastric secretions from an enteral feeding tube.
    4. Assist with the insertion of a small-bore nasogastric tube.
  4. The LPN/LVN cares for clients in a pediatric urgent care clinic. The supervisor indicates that the LPN/LVN will float to an adult postoperative care unit. Which is the MOST appropriate statement the LPN/LVN should make?
    1. “I can’t go to another unit. I don’t have the proper skills to care for postoperative adult clients.”
    2. “I will have to work under the supervision of another LPN/LVN while I am on the postoperative care unit.”
    3. “I will need to inform the postoperative unit supervisor that my experience has been pediatric care.”
    4. “I am only qualified to check vital signs and document intake and output on the postoperative care unit.”
  5. The LPN/LVN floats to several units in the community hospital. Which of the following client-care activities is BEST for the LPN/LVN?
    1. Assisting the postsurgical client to the bathroom.
    2. Checking with family members about the effectiveness of discharge teaching.
    3. Instructing the newly admitted client about the preparations for a diagnostic test in the radiology department.
    4. Changing the purulent dressing of a client with a stage 4 pressure ulcer.
  6. A rehabilitation unit is staffed by an RN, 2 LPN/LVNs, and an NAP. The NAP has just called in sick. Which of the following client-care assignments would be appropriate for the LPN/LVNs? Select all that apply.
    1. Assess the newly admitted client with hip dysplasia.
    2. Bathe the client who is recovering from back surgery.
    3. Take vital signs of the client receiving IV antibiotics for a bone infection.
    4. Listen for breath sounds in the client with a history of chronic asthma.
    5. Show the postsurgical client how to use crutches.
    6. Teach the client recently diagnosed with arthritis how to self-administer a weekly injection.
  7. The LPN/LVN cares for clients in the medical-surgical unit of the acute care facility. Which assignment is MOST appropriate for the LPN/LVN?
    1. Observe a client who reports “tightness in the chest”; a 12-lead ECG is ordered.
    2. Teach a client newly diagnosed with type 2 diabetes; the client is prescribed glyburide (Diabeta).
    3. Change sterile dressing on the leg of a client 3 days after peripheral vascular surgery.
    4. Instruct a client diagnosed with heart failure about exercise and home medications.
  8. The LPN/LVN is working in the oncology unit at the pediatric hospital. Which of the following assignments, if made by the team leader, should be questioned by the LPN/LVN?
    1. Providing information on chemotherapy to a parent.
    2. Transporting a newly admitted client to the radiology department.
    3. Finding a comfortable position for a client with post-treatment nausea.
    4. Responding to a call light from a concerned parent.
  9. The LPN/LVN is working the night shift in the urgent care clinic. Which of the following assignments, if made by the team leader, should be questioned by the LPN/LVN?
    1. Teaching the client with abdominal pain how to obtain a stool sample for occult blood.
    2. Collecting a sputum sample from the client with a persistent cough.
    3. Giving a tetanus vaccine injection to the client bleeding after a bicycle accident.
    4. Monitoring the status of the newborn with fever and rash.
  10. The LPN/LVN works in the endocrinology clinic. The LPN/LVN knows that which of the following client-care activities should be performed only by an RN?
    1. Taking the medical history of the client with diabetic neuropathy.
    2. Using a glucometer to test the blood sugar level of the newly diagnosed diabetic.
    3. Teaching the newly diagnosed diabetic to perform an insulin injection.
    4. Administering an insulin injection to the newly diagnosed diabetic.