Chapter Quiz

  1. The LPN/LVN is reinforcing teaching for a client after a right mastectomy and axillary lymph node dissection. Which statement by the client requires further intervention by the LPN/LVN? Select all that apply.
    1. “I will wear gloves and long sleeves whenever I go out and work in my garden.”
    2. “The risk for arm swelling will decrease one year after my treatment is completed.”
    3. “I will sleep with my right arm elevated on a small flat pillow from now on.”
    4. “If my right arm begins to feel heavy, I should contact my primary health care provider.”
    5. “It will be necessary for me to wear a compression bandage for the rest of my life.”
  2. The LPN/LVN is preparing to reinforce instructions for a client about the use of an incentive spirometer. Arrange the following steps in the order the client should perform them. All options must be used.
    1. Seal lips around the mouthpiece.
    2. Assume high Fowler’s position.
    3. Exhale slowly and cough.
    4. Hold breath for 3 to 5 seconds.
    5. Inhale slowly and deeply.
  3. The LPN/LVN is preparing to infuse 1 L of normal saline solution at a rate of 125 mL/hr. The drop factor for the intravenous tubing is 15 drops per mL. What is the drip rate per minute? Round to the nearest whole number. ________ gtt/minute
  4. The LPN/LVN is preparing to administer an intramuscular injection to a 6-month-old client. Identify the area where the injection should be given.
    1. A.
    2. B.
    3. C.
    4. D.
  5. The LPN/LVN is caring for a client diagnosed with Parkinson’s disease. The LPN/LVN observes that the client has tremors of the hands and slurred speech. The family reports that the client appears depressed. What is the priority of care for this client?
    1. Place a clock and calendar within the client’s view in room.
    2. Encourage the client to perform range-of-motion exercises.
    3. Ask the family about the client’s favorite television shows.
    4. Assist client to sit on the edge of the bed before ambulation.
  6. The client is waiting to be picked up by family members after a cystogram. The LPN/LVN is reinforcing teaching about the client's home care for the first 48 hours. Which of the following instructions is appropriate for the LPN/LVN to include? Select all that apply.
    1. Decrease water and other fluid intake.
    2. Avoid consuming alcoholic beverages.
    3. Seek medical attention for a slight burning sensation when voiding.
    4. Seek medical attention for the appearance of blood in the urine.
    5. Apply heat to the lower abdomen to relieve pain and muscle spasm.
    6. Report fever, chills, or increased pulse to the primary health care provider.
  7. The LPN/LVN is caring for the client who has just undergone surgery for an inflamed appendix. The surgeon made a traditional incision directly over the organ removed. Identify the area where the LPN/LVN would check for bleeding and infection.
    1. A.
    2. B.
    3. C.
    4. D.
  8. The LPN/LVN is preparing to give an immobile client a bedpan. Arrange the following steps in the order that the LPN/LVN should perform them. All options must be used.
    1. Cover the client with bed linens for privacy.
    2. Help lift the client by placing one hand under the client’s lower back.
    3. Ask the client to flex the knees and raise the buttocks.
    4. Put on a clean pair of examination gloves.
    5. Raise the opposite side rail to prevent the client from falling out of bed.
    6. Place the bedpan on the bed so that the client’s buttocks rest on the rim.
  9. The LPN/LVN is explaining how to estimate sodium intake to a client prescribed the DASH diet. The DASH diet limits daily sodium intake to 1,500 mg, which must account for sodium in food and added to food. A quarter-teaspoon of salt contains 500 mg of sodium. What is the maximum total amount of salt that the client could ingest per day, in teaspoons? ________ teaspoons
  10. The LPN/LVN is caring for a client diagnosed with possible liver damage following a motor vehicle accident. Which of the following actions by the LPN/LVN reflects appropriate care for this client? Select all that apply.
    1. Prepare for client’s inability to self-bathe.
    2. Make sure the side rails are up at all times.
    3. Report the client’s nosebleed to the unit charge nurse immediately.
    4. Report the client’s constipation to the nurse manager immediately.
    5. Remove the hospital bed pillow to help the client lie flat.
    6. Inspect the client’s skin and eye color for signs of jaundice.