Chapter Quiz

  1. Two hours after the insertion of a Salem sump nasogastric (NG) 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 primary health care provider of the vomiting.
    4. Irrigate nasogastric (NG) tube with 20 mL normal saline.
  2. The LPN/LVN is caring for a client after a motor vehicle accident. The LPN/LVN observes that the client is restless, anxious, and has tremors of the hands. The family reports that the client has consumed 4 to 6 beers a day for the past 8 years. What is the priority action for the LPN/LVN to take?
    1. Reorient client to the environment frequently.
    2. Maintain the client in a cool, darkened room.
    3. Assist the client to drink more isotonic fluids.
    4. Administer thiamine 100 mg intramuscularly.
  3. The LPN/LVN is preparing to administer isoniazid 300 mg PO. Which of the following is a priority laboratory value to monitor before administering the medication?
    1. B-type natriuretic peptide (BNP).
    2. Aspartate aminotransferase (AST).
    3. Potassium. 
    4. Vitamin B12.
  4. The LPN/LVN is reinforcing instructions for a client taking clopidogrel 75 mg PO 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 make sure I take a daily multivitamin tablet now.”
  5. The LPN/LVN is caring for a child whose parent reports that the child experienced abdominal cramps and diarrhea after ingesting milk. Which of the following test results would rule out the diagnosis of lactose intolerance?
    1. Random serum glucose level 20 mg/dL (1.1 mmol/L) greater than the fasting serum glucose level.
    2. Random serum glucose level 20 mg/dL (1.1 mmol/L) less than the fasting serum glucose level.
    3. Fasting serum glucose level results are equal to the random serum glucose level results.
    4. Fasting serum glucose level 10 mg/dL (0.56 mmol/L) greater than the random serum glucose level.
  6. The LPN/LVN is preparing a primigravid client for a primary health care provider examination. Laboratory test results are available. Which fasting serum glucose level result would indicate that gestational diabetes is likely?
    1. Serum glucose level of 40 mg/dL (2.2 mmol/L).
    2. Serum glucose level of 100 mg/dL (5.5 mmol/L).
    3. Serum glucose level of 140 mg/dL (7.7 mmol/L).
    4. Serum glucose level of 180 mg/dL (9.9 mmol/L).
  7. The primary health care provider prescribed phenytoin 100 mg PO 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 phenytoin to prevent an impending seizure.
    2. Administer the phenytoin to prevent cardiac arrhythmia.
    3. Withhold the phenytoin due to signs of an allergic reaction.
    4. Withhold the phenytoin because client show signs of toxicity.
  8. The LPN/LVN is reviewing 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 hot and diaphoretic, and the LPN/LVN observes that the client appears flushed. Which of the following actions should the nurse take first?
    1. Notify primary health care provider.
    2. Stop blood transfusion immediately.
    3. Increase normal saline solution drip rate.
    4. Obtain the client's vital signs immediately.
  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 observes a deep puncture wound on the sole of the right foot. What order would the nurse expect to receive from the primary health care provider for this client?
    1. Complete blood count.
    2. Wound culture.
    3. Tetanus vaccine.
    4. Lumbar puncture.