Chapter Quiz

  1. The LPN/LVN is caring for a client diagnosed 6 months ago with a 6th thoracic (T6) spinal cord injury. The client reports a “throbbing headache,” and the client’s face, neck, and upper chest are flushed and diaphoretic. Which action should the LPN/LVN take first?
    1. Loosen the client's upper body clothing.
    2. Check the client for fecal impaction.
    3. Remove the indwelling urinary catheter.
    4. Sit the client in an upright position.
  2. The LPN/LVN is assisting with the care of a client diagnosed 2 weeks ago with a right-sided stroke. When assisting the client with meals, it is most important for the LPN/LVN to take which action?
    1. Encourage the client to swallow each bite of food 4 times.
    2. Assist the client to use a straw to drink fluids with the meal.
    3. Instruct the client to sit in a chair for 30 minutes after the meal.
    4. Provide 8 oz (240 mL) of milk with every meal and at bedtime.
  3. The LPN/LVN is assiting with the care of a client diagnosed with a 4th cervical (C4) complete spinal cord injury. Which observation most concerns the LPN/LVN?
    1. The unlicensed assistive personnel (UAP) positions the client in a 30-degree side-lying position.
    2. The client watches television with the head of the bed elevated at a 45-degree angle.
    3. The unlicensed assistive personnel (UAP) uses warm water and a gentle soap for bathing.
    4. The client lightly rubs the skin with a bath towel after bathing to ensure dryness.
  4. The LPN/LVN is assisting with the care of a client 48 hours after a right total hip arthroplasty. Which observation requires an intervention by the LPN/LVN?
    1. The client is positioned in a high Fowler’s position during meal times.
    2. The right and left legs are slightly abducted when client is supine.
    3. The head of the bed is elevated 50 degrees during morning oral care.
    4. The unlicensed assistive personnel (UAP) places a pillow between client’s legs before turning client.
  5. The LPN/LVN is preparing the female client for a vaginal examination. The client is positioned to best increase the vaginal opening for examination. Which of the following features would this position include? Select all that apply.
    1. Soft pillow under head.
    2. Back flat on exam table.
    3. Knees straight.
    4. Elbows flexed.
    5. Thighs abducted.
    6. Legs adducted.
  6. The LPN/LVN in the long-term care facility is assiting the client with chronic obstructive pulmonary disease and varicose veins. Before breakfast is served, the LPN/LVN places the client in Fowler’s position. Which of the following best describes why Fowler’s position would be used in this client?
    1. It straightens the neck, which allows client to swallow more effectively.
    2. It pulls the diaphragm downward, which permits greater chest expansion.
    3. It puts the back in a natural position, which relieves muscle tension.
    4. It increases venous return, which improves the circulation to the legs.
  7. The LPN/LVN is preparing the client with hemorrhoids for a rectal examination. Depending on the physical limitations of the client, the nurse should put the client in which of the following positions? Select all that apply.
    1. Prone.
    2. Supine.
    3. Knee-chest.
    4. Trendelenburg.
    5. Sims’.
    6. Fowler’s.
  8. The home-care LPN/LVN is visiting the frail client with type 2 diabetes, osteoporosis, and nighttime drooling. The client sleeps in the prone position. The nurse recognizes which of the following as an advantage of this position for the client? Select all that apply.
    1. It allows full extension of the hip and knee joints.
    2. It produces lordosis in most people.
    3. It causes plantar flexion.
    4. It keeps saliva drainage flowing from the mouth.
    5. It promotes better breathing.
    6. It prevents hypoglycemia.
  9. The LPN/LVN in the postsurgical unit cares for the client immediately after an L4-L5 spinal fusion. The primary health care provider’s order calls for the client to be turned every hour. Arrange the following steps in the order that the nurse should perform them. All options must be used.
    1. Place the pillow between the client’s legs.
    2. Remove the pillow from under the client’s head.
    3. Perform hand hygiene.
    4. Document the client’s repositioning.
    5. Firmly grasp the client’s draw sheet with both hands.
    6. Move the client’s body as a unit.
  10. The LPN/LVN is caring for the obstetrical client who is in active labor. Suddenly the fetus’s umbilical cord can be seen protruding from the vagina. The LPN/LVN will immediately place the client in which of the following positions?
    1. Trendelenburg.
    2. Sims’.
    3. Prone.
    4. Semi-Fowler’s.