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ACTUAL EXAM TEST BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
The LPN/LVN reinforces teaching for the client about warfarin for pulmonary embolism, including side effects and expected length of therapy. Which statement by the client indicates the teaching is effective? 1.) "I should limit fluids to decrease my chances of having another pulmonary embolism." 2.) "If I have any bleeding, I should make a note of it and tell you about it at my next visit." 3.) "Pulmonary embolism is a very minor disorder; people generally recover without any problems." 4.) "Wearing supportive hose will decrease my chances of having another pulmonary embolus." - ANSWER- 4.) "Wearing supportive hose will decrease my chances of having another pulmonary embolus." The LPN/LVN cares for a client who is scheduled for a thoracentesis. The LPN/LVN recalls which is the correct client position for the procedure? 1.) Client lies prone with arms extended over the side of the bed 2.) Client sits on the side of the bed and leans upper torso over the bedside table with head resting on folded arms
ACTUAL EXAM TEST BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
3.) Client sits upright on the side of the bed, with arms extended above head 4.) Client is placed in semi-fowler position, with arms raised above head
- ANSWER- 2 .) Client sits on the side of the bed and leans upper torso over the bedside table with head resting on folded arms A client receives heparin. The LPN/LVN recalls which is a possible adverse reaction to this medication? 1.) Anaphylaxis 2.) Blurred vision 3.) Permanent hearing loss 4.) Motor seizures - ANSWER- 1.) Anaphylaxis The LPN/LVN reinforces teaching of the client about continuous home oxygen therapy. Which statement by the client indicates to the LPN/LVN that further teaching is necessary? 1.) "I know that I need to keep the oxygen on when I am sleeping, as well as during the day." 2.) "I should let my health care provider know if I begin to feel lethargic or my breathing is very slow." 3.) "I understand that the name of the tubing in my nose is an oxygen cannula."
ACTUAL EXAM TEST BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
4.) 100% - ANSWER- 3.) 80%
The LPN/LVN cares for the client who experiences orthopnea. The LPN/LVN recalls that which is the correct definition of orthopnea? 1.) A temporary interruption of breathing in which no air movement occurs 2.) Deep respirations at a rate greater than 20/minute 3.) Difficulty breathing in a supine position 4.) Difficulty breathing or shortness of breath - ANSWER- 3.) Difficulty breathing in a supine position The LPN/LVN assists in the care for a client diagnosed with a pneumothorax. The client's baseline oxygen (O2) saturation level is 80%, and the client's baseline respiratory rate is 26 breaths/minute. After a chest tube is placed, which information indicates to the LPN/LVN an improvement in the client's condition? 1.) A decreasing level of consciousness 2.) A respiratory rate of 28 breaths/minute
ACTUAL EXAM TEST BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
3.) An O2 saturation of 92% 4.) Uneven movement of the right and left chest on inspiration - ANSWER- 3.) An O2 saturation of 92% The client is scheduled for pulmonary function testing. Which statement by the client indicates to the LPN/LVN that further teaching is necessary? 1.) "I can eat a meal within an hour and a half before the test is scheduled." 2.) "I can resume my regular medications after the test is completed." 3.) "I should be sure to void before the test." 4.) "I should wear comfortable, loose-fitting clothing for the test." - ANSWER- 1.) "I can eat a meal within an hour and a half before the test is scheduled." The LPN/LVN cares for the 84-year-old client in the extended care facility who is diagnosed with acute bronchitis. The LPN/LVN emphasized the importance of thorough hand washing for which reason? 1.) Acute bronchitis is generally caused by a virus. It is especially important in an extended care setting that the virus does not spread. Hand washing is one method to prevent spreading. 2.) Frequent hand washing will keep the client's mind off the malaise and other symptoms being experienced
ACTUAL EXAM TEST BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
3.) Staphylococcus aureus 4.) Streptococcus pneumoniae - ANSWER- 4.) Streptococcus pneumoniae In preparing an answer to a client's question, "At the hospital they told me that chronic obstructive pulmonary disease (COPD) was really a lot of different diseases. Does that mean I have more than one disease?" The LPN/LVN recalls that which disorder is classified as part of COPD? 1.) Emphysema 2.) Kyphosis 3.) Pulmonary edema 4.) Empyema - ANSWER- 1.) Emphysema The health fair participant asks the LPN/LVN, "How does getting older change my ability to breathe?" Which is the correct response, based on the LPN/LVN's knowledge? 1.) "There is a decrease in the size of the bronchioles." 2.) "There is a decreased risk for infection." 3.) "There is an increased number of functioning alveoli." 4.) "There is a loss of lung elasticity." - ANSWER- 4.) "There is a loss of lung elasticity."
ACTUAL EXAM TEST BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
After the intravenous (IV) antibiotic finishes and while the LPN/LVN regulates the primary IV, a client with hospital-acquired pneumonia (HAP) says, "I'm really having a hard time getting my breath. I feel like I am about to smother." The LPN/LVN takes which action? 1.) Decreases the rate of the IV and gets the client a cool washcloth for the forehead 2.) Pages respiratory therapy to the room stat to give the client a nebulizer treatment 3.) Raises the head of the bed and calls over the intercom to page the RN to the room stat 4.) Tells the client that the LPN/LVN will be right back, and goes to the nursing station to find the RN - ANSWER- 3.) Raises the head of the bed and calls over the intercom to page the RN to the room stat A client says the to LPN/LVN, "My asthma has been so bad that I have been using my albuterol inhaler more than I should." What will the LPN/LVN expect to observe? 1.) Hand tremors 2.) Muscle weakness 3.) Double vision 4.) Urinary retention - ANSWER- 1 .) Hand tremors
ACTUAL EXAM TEST BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
The LPN/LVN assists with the care of a client who had a bronchoscopy 2 hours ago. What is a priority observation for the LPN/LVN to make? 1.) Muscle strength 2.) Visual acuity 3.) Gag reflex 4.) Facial symmetry - ANSWER- 3.) Gag reflex The LPN/LVN obtains a sputum specimen. What actions should the LPN/LVN take to obtain the specimen? (Select all that apply) 1.) Restrict fluids for 8 hours prior to the sputum collection 2.) Instruct the client to avoid brushing teeth prior to test 3.) Collect the specimen early in the morning 4.) Remove the client's dentures prior to the test 5.) Use a sterile container to collect the specimen - ANSWER - 2.) Instruct the client to avoid brushing teeth prior to test 3.) Collect the specimen early in the morning 5.) Use a sterile container to collect the specimen What is the best description of Cheyne-Stokes respirations?
ACTUAL EXAM TEST BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
1.) Respirations at a rate of 32/minute with a regular breathing pattern 2.) Deep, regular rapid respirations, not under voluntary control 3.) Increasing and decreasing depth of respiration with periods of apnea 4.) Shallow, gasping respirations with an irregular pattern - ANSWER- 3.) Increasing and decreasing depth of respiration with periods of apnea The LPN/LVN cares for a client diagnosed with deep venous thrombosis. What will the LPN/LVN expect to observe if pulmonary embolism occurs? (Select all that apply) 1.) Sudden onset shortness of breath 2.) Decreased level of consciousness 3.) Decreased heart rate 4.) Hemoptysis 5.) Wheezing with expiration - ANSWER- 1 .) Sudden onset shortness of breath 4.) Hemoptysis The LPN/LVN cares for a client diagnosed with pneumococcal pneumonia. What will the LPN/LVN expect to observe? 1.) Inspiratory stridor
ACTUAL EXAM TEST BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
4.) A client 2 days after a tracheostomy procedure The LPN/LVN suctions a client's tracheostomy. What is the maximum amount of time the suction should be applied during this procedure? 1.) 10 seconds 2.) 15 seconds 3.) 20 seconds 4.) 25 seconds - ANSWER- 1.) 10 seconds A client asks the LPN/LVN about interpretation of a tuberculin skin (Mantoux) test. What is the best response by the LPN/LVN? 1.) "This test will determine when you were exposed to tuberculosis (TB)." 2.) "If there is a reddened area at the injection site, you have TB." 3.) "To determine if the test is positive, a raised area must be present." 4.) "It is routine to give 2 TB skin tests a month apart for a positive diagnosis." - ANSWER- 3.) "To determine if the test is positive, a raised area must be present." The LPN/LVN cares for a client diagnosed with chronic bronchitis. What will the LPN/LVN expect to observe?
ACTUAL EXAM TEST BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
1.) Cough with increased mucous production 2.) Increased anterior posterior diameter of chest 3.) Decreased respiratory rate with regular rhythm 4.) Inspiratory crackles that clear with coughing - ANSWER- 1.) Cough with increased mucous production The LPN/LVN cares for a client recently diagnosed with lung cancer. What will the LPN/LVN expect the client to report? 1.) Persistent cough 2.) Decreased voice strength 3.) Abdominal pain 4.) Decreased pedal pulses - ANSWER- 1.) Persistent cough The LPN/LVN admits a 22-year-old client to an acute care unit for the treatment of cystic fibrosis. What will the LPN/LVN expect to observe? 1.) Frequent diarrhea 2.) Thick, sticky mucus 3.) Increased appetite 4.) Decreased perspiration - ANSWER- 2.) Thick, sticky mucus
ACTUAL EXAM TEST BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
1.) Gives the client 2 cookies 2.) Gives the client 4-6 ounces of a diet soft drink 3.) Gives the client 3-4 teaspoons of sugar 4.) Gives the client 4-6 ounces juice with 2 packets of sugar added - ANSWER- 3.) Gives the client 3-4 teaspoons of sugar A client reports symptoms of accelerated growth, agitation, and sleep disturbances following head trauma which occurred three years ago in a serious motor vehicle accident. The health care provider prescribes a radioimmunoassay to measure levels of hormones in the blood. The LPN/LVN believes this is a disorder of which gland? 1.) The adrenal glands 2.) The thymus gland 3.) The pituitary gland 4.) The thyroid gland - ANSWER - 3.) The pituitary gland The LPN/LVN reinforces teaching of the client diagnosed with hypothyroidism. The LPN/LVN recognizes that the teaching is effective if the client identifies which of these as symptoms of hypothyroidism? (Select all that apply.) 1.) Weight loss
ACTUAL EXAM TEST BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
2.) Tachycardia 3.) Depression 4.) Fatigue 5.) Dry skin - ANSWER- 3.) Depression 4.) Fatigue 5.) Constipation 6.) Dry skin The LPN/LVN cares for the client diagnosed with Addison disease. The LPN/LVN recognizes that the pathophysiological basis of Addison's disease is adrenal hyposecretion. Which disease is characterized by adrenal hypersecretion? 1.) Hyperpituitarism 2.) Cushing syndrome 3.) Crohn disease 4.) Blepharitis - ANSWER- 2.) Cushing syndrome A client is recently diagnosed with Addison disease. The LPN/LVN recognizes further reinforcement of teaching is needed when the client makes which statement?
ACTUAL EXAM TEST BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
The LPN/LVN reinforces teaching with the class of senior citizens at the community center about foot care for people who have diabetes mellitus. Which direction does the LPN/LVN include in the teaching? (Select all that apply.) 1.) Buy shoes that are slightly larger 2.) Never cut the toe nails straight across 3.) Stop smoking or using tobacco products 4.) Wear a clean pair of absorbent footwear daily 5.) Remove corns when they appear - ANSWER-3.) Stop smoking or using tobacco products 4.) Wear a clean pair of absorbent footwear daily The LPN/LVN makes a home visit to a client diagnosed with type 2 diabetes mellitus. The LPN/LVN observes that there are two reddened areas on the client's left foot. The client says, "I just noticed them yesterday. I never felt any pain. I did get a new pair of shoes about a week ago and i've worn them every day since then." Which action by the LPN/LVN is best? 1.) Suggest that the client soak the feet in warm water for 20 minutes 3 times a day 2.) Tell the client to wear another pair of shoes until an appointment can be made with the health care provider
ACTUAL EXAM TEST BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
3.) Apply sterile bandages over the two reddened sites and tell the client to change these every day 4.) Tell the client to call the LPN/LVN if the reddened areas are not better within a week - ANSWER-2.) Tell the client to wear another pair of shoes until an appointment can be made with the health care provider The LPN/LVN recalls which explanation as the most common cause of the client having Cushing syndrome? 1.) Insufficient secretion of steroid hormones 2.) Iatrogenic result of treating rheumatoid arthritis 3.) Adrenal adenoma 4.) Excessive production of adrenocorticotropic hormone - ANSWER- 2.) Iatrogenic result of treating rheumatoid arthritis The LPN/LVN cares for the client diagnosed with Addison disease. The LPN/LVN recognizes which as the physiological basis for acute adrenal crisis (Addisonian crisis)? 1.) Development of ketoacidosis 2.) Sudden marked decrease in adrenal hormones 3.) Sudden decrease in the amount of parathyroid hormone (PTH) 4.) Abnormally high secretion of thyroid hormone - ANSWER-2.) Sudden marked decrease in adrenal hormones
