1. An elderly female client expresses concern about experiencing constipation
during her upcoming road trip. What is the most appropriate recommendation
the nurse should provide to help prevent this issue?
Increase physical activity during the trip
Consume more fiber-rich foods
Drink plenty of fluids throughout the journey
Limit caffeine intake
2. A nurse is in the process of removing a urinary catheter with a 10 mL inflated
balloon. After deflating the balloon, the nurse encounters resistance while
withdrawing the catheter, and the client expresses discomfort. What is the
most appropriate action for the nurse to take at this moment?
Apply gentle traction to the catheter to facilitate removal
Encourage the client to relax and take slow, deep breaths
Reinflate the balloon slightly and attempt to withdraw again
Ask the client to change positions to alleviate discomfort
3. A 45-year-old female client with a history of major depressive disorder is
hospitalized for treatment. After a week of therapy, she begins to exhibit
increased sociability and starts to give away personal items. What is the most
appropriate nursing intervention at this time?
Encourage the client to engage in group activities to enhance her
mood
Instruct the client to keep her personal items for future use
Assess the client for any suicidal ideation or intent
, Praise the client for her progress in therapy
4. The LPN/LVN notices a caregiver applying lotion to a patient's dry skin using
a vigorous scrubbing motion. What is the most appropriate action for the
nurse to take?
A. Instruct the caregiver to apply lotion more gently to avoid skin
irritation
B. Recommend the caregiver to use a different type of lotion
C. Encourage the caregiver to continue the current method as it is
effective
D. Demonstrate the proper technique for applying lotion to sensitive
skin
5. A patient has been prescribed the angiotensin II receptor blocker valsartan
(Diovan) for hypertension management. What important instruction should
the nurse provide to ensure the patient's safety while taking this medication?
Avoid consuming potassium-rich foods without consulting a
healthcare provider
Take the medication at bedtime to enhance its effectiveness
Increase fluid intake to prevent dehydration
Monitor blood pressure daily and report any significant changes
6. What nursing intervention is most appropriate for a patient experiencing skin
irritation following external radiation therapy?
A. Apply a topical corticosteroid cream to the affected area
B. Use a gentle, fragrance-free moisturizer on the radiated skin
C. Expose the radiated area to sunlight for healing
D. Scrub the skin with a mild soap to remove dead skin cells
, 7. A client visits the prenatal clinic and informs the LPN/LVN that she is 5 weeks
pregnant. Which symptom is she most likely to experience at this stage of
pregnancy?
Increased fatigue
Breast tenderness
Quickening
Frequent urination
8. A client is prescribed diazepam (Valium) 10 mg for anxiety management. The
medication is available in 5 mg tablets. How many tablets should the client
take? (enter numeric value only)
1
2
3
4
9. Following a surgical procedure, a female client with limited mobility develops
a pressure ulcer on her sacral area. What task is most appropriate for the
nurse to delegate to the unlicensed assistive personnel?
Assess the wound for signs of infection and report findings to the
nurse
Assist the client in repositioning to relieve pressure on the ulcer
Educate the client about the importance of nutrition for wound healing
Change the dressing on the pressure ulcer using sterile technique
10. A 30-year-old woman who has just experienced a miscarriage at 8 weeks
gestation is recovering in the post-anesthesia care unit after a dilation and
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