LVN EXIT RETAKE EXAM ACTUAL EXAM 2024-2025
ACCURATE 300 EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
A nurse is observing assistive personnel check the tympanic temperature. Which
indication that the AP understands how to perform the procedure.
- The AP pulls the pinna up and back.
- The AP inserts the probe with a straight, forward motion.
- The AP points the probe posteriorly.
- The AP positioned the client facing her. - ANSWERThe AP pulls the pinna up and
back.
A nurse is assisting with the care of a client following electroconvulsive therapy for the
use
of the expected finding should the nurse expect 15 min following the procedure.?
A nurse is assisting with a prenatal examination of a client who is at 8 weeks of
gestation .
The nurse notes that the client's vagina and vulva purplish color. The nurse should
docket this
finding as which of the following?
A nurse is assisting in providing postmortem care to a client who was a devout follower
of
Hinduism. Which of the following request should the nurse anticipate from the client's
family?
,- To bury the client's body within 24hr of their death.
- To cremate the client's body pg 25
- To stay with the client's body for 8hr following their death
- To prohibit medical personnel from touching the client's body - ANSWERTo cremate
the client's body pg 25
A nurse is reinforcing with a client who has a new diagnosis of COPD. Which of the
following statements by the client indicates understanding of the teaching?
- I should practice pursed-lip breathing exercises.
- I should do aerobic exercises once per day.
- I will consume low protein, low calorie foods.
- I will increase my fluid intake to 1,700 milliliter per day. - ANSWERI should practice
pursed -lip breathing exercises.
A nurse is contributing to the plan of care for a client who has ascites due to cirrhosis.
Which of the following interventions should the nurse recommend including in the plan?
- Measure the client's abdominal girth daily.
- Restrict the client's sodium intake to 3 g per day.
- Keep the client's daily protein intake below o.8g/kg
- Position the client supine with legs elevated. - ANSWERMeasure the client's
abdominal girth daily.
A nurse is completing documentation in the medical record about a client who fell on the
floor. Which of the following statements should the nurse include in the documentation?
- The client fell because the assistive personnel did not place non skid slippers on the
client.
- Client stated, I lost my balance and fell when I got out of bed to go to the bathroom.
- An incident report has been completed and sent to risk management.
- The client does not appear to have any injuries resulting from the fall. -
ANSWERClient stated, I lost my balance and fell when I got out of bed to go to the
bathroom.
A nurse is assisting with a community health program for caregivers of clients who have
Alzheimer's disease. Which of the following should the nurse include?
- Use written signs to assist the client with locating the bathroom.
- Use confrontation to manage the client 's behavior.
- Limit the number of choices for the client.
- Provider a stimulating environment for the client. - ANSWERLimit the number of
choices for the client.
A nurse overhears two assistive personnel AP in the nurse station discussing a client
who was recently admitted. Which of them should the nurse take?
,- Document the event in the client's progress notes.
- Tell the APs to stop the conversation.
- Submit an incident report to the risk manager.
- Inform the client of the APS actions. - ANSWERTell the APs to stop the conversation.
A nurse is reinforcing discharge teaching with the caregiver of a client who has
dependent personality disorder. Which of the following instructions should the nurse
include in the teaching?
- Assume responsibility for making the client's decisions.
- Limit the client's social interactions
- Maintain a verbal no harm contract with the client.
- Encourage the client to be assertive. - ANSWEREncourage the client to be assertive.
A nurse is caring for a client who is 2 days postoperative following a total bilateral.
mastectomy. The client is tearful and looks away when surgical dressing is removed.
The nurse should place the priority on which of the following actions?
- Providing the client with information on community resources that will strengthen her
coping skills.
- Encouraging the client to write about her feelings in a journal each day.
- Identify the client's perception of the changes in her physical appearance.
- Demonstrating a nonjudgmental attitude toward the client when providing care for her
surgical wounds. - ANSWERIdentify the client's perception of the changes in her
physical appearance.
A nurse working in a rehabilitation unit is administering medications to two clients who
have the same name. Which of the following should the nurse use to verify the identities
of each client?
- The names of the clients nearest relatives
- The telephone numbers of the clients.
- The room numbers of the clients
- The diagnoses of the clients - ANSWERThe telephone numbers of the clients.
A nurse is reviewing the pain of care for a group of clients. The nurse should identify
that informed consent is required for which of the following procedures?
- Administration of an iron injection using Z- track technique.
- Placement of a central venous catheter.
- Insertion of a nasogastric tube.
- Irrigation of a wound with antibiotic solution. - ANSWERPlacement of a central venous
catheter.
, A nurse is assisting with the admission of a client who has varicella zoster. Which of the
following interventions should the nurse plan to implement?
- Administer aspirin if the client develops a fever.
- Assign the client to a negative pressure airflow room.
- Initiate contact precautions for the client.
- Have visitors remain at least 0.91 m (3feet) away from the client - ANSWERInitiate
contact precautions for the client.
A nurse is reinforcing teaching with a client who has GERD and a prescription for
pantoprazole. Which of the following statement indicate understanding of the teaching?
- I have to take this medication on an empty stomach.
- I will need to remain upright for 1 hour after taking the medication.
- I can take antacids at the same time as this medication.?
- I should expect to have diarrhea while taking this medication. - ANSWERI will need to
remain upright for 1 hour after taking the medication.
A nurse is caring for a client who is postoperative following abdominal surgery and has
a wound evisceration. Which of the following should the nurse take?
- Hold gentle, direct pressure on the protruding organ.
- Place the client's knees in an extended position.
- Raise the head of the bed to a 45 angle.
- Cover the wound with sterile, saline- soaked gauze. - ANSWERCover the wound with
sterile, saline- soaked gauze.
A nurse in a long term care facility is caring for a client who has methicillin -resistant
Staphylococcus aureus MRSA. Which of the following actions should the nurse take?
- Restrict the client client's visitors.
- Remove personal protective equipment after leaving the client's room.
- Ensure that the negative air pressure is active for the client's room.
- Wear a gown when assisting the client with personal hygiene. - ANSWERWear a
gown when assisting the client with personal hygiene.
A nurse is administering pancrelipase to a child who a child who has cystic fibrosis.
Which of the following outcomes should the nurse expectation effect of the treatment?
- Improved respiratory function.
- Improved absorption of vitamin B and C.
- Reduced fat in the stools.
- Decrease sodium excretion. - ANSWERReduced fat in the stools.
A nurse is completing postmortem documentation for a client. Which of the following
information should the nurse include in the documentation?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Americannursingaassociation. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
