LM EXAM 2 QUESTIONS WITH UPDATED
CORRECT ANSWERS.
The,charge,nurse,makes,the,client,assignments,for,the,pediatrics,unit.,Which,client,would,be,best,to,assig
n,to,the,new,graduate,nurse?
A),Eight,year-old,with,9/10,abdominal,pain,after,a,bowel,resection.
B),Four,year-old,with,pneumonia,who,has,a,heart,rate,of,110,beats,per,minute.
C),Three,year-old,with,asthma,who,has,a,pulse,oximetry,of,89%.
D),Ten,year-old,arriving,to,the,unit,immediately,after,a,tonsillectomy.,ANS,-B),Four,year-
old,with,pneumonia,who,has,a,heart,rate,of,110,beats,per,minute.
A,client,is,receiving,intravenous,vancomycin,1g,in,250mL,of,0.9%,normal,saline,at,250mL/hr.,The,nurse,ob
serves,that,the,client,develops,erythema,on,the,chest,,neck,,and,face,10,minutes,after,starting,the,infusio
n.,Which,action,should,the,nurse,take,first?
A),Discontinue,the,vancomycin,infusion.
B),Check,the,client's,blood,pressure.
C),Administer,IV,diphenhydramine.
D),Decrease,the,infusion,rate,to,125mL/hr.,ANS,-A),Discontinue,the,vancomycin,infusion.
The,charge,nurse,is,making,client,assignments,for,the,0700-
1900,shift,on,the,medical,unit.,Which,client,should,the,charge,nurse,assign,to,the,LPN/LVN?,SELECT,ALL,T
HAT,APPLY
A),A,client,with,dementia,who,had,an,unwitnessed,fall,out,of,the,bed,at,0600.
B),A,client,with,diabetes,insipidus,who,has,a,serum,sodium,of,160,mEq/L.
C),A,client,with,appendicitis,scheduled,for,a,laparoscopic,appendectomy,at,1100.
D),A,client,with,chronic,bronchitis,who,is,scheduled,for,discharge,tomorrow.
E),An,older,adult,client,with,failure,to,thrive,who,is,receiving,enteral,nutrition.,ANS,-
D),A,client,with,chronic,bronchitis,who,is,scheduled,for,discharge,tomorrow.
E),An,older,adult,client,with,failure,to,thrive,who,is,receiving,enteral,nutrition.
Which,actions,are,within,the,registered,nurse's,scope,of,practice,to,improve,quality,of,care?
, A),Use,sterile,technique,when,changing,dressings,on,a,new,surgical,site
B),Intubate,a,client,whose,oxygen,saturation,is,92%
C),Insert,a,central,line,to,give,intravenous,fluid,to,a,dehydrated,client
D),Prescribe,aspirin,for,a,client,who,presents,with,an,acute,myocardial,infarction,ANS,-
A),Use,sterile,technique,when,changing,dressings,on,a,new,surgical,site
The,nurse,observes,a,new,UAP,who,is,caring,for,clients.,If,observed,,which,action,by,the,UAP,would,requir
e,the,nurse,to,intervene,and,provide,additional,teaching,to,the,UAP?
A),Notifying,the,primary,RN,that,an,adult,client's,heart,rate,is,116,beats,per,minute
B),Delaying,measurement,of,an,oral,temperature,because,the,client,is,eating,lunch.
C),Placing,the,bed,in,the,locked,,low,position,prior,to,leaving,the,room.
D),Disconnecting,the,indwelling,urinary,catheter,from,the,drainage,bag,to,collect,a,urine,specimen.,ANS,-
D),Disconnecting,the,indwelling,urinary,catheter,from,the,drainage,bag,to,collect,a,urine,specimen.
An,unlicensed,assistive,personnel,(UAP),that,usually,works,on,a,medical-
surgical,unit,has,floated,to,an,acute,psychiatric,unit,for,the,shift.,Which,task,would,be,best,to,assign,to,the
,UAP?
A),Assisting,the,occupational,therapist,to,conduct,a,craft,class
B),Assisting,the,nurse,who,is,busy,with,a,combative,patient
C),Performing,one-to-one,for,a,stable,elderly,patient,with,dementia,who,wanders,the,unit
D),Performing,one-to-one,observation,on,patient,with,acute,psychosis,ANS,-C),Performing,one-to-
one,for,a,stable,elderly,patient,with,dementia,who,wanders,the,unit
During,an,interview,for,a,staff,nurse,position,,a,new,graduate,nurse,finds,the,supervisor,and,staff,unfriend
ly.,After,the,interview,,the,new,graduate,nurse,decides,not,to,pursue,the,position.,Which,action,is,most,a
ppropriate,for,the,nurse,to,perform?
A),The,candidate,should,call,and,leave,a,voicemail,indicating,disinterest,in,the,position.
B),File,a,complaint,with,the,Human,Resources,department,about,inappropriate,interviewing,behaviors.
C),There,is,no,need,to,do,anything,further,as,the,candidate,will,likely,not,be,offered,the,job.
D),Send,a,thank,you,note,to,the,interviewer,in,appreciation,for,the,supervisor's,time.,ANS,-
D),Send,a,thank,you,note,to,the,interviewer,in,appreciation,for,the,supervisor's,time.