SAUNDERS NP DATA COLLECTION (Licensed Practical Nurse) Exam Questions and Answers

The licensed practical nurse (LPN) is assisting in the care of a client who overdosed on acetylsalicylic acid 24 hours ago. The LPN should report to the registered nurse (RN) which findings associated with an anticipated acid-base disturbance? 1. Drowsiness, headache, and tachypnea 2. Tachypnea, dizziness, and paresthesias 3. Disorientation, hypotension, and dyspnea 4. Decreased respiratory rate and depth and cardiac irregularities - ANSWER-Drowsiness, headache, and tachypnea An adult client has had serum electrolytes drawn. The nurse receiving the results by telephone from the laboratory should be most concerned with which result? - ANSWER-Potassium 5.4 mEq/L The nurse caring for a client diagnosed with acute pancreatitis and has a history of alcoholism is monitoring the client for complications. The nurse determines that which data collected is most likely indicative of paralytic ileus? - ANSWER-Inability to pass flatus The nurse is assigned to care for a client 1 hour after delivery. The nurse palpates a firm, uterine fundus 2 cm above the umbilicus and displaced to the right. The nurse recognizes that this finding indicates which condition? - ANSWER-Bladder distention During a routine prenatal visit the client states, "I have not been able to get my wedding ring off for the past 2 days. I guess the heat is making my fingers swell." Which should the nurse check further? - ANSWER-Blood pressure changes and the presence of protein in the urine This morning a client sustained a right proximal fibula and tibia fracture that was casted in a long leg plaster cast. During evening rounds, the nurse notes that the right lower extremity capillary refill is greater than 3 seconds and the toes are edematous and dusky. The client states that the pain medication is not working anymore and that the right foot feels like it is asleep. The nurse analyzes the data and determines that the client's signs/symptoms are indicative of which complication? - ANSWER-Compartment syndrome The nurse is monitoring a client receiving spironolactone by mouth daily. Which data would indicate to the nurse that the client is experiencing a side effect related to the medication? - ANSWER-A potassium level of 5.2 mEq/L