NUR 176 FINAL EXAM QUESTIONS AND ANSWERS
A client has been admitted to the clinic with primary syphilis.
Which sign or symptom should the nurse expect to see with this diagnosis? - Answers -
A painless genital ulcer that appeared about 3 weeks after unprotected sex
Which statement made by a client with a chlamydial infection indicates understating of
the potential complications - Answers -"I need to treat this infection so it doesn't spread
into my pelvis because I want to have children someday."
A client is receiving clopidogrel (Plavix). Which symptoms should the nurse monitor for
while the patient is on this medication? (Select all that apply) - Answers -Blood in the
stool
Ecchymosis
Hematuria
Patechiae
The LPN is caring for a patient diagnosed with HIV. Which precautions should the LPN
take while caring for this individual? Select all that apply. - Answers -Wash hands before
and after contact with the patient
Use needles with a safety cap to reduce the risk of needle sticks
Wear gloves when changing bed sheets or patient undergarments
After a recent myocardial infarction (MI) and heart catheterization, cardiac rehabilitation
is ordered. The LPN should expect what interventions with this treatment? Select all that
apply. - Answers -Low sodium (Nat) diet
Exercise-based rehab program
Lifestyle modification teaching
Which treatment will the nurse anticipate for a patient with open sores and fissures
noted on the toes who is complaining of severe pruritus? - Answers -Treatment with an
antifungal medication
The LPN is caring for a patient who has a latex allergy and is scheduled for surgery
later today. What should the LPN do next? - Answers -Ask the patient to describe what
happens when they are exposed to latex
The nurse is concerned about the patient's renal status. Which labs would they
recommend as primary indicators of a renal condition? Select all that apply - Answers -
Creatinine **
Specific gravity **
BUN **
The LPN is caring for a patient receiving penicillin started 15 minutes ago per IV. The
LP notices that the patient's vitals are
, R: 32, BP: 80/40, P: 124 presently, with severe wheezing and dyspnea. Which
interventions will the LPN expect to be implemented immediately? Select all that apply. -
Answers -Maintain patent airway **
Administer IM Epinephrine as ordered
Administer oxygen per order
The LPN is caring for a patient with a viral infection. Which medication would the LPN
expect to be ordered for the treatment of this condition? - Answers -Acyclovir (Zovirax)
Which assessment finding is most indicative of late elevated intracranial pressure
(ICP)? - Answers -Dilated and fixed pupils bilaterally
The LPN is caring for a patient with a butterfly rash on the face.
The client is complaining of numbness, tingling in the legs and arms, and being sore all
over. Which laboratory tests does the LPN anticipate being ordered for this patient? -
Answers -ANA (Anti-nuclear antibody) and CRP (C-reactive protein)
A client is diagnosed with scabies. Upon assessment, the LPN anticipates which
findings may be noted? Select all that apply - Answers -Brown crusty lines around wrist
or skin folds **
Red bumps and severe itching (pruritus)
The nurse is caring for a patient diagnosed with lupus. Which signs or symptoms would
the LPN expect could be present related to this condition? Select all that apply -
Answers -Butterfly rash on the face
Low endurance with activity
Joint pain **
Sensitivity to sunlight
The nurse is educating the parents of a 22-month- old toddler assessed with head lice
(pediculosis). Which action will the nurse teach to the parents - Answers -Using
Vaseline product to coat the hair
The LPN is caring for a patient who states "It feels like I am peeing razor blades." Which
assessment data and interventions should the LPN include in the plan of care? Select
all that apply. - Answers -Request an order for a specimen culture for suspected
gonorrhea
Ask if the client has had unprotected sex recently **
Assess the patient for any purulent drainage from the urethra or rectum
The nurse is providing care for a patient recently diagnosed with genital herpes. Which
statements should the nurse provide to this client? Select all that apply - Answers -"You
will need to keep your immune system healthy to reduce the risk of exacerbation." **
"Oral sex with your partner can infect them with this condition also." **
"This virus can lay dormant in your body for years." **
"It is important to practice safe sex at all times to reduce the risk of transmission." **
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