LVN EXIT RETAKE EXAM 2024-2025
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AND VERIFIED DETAILED ANSWERS
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A nurse is caring for a client who has depressive disorder the client states everyone will be better off if I
were not around which of the
following responses should the nurse make
Are you thinking of hurting yourself?
And charge nurse assigned a nurse to care for a group of clients which of the following client should the
nurse ask the charge nurse to reassign to an RN
A client who has a new diagnosis of diabetes mellitus and needs to learn self administration of insulin
A nurse is preparing to perform a wet to dry dressing change for a client who has an infected
abdominal wound which of the following techniques should the nurse use when performing the dressing
change
Clean the wound from center to outer edges
Following a kosher diet which of the following on the menu is OK
Roasted salmon
A nurse is reviewing the medical record of a client
who has COPD which of the following laboratory findings indicates a need to request a dietary referral
for the client ?
Pre-albumin 13 mg /dL
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,A nurse is caring for a client who has an abdominal surgical incision and notices an evisceration which of
the following actions should the nurse take ?
Cover the one with a transparent dressing
A nurse is reinfording discharge teaching|with a cliant who has tuberculosis.
Which of the following statements by the client indicates an understanding of the teaching?
"should throw away my used tissues in a closed plastic bag.
A nurse is reinforcing teaching with a client who is to habe their plaster cast applied to his right arm
Which of the Following information should the nurse include in the teaching
The client's extremity Should be elevated after the cast is applied
A nurse is caring for a client who is why her newborn is receiving phytonadione injection which of the
following statements shiuld the nurse make
This medication prevents your baby from developing bleeding problems
A nurse in a mental health facility is reinforcing teaching with a client about panic attacks which of the
following statements by the
Client indicates an understanding of the instructions?
I will use abdominal breathing at the first sign of a panic attack
A nurse is caring for a female client who has an indwelling catheter with a urinary drainage system
which of the following actions should the nurse take?
Instruct the client to hold the drainage bag a waist height when ambulating
A nurse is reinforcing teaching with a client who has diabetes Molite us about
a 24 hour creatinine clearance test which of the following statements should the nurse include in the
teaching?
You can begin collection of urine after discarding your first morning void
A nurse is planning care for a 4 * client who is six hours postoperative following a right knee arthroplasty
which of the following interventions should the nurse include in the clients plan of care?
Use the continuous passive motion machine intermittently
A nurse is preparing to administer eyedrops to a child which of the following actions should the nurse
take ?
Apply pressure to the lacrimal punctum after administering drops
A nurse in an acute care setting is preparing to administer medications to a client which of the following
information should the nurse obtain to identify the client
Client's telephone number
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, A nurse is reinforcing teaching with a client who has a prescription for an antibiotic therapy the client
tells the nurse that he always experiences diarrhea when he takes antibiotics which of the following
food choices should the nurse recommend to lessen the occurrence of diarrhea
Yogurt
A nurse is reviewing the medical record for a child who is scheduled to receive a varicella immunization
which of the following findings in the clients record should the nurse recognize as a contra indication
Chemotherapy treatments
A nurse in an inpatient medical health facility is reinforcing teaching with a client who signed a consent
form for electro convulsive
therapy which of the following statements about a client indicates an understanding of the procedure
I might have short term memory loss after the procedure
A nurse is collecting data from a client who has heart failure the nurse notices the client has crackles in
the bases of the lungs shortness of breath and a respiratory rate of 24 bom which of the following
actions should the nurse take
Maintain the client and high Fowlers position
A home health nurse is conducting a home inspection for a client who is it was for falls which of the
following instruction should the nurse provide for the client
Move the clients bed to the main floor on the house
A nurse in an acute mental health facility is caring for an adolescent who is exhibiting destructive
behavior which of the following actions should the nurse take after applying physical restraints to the
Client
Plan to remove the restraints as soon as the client is calm
A charge nurse in a long-term care facility notices the smell of alcohol on a nurses breath which of the
following actions should the nurse take first
Call the supervisor to ask for another nurse
A nurse is reinforcing dietary teaching with a client who's pre-pregnancy BMI was 30.5 the nurse should
recognize that the client understands the teaching when she states she should expect to gain how many
pounds during her pregnancy
16 pounds
A nurse is reinforcing teaching with a parent of a newborn about home safety percolation which of the
following statements by the parent indicates an understanding of the teaching
I will make sure that I can fit one finger between the mattress and the side of my newborns crib
A nurse is reinforcing teaching with a client who is in 16 weeks of gestation and has a prescription for
fear is
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