Question #1
An older client diagnosed with acute lymphocytic leukemia is admitted to the hospital for treatment of thrombocytopenia. The LPN/LVN expects the supervising nurse to assign the client to which room?
A private room to prevent transmission to other clients.
A private room to decrease the risk of infection for the client.
A semi-private room to allow for interaction with another client.
A semi-private room since there is not a current infection.
Answer:
The correct answer is B.
What are the needs of the patient with acute lymphocytic leukemia and thrombocytopenia?
Needed Info: Lymphocytic leukemia, disease characterized by proliferation of immature WBCs. Immature cells unable to fight infection as competently as mature white cells. Treatment: chemotherapy, antibiotics, blood transfusions, bone marrow transplantation. Nursing responsibilities: private room, no raw fruits or vegs, small frequent meals, O2, good skin care.
to a private room so she will not infect other patients and health care workers - poses little or no threat
to a private room so she will not be infected by other patients and health care workers - CORRECT: protects patient from exogenous bacteria, risk for developing infection from others due to depressed WBC count, alters ability to fight infection
to a semiprivate room so she will have stimulation during her hospitalization - should be placed in a room alone
to a semiprivate room so she will have the opportunity to express her feelings about her illness - ensure that patient is provided with opportunities to express feelings about illness
Question #2
The LPN/LVN assists the nurse in a community class for parents in prevention of childhood accidental poisoning. Which suggestion by the LPN/LVN is best to include regarding medications?
Lock all medications in a cabinet.
Child proof all the caps to medication bottles.
Store medications on the highest shelf in a cupboard.
Place medications in different containers.
Answer:
The correct answer is A.
What is the BEST way to prevent accidental poisoning
in children?
Strategy: Picture toddlers at play.
Lock all medications in a cabinet - CORRECT: improper storage most common cause of poisoning; highest incidence in two-year-olds
Child proof all the caps to medication bottles - children can open
Store medications on the highest shelf in a cupboard - toddlers climb
Place medications in different containers - keep in original container
Question #3
The LPN/LVN provides care for a client who needs a nasogastric tube inserted and placed on low suction. While inserting the tube, which personal protective equipment does the LPN/LVN use?
Gloves, gown, goggles, and surgical cap.
Sterile gloves, mask, plastic bags, and gown.
Gloves, gown, mask, and goggles.
Double gloves, goggles, mask, and surgical cap.
Answer:
The correct answer is C.
What is the correct universal precaution?
Strategy: Think about each answer choice. How is each
measure protecting the nurse?
Needed Info: Mask, eye protection, face shield protect mucous membrane exposure; used if activities are likely to generate splash or sprays. Gowns used if activities are likely to generate splashes or sprays.
Gloves, gown, goggles, and surgical cap - surgical caps offer protection to hair but aren’t required.
Sterile gloves, mask, plastic bags, and gown - plastic bags provide no direct protection and aren’t part of universal precautions
Gloves, gown, mask, and goggles - CORRECT: must use universal precautions on ALL patients; prevent skin and mucous membrane exposure when contact with blood or other body fluids is anticipated
Double gloves, goggles, mask, and surgical cap - surgical cap not required; unnecessary to double glove
Question #4
The LPN/LVN in the outpatient clinic cares for a school-age child following a tonsillectomy. The client is lethargic, but arousable to verbal commands. The LPN/LVN understands which position is best for this client?
Sims'.
Side-lying.
Supine.
Prone.
Answer:
The correct answer is B.
What is the best position after tonsillectomy to help with drainage of oral secretions?
Sims' - on side with top knee flexed and thigh drawn up to chest and lower knee less sharply flexed: used for vaginal or rectal examination
Side-lying - CORRECT: most effective to facilitate drainage of secretions from the mouth and pharynx; reduces possibility of airway obstruction.
Supine - increased risk for aspiration, would not facilitate drainage of oral secretions
Prone - risk for airway obstruction and aspiration, unable to observe the child for signs of bleeding such as increased swallowing
Question #5
A nursing team consists of an RN, an LPN/ LVN, and a nursing assistant. The LPN/LVN expects the nurse to assign which client for care?
An older client diagnosed with diabetes mellitus type 1 with a venous stasis ulcer.
A middle-age client diagnosed with cancer of the bone reporting increased pain.
A middle-age client diagnosed with terminal cancer being moved into hospice.
A young adult client diagnosed with a femur fracture who needs assistance to the bathroom.
Answer:
The correct answer is A.
Which patient is an appropriate assignment for the LPN/LVN?
Needed Info: LPN/LVN: assists with implementation of care; performs procedures; differentiates normal from abnormal; cares for stable patients with predictable conditions; has knowledge of asepsis and dressing changes; administers medications (varies with educational background and state nurse practice act).
A 72-year-old patient with diabetes who requires a dressing change for a stasis ulcer - CORRECT: stable patient with an expected outcome
A 42-year-old patient with cancer of the bone complaining of pain - requires assessment; RN is the appropriate caregiver
A 55-year-old patient with terminal cancer being transferred to hospice home care - requires nursing judgement; RN is the appropriate caregiver
A 23-year-old patient with a fracture of the right leg who asks to use the urinal - standard unchanging procedure; assign to the nursing assistant
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