(Q&A) Lpn Med Surg Proctored Exam 60 Questions Quizlet
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The practical nurse (PN) is assisting with blood pressure measurement for adults at a community health fair. Which blood pressure measurement requires the most immediate action by the PN?
A. 140/90 mm Hg
B. 80/60 mm Hg
C. 120/90 mm Hg
D. 130/85 mm Hg
Answer: B. 80/60 mm Hg -
16. A client who delivered vaginally 18 hours ago develops a slight fever. The delivery record shows spontaneous rupture of membranes (SROM) for 36 hours prior to delivery and labor lasting 24 hours. An epidural was placed during labor and the client experienced a third-degree perineal laceration. The practical nurse (PN) should recognize which information poses the greatest risk for developing postpartum endometritis?
A. Labor lasting for 24 hours.
B. SROM for 36 hours.
C. Third-degree perineal laceration.
D. Epidural anesthesia.
Answer: B. SROM for 36 hours. -
6. The practical nurse (PN) is caring for a client with type 1 diabetes mellitus. Which intervention should the PN implement immediately after a below-the-knee amputation (BKA) due to gangrene?
A. Elevate the residual limb on pillows to prevent bleeding and swelling.
B. Position the residual limb below the heart to promote healing for prosthetic fitting.
C. Turn the client prone every 2 hours to prevent hip flexion contractures.
D. Position the client supine and flat to prevent phantom pain.
Answer: C. Turn the client prone every 2 hours to prevent hip flexion contractures. -
45. The practical nurse (PN) identifies an electrolyte imbalance, generalized edema, and a weight gain of 4.4 lbs (2 kg) in 24 hours for a client with chronic kidney disease (CKD). Which intervention in the plan of care should the PN implement?
A. Use a cushion when sitting.
B. Encourage a low carbohydrate diet.
C. Perform range of motion exercises.
D. Discuss a low sodium diet.
Answer: D. Discuss a low sodium diet. -
49. A female client is scheduled to begin chemotherapy for breast cancer. She tells the practical nurse (PN) that the healthcare provider explained that her hair is likely to fall out as a result of the treatment. The client asks the PN if her hair will grow back. Which response is best for the PN to make to this client's question?
A. "Hair loss is not usually permanent, but the color and texture may change when it grows back."
B. "It is likely that your hair will grow back, but if it does not there are very good wigs available."
C. "It depends on the amount of drug you receive with your particular treatment."
D. "We can never tell. People with cancer react differently to chemotherapy."
Answer: A. "Hair loss is not usually permanent, but the color and texture may change when it grows back." -
53. A client with skeletal traction has returned from the treatment room for closed reduction of a fractured tibia and cast application. Two hours after returning to the unit, the client is troubled by severe pain in the affected extremity, and the practical nurse (PN) observes that the limb is blue and mottled. Which action should the PN perform first?
A. Notify the charge nurse of the assessment findings.
B. Record the observations and check the limb every 15 minutes.
C. Release the traction and notify the healthcare provider.
D. Administer PRN pain medication.
Answer: A. Notify the charge nurse of the assessment findings. -
3. After administering carbamazepine to a client with trigeminal neuralgia, which finding indicates to the practical nurse (PN) that the medication has produced the desired outcome?
A. Distal pulses intact with strong volume.
B. Client denies pain.
C. No seizure activity observed.
D. Able to ambulate without assistance.
Answer: B. Client denies pain. -
7. The practical nurse (PN) is caring for a client scheduled for a bronchoscopic procedure. After the charge nurse administers the IV sedative, which action should the PN implement?
A. Reinforce expected outcomes of surgery.
B. Auscultate all lung fields.
C. Monitor blood pressure.
D. Determine if the client needs to void.
Answer: C. Monitor blood pressure. -
9. A client with leukemia who is receiving chemotherapy has a hemoglobin of 10 g/dL, hematocrit of 38%, a white blood cell (WBC) count of 2,500/mm³, and a platelet count of 250,000/mm³. Which is the most significant problem that the practical nurse (PN) should consider when planning care for this client?
A. Bleeding.
B. Nausea.
C. Fatigue.
D. Infection.
Answer: D. Infection. -
51. A client with diabetes mellitus is admitted with an infected foot pressure injury. During a routine assessment, the practical nurse (PN) notes a pattern of deep, rapid respirations and a fruity breath odor. Which action should the PN take first?
A. Elevate the head of the bed.
B. Auscultate breath sounds.
C. Assess urine for ketones.
D. Measure the blood glucose.
Answer: D. Measure the blood glucose. -
54. A client with chronic cirrhosis has esophageal varices. It is most important for the practical nurse (PN) to report which finding to the charge nurse?
A. Brown, foamy urine.
B. Hematemesis.
C. Clay-colored stools.
D. Anorexia.
Answer: B. Hematemesis. -
50. A client with diabetes is admitted with a 1 cm ulcer on the left great toe. The practical nurse (PN) observes that the left foot has a dusky color. While planning the client's care, which intervention should the PN implement first?
A. Check the client's dorsalis pedis and posterior tibialis pulse points.
B. Bathe the wound daily with soap and water.
C. Record the color and temperature of the leg.
D. Perform dorsiflexion and extension exercises.
Answer: A. Check the client's dorsalis pedis and posterior tibialis pulse points. -
26. A client is recovering from a transurethral prostatectomy. Which activity should the practical nurse (PN) reinforce with the client to limit until after the first postoperative visit?
A. Driving a car.
B. Eating high-fiber foods.
C. Kegel exercises.
D. Walking around the house.
Answer: A. Driving a car.